Spanish Peaks Veterans Community Living Center
23500 Us Highway 160 · Walsenburg, CO · 81089 · 7197384540
120 certified beds Government - Hospital district
Why this verdict
- Carries CMS’s abuse warning icon.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
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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 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.33 | 0.55–0.75 |
| Weekend hours / resident-day | 3.86 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 1 · $1,748 |
Inspection citations (24 in the current record)
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Potential for harm · D June 18, 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 August 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 5, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 22, 2025 · Quality of Life and Care
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Potential for harm · E December 5, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected January 22, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2024
Ensure that residents are free from significant medication errors.
Corrected January 22, 2025 · Pharmacy Service
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Potential for harm · D December 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 22, 2025 · Nutrition and Dietary
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Potential for harm · D December 5, 2024
Provide and implement an infection prevention and control program.
Corrected January 22, 2025 · Infection Control
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Actual harm · G June 29, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 8, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 29, 2023
Provide activities to meet all resident's needs.
Corrected July 28, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected August 18, 2023 · Quality of Life and Care
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Potential for harm · E June 29, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 11, 2023 · Quality of Life and Care
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Potential for harm · E June 29, 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 18, 2023 · Nursing and Physician Services
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Potential for harm · D June 29, 2023
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.
Corrected August 18, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 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 18, 2023 · Pharmacy Service
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Potential for harm · F June 29, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 20, 2023 · Nutrition and Dietary
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Potential for harm · D June 29, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 18, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 6, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 27, 2019 · Resident Rights
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Potential for harm · D August 6, 2019
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 27, 2019 · Resident Rights
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Potential for harm · D August 6, 2019
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected September 27, 2019 · Quality of Life and Care
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Potential for harm · D August 6, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2019 · Quality of Life and Care
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Potential for harm · E August 6, 2019
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 September 27, 2019 · Pharmacy Service
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Potential for harm · F August 6, 2019
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected September 27, 2019 · Administration
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Potential for harm · D August 6, 2019
Provide and implement an infection prevention and control program.
Corrected September 27, 2019 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 20, 2023 | Fine | $1,748 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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 06A190 · certified since December 31, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.