Durango, CO

Cottonwood Rehabilitation And Healthcare Center

5-star overall rating with 4-star inspections with $22,152 in total fines with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

450 Prospector Ave, Durango, CO

(970) 516-1404

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

35

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Centennial Healthcare

Operator or chain grouping

Approved since

2014-03-25

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.45

Registered nurse staffing

LPN hours / resident day

0.21

Licensed practical nurse staffing

Aide hours / resident day

2.45

Nurse aide staffing

Weekend hours

3.63

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

50%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.2
1.3
0.1 pts better
1.9
0.7 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.7
0.1 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
93.5%
6.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.7%
5.3 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.7%
3.4%
2.3 pts worse
3.3%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 24.7%
7.4%
17.3 pts worse
11.4%
13.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.6%
5.0%
2.4 pts better
5.4%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.1%
11.2%
22.9 pts worse
19.6%
14.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 13.0%
20.6%
7.6 pts better
16.7%
3.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 7.8%
15.2%
7.4 pts better
16.3%
8.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 8.5%
14.6%
6.1 pts better
14.9%
6.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.8%
0.8 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.4%
1.5%
0.9 pts worse
1.7%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.6%
22.4%
2.8 pts better
19.8%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.0%
3.7%
1.7 pts better
5.1%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
76.4%
22.4 pts better
81.7%
17.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.9%
12.8%
4.1 pts worse
12.0%
4.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.5%
0.5 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.1%
75.6%
21.5 pts better
79.7%
17.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.4%
20.3%
1.1 pts worse
23.9%
2.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-21 · Fire 2024-11-21

2 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2023-07-12 · Fire 2023-07-12

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2022-04-07 · Fire 2022-04-07

2 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-21

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-12-30

F · Potential for more than minimal harm 2024-11-21

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-01-16

F · Potential for more than minimal harm 2024-11-21

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-01-16

F · Potential for more than minimal harm 2024-11-21

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-12-24

E · Potential for more than minimal harm 2024-11-21

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-01-16

D · Potential for more than minimal harm 2024-11-21

K163 · Construction Deficiencies

Fire Safety

Install noncombustible or limited-combustible interior walls.

Corrected 2024-12-11

D · Potential for more than minimal harm 2024-11-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-31

E · Potential for more than minimal harm 2023-07-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-14

D · Potential for more than minimal harm 2023-07-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-09

D · Potential for more than minimal harm 2022-04-07

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2022-05-19

D · Potential for more than minimal harm 2022-04-07

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2022-05-19

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-11-21

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-21

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-12-20

G · Actual harm 2023-07-12

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-08-10

G · Actual harm 2023-07-12

F758 · Pharmacy Service Deficiencies

Health

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 2023-08-10

E · Potential for more than minimal harm 2023-07-12

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-08-10

E · Potential for more than minimal harm 2023-07-12

F761 · Pharmacy Service Deficiencies

Health

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 2023-08-10

G · Actual harm 2022-04-07

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-04-08

D · Potential for more than minimal harm 2022-04-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-04-08

Penalties and ownership

What sits behind the stars

$22,152 2023-07-12

Fine

Fine · fine $22,152

Fine

Ownership

Centennial Iii Colorado Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2022-09-01
Gottlieb, Refoel

5% Or Greater Indirect Ownership Interest · Individual

20% 10 facilities 2022-09-01
Centennial Mn Tr I

5% Or Greater Indirect Ownership Interest · Organization

18% 7 facilities 2022-09-01
Centennial Ms Trust I

5% Or Greater Indirect Ownership Interest · Organization

18% 7 facilities 2022-09-01
Centennial Yf Trust I

5% Or Greater Indirect Ownership Interest · Organization

18% 6 facilities 2022-09-01
Emssah Non- Grantor Trust

5% Or Greater Indirect Ownership Interest · Organization

10% 6 facilities 2022-09-01
Weintraub, Moshe

5% Or Greater Indirect Ownership Interest · Individual

7% 19 facilities 2022-09-01
Bradley, Christine

Operational/Managerial Control · Individual

0% 1 facilities 2022-09-12
Capital Finance LLC

Operational/Managerial Control · Organization

0% 32 facilities 2022-09-01
Capital Finance LLC

5% Or Greater Security Interest · Organization

0% 32 facilities 2022-09-01
Gottlieb, Refoel

Operational/Managerial Control · Individual

0% 10 facilities 2022-09-01
Gotts Consulting Colorado LLC

Operational/Managerial Control · Organization

0% 6 facilities 2022-09-01
Turpen, Mark

Operational/Managerial Control · Individual

0% 4 facilities 2024-05-01

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