River Valley Rehabilitation and Healthcare Center
1335 6th St · Del Norte, CO · 81132 · 7196571105
60 certified beds For profit - Individual Chain: Centennial Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 2.61 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $14,768 |
Inspection citations (29 in the current record)
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Potential for harm · F April 2, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 29, 2025 · Nutrition and Dietary
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Potential for harm · E December 19, 2024
Provide care by qualified persons according to each resident's written plan of care.
Corrected January 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 30, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
Observe each nurse aide's job performance and give regular training.
Corrected January 30, 2025 · Nursing and Physician Services
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Potential for harm · D December 19, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected January 30, 2025 · Pharmacy Service
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Potential for harm · D December 19, 2024
Ensure that residents are free from significant medication errors.
Corrected January 30, 2025 · Pharmacy Service
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Potential for harm · E December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 30, 2025 · Nutrition and Dietary
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Potential for harm · E December 19, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 30, 2025 · Resident Rights
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Potential for harm · D December 19, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 30, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected January 30, 2025 · Nutrition and Dietary
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Potential for harm · D December 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 30, 2025 · Infection Control
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Actual harm · G July 13, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 11, 2023 · Quality of Life and Care
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Potential for harm · D July 13, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 13, 2023
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 13, 2023
Provide activities to meet all resident's needs.
Corrected August 11, 2023 · Quality of Life and Care
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Potential for harm · D July 13, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 11, 2023 · Quality of Life and Care
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Potential for harm · D July 13, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 11, 2023 · Quality of Life and Care
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Potential for harm · F July 13, 2023
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected August 11, 2023 · Nursing and Physician Services
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Potential for harm · E July 13, 2023
Observe each nurse aide's job performance and give regular training.
Corrected August 11, 2023 · Nursing and Physician Services
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Potential for harm · E July 13, 2023
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 August 11, 2023 · Pharmacy Service
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Potential for harm · E July 13, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 11, 2023 · Pharmacy Service
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Potential for harm · E July 13, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 11, 2023 · Nutrition and Dietary
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Potential for harm · D July 13, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected August 11, 2023 · Administration
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Potential for harm · E July 13, 2023
Provide and implement an infection prevention and control program.
Corrected August 11, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 13, 2023 | Fine | $14,768 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065424 · certified since August 16, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.