Rio Grande Rehabilitation and Healthcare Center
39 Calle Miller · La Jara, CO · 81140 · 7192743311
60 certified beds For profit - Limited Liability company Chain: Centennial Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 26% | median 45% |
| Fines (3-yr window) | 2 · $54,946 |
Inspection citations (39 in the current record)
-
Potential for harm · E April 22, 2026
Honor the resident's right to choose his or her attending physician.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 22, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 22, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 22, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 22, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D April 22, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 22, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · E April 22, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 22, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · F April 22, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has no plan of correction · Nutrition and Dietary
-
Potential for harm · E April 22, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
-
Potential for harm · D April 22, 2026
Implement a program that monitors antibiotic use.
Deficient, Provider has no plan of correction · Infection Control
-
Immediate jeopardy · J November 6, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 4, 2025 · Quality of Life and Care
-
Actual harm · G November 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G November 6, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 4, 2025 · Quality of Life and Care
-
Potential for harm · D July 24, 2025 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 24, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected August 15, 2025 · Quality of Life and Care
-
Potential for harm · D March 26, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected May 6, 2024 · Quality of Life and Care
-
Potential for harm · D March 26, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 8, 2024 · Quality of Life and Care
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Potential for harm · E March 26, 2024
Observe each nurse aide's job performance and give regular training.
Corrected May 13, 2024 · Nursing and Physician Services
-
Potential for harm · E March 26, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 26, 2024 · Pharmacy Service
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Potential for harm · D March 26, 2024
Provide or obtain dental services for each resident.
Corrected May 6, 2024 · Quality of Life and Care
-
Potential for harm · D March 26, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 13, 2024 · Infection Control
-
Potential for harm · E November 20, 2019
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 16, 2019 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 6, 2025 | Fine | $39,163 |
| March 26, 2024 | Fine | $15,783 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065399 · certified since June 3, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.