Rock Creek Rehabilitation and Healthcare Center
2277 East Dr · Monte Vista, CO · 81144 · 7198525138
60 certified beds For profit - Corporation Chain: Centennial Healthcare
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
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.03 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 2 · $42,008 |
Inspection citations (27 in the current record)
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Actual harm · G December 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 29, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 29, 2025 · Resident Assessment and Care Planning
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Actual harm · G February 8, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 9, 2024 · Quality of Life and Care
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Potential for harm · E February 8, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 4, 2024 · Resident Rights
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Potential for harm · E February 8, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D February 8, 2024
Plan the resident's discharge to meet the resident's goals and needs.
Corrected March 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 29, 2024 · Quality of Life and Care
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Potential for harm · E February 8, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected March 4, 2024 · Nursing and Physician Services
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Potential for harm · D February 8, 2024
Observe each nurse aide's job performance and give regular training.
Corrected March 4, 2024 · Nursing and Physician Services
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Potential for harm · D February 8, 2024
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 March 4, 2024 · Pharmacy Service
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Potential for harm · E February 8, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 29, 2024 · Infection Control
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No harm found · C February 8, 2024
The resident has the right to receive notices in a format and a language he or she understands.
Corrected February 28, 2024 · Resident Rights
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Potential for harm · D October 10, 2019
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 5, 2019 · Resident Rights
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Potential for harm · D October 10, 2019
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 5, 2019 · Resident Assessment and Care Planning
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Potential for harm · D October 10, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 20, 2019 · Quality of Life and Care
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Potential for harm · D October 10, 2019
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 5, 2019 · Quality of Life and Care
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Potential for harm · F October 10, 2019
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 November 20, 2019 · Nursing and Physician Services
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Potential for harm · D October 10, 2019
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected November 5, 2019 · Quality of Life and Care
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Potential for harm · D October 10, 2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected November 5, 2019 · Quality of Life and Care
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Potential for harm · E October 10, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 5, 2019 · Nutrition and Dietary
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Potential for harm · F October 10, 2019
Implement a program that monitors antibiotic use.
Corrected November 5, 2019 · Infection Control
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Potential for harm · F October 10, 2019
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 5, 2019 · Environmental
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Potential for harm · D August 16, 2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 10, 2018 · Resident Assessment and Care Planning
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Potential for harm · D August 16, 2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 17, 2018 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 10, 2025 | Fine | $14,015 |
| February 8, 2024 | Fine | $27,993 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065291 · certified since June 5, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.