Valley Manor Care Center
1401 S Cascade Ave · Montrose, CO · 81401 · 9702499634
101 certified beds Non profit - Corporation Chain: Volunteers of America Senior Living
Why this verdict
- Carries CMS’s abuse warning icon.
- 5 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
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 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.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 3.64 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $35,968 |
Inspection citations (28 in the current record)
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Potential for harm · D December 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 11, 2025 · Quality of Life and Care
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Actual harm · G May 23, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected June 20, 2024 · Quality of Life and Care
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Potential for harm · D May 23, 2024
Give the resident's representative the ability to exercise the resident's rights.
Corrected June 20, 2024 · Resident Rights
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Potential for harm · E May 23, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected June 20, 2024 · Resident Rights
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Potential for harm · D May 23, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected June 20, 2024 · Quality of Life and Care
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Potential for harm · D May 23, 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 June 20, 2024 · Pharmacy Service
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Potential for harm · D May 23, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 20, 2024 · Nutrition and Dietary
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Potential for harm · E May 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 20, 2024 · Nutrition and Dietary
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Potential for harm · D May 23, 2024
Provide and implement an infection prevention and control program.
Corrected June 20, 2024 · Infection Control
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Actual harm · G June 8, 2023 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 19, 2023 · Quality of Life and Care
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Actual harm · G November 17, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 3, 2023 · Resident Rights
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Actual harm · G November 17, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 17, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 3, 2023 · Quality of Life and Care
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Potential for harm · D November 17, 2022
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2022
Respond appropriately to all alleged violations.
Corrected January 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2022
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 12, 2021
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 17, 2021 · Resident Rights
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Potential for harm · E August 12, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 19, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 12, 2021
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 17, 2021 · Resident Assessment and Care Planning
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Potential for harm · D August 12, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 17, 2021 · Quality of Life and Care
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Potential for harm · D August 12, 2021
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 19, 2021 · Quality of Life and Care
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Potential for harm · E August 12, 2021
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 17, 2021 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 23, 2024 | Fine | $35,968 |
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 065119 · certified since November 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.