Federal inspection record · CMS data as of October 1, 2026
Rio Grande Rehabilitation And Healthcare Center
39 Calle Miller, La Jara, CO · (719) 274-3311
- Cited for abuse (CMS abuse icon)
- Certified beds
- 60
- Residents per day
- 46
- Ownership
- For-Profit
- Chain
- Centennial Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 3, 2010
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Colorado homes
Rio Grande Rehabilitation And Healthcare Center carries 157.25 inspection points. That is fewer than 6% of Colorado's 208 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–22 pts
- 4★ 22–44 pts
- 3★ 44–70.75 pts
- 2★ 70.75–104 pts
- 1★ over 104 pts
Bars show every rated home in Colorado by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation8F
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- F
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care8E
- E
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning5F
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- F
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Provide care by qualified persons according to each resident's written plan of care.
Resident Rights4E
- E
Honor the resident's right to choose his or her attending physician.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service4E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- E
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.
- D
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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1E
- E
Observe each nurse aide's job performance and give regular training.
Administration1F
- F
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.
Inspection history
2026-04-22
16 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-03-26
9 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2019-11-20
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 27 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 43% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$54,946 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-06 | Fine | $39,163 |
| 2024-03-26 | Fine | $15,783 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.4 pts worse | 4.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts better | 100.0% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.3 pts better | 98.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts worse | 5.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms45.8 pts worse | 54.6% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 2.8% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication44 pts worse | 55.6% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.2 pts worse | 28.1% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.9 pts better | 7.8% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.7 pts better | 6.1% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.4% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better | 20.3% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 1.4% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.6 pts better | 97.6% | 77.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.1 pts better | 4.9% | 12.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.4 pts better | 76.0% | 73.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts better | 15.9% | 20.5% | 23.4% |
·
Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Centennial Mn Tr I | 5% Or Greater Indirect Ownership Interest · Organization | 18% | 7 facilities |
| Duke, Jacob | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Duke, Jacob | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gottlieb, Refoel | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Gottlieb, Refoel | Adp Of The SNF · Individual | 0% | 10 facilities |
| Singer, Meir | Corporate Officer · Individual | 0% | 16 facilities |
| Turpen, Mark | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Turpen, Mark | Adp Of The SNF · Individual | 0% | 5 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness8F
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address subsistence needs for staff and patients.
- F
List the names and contact information of those in the facility.
- F
Establish methods for sharing information.
- F
Establish staff and initial training requirements.
Smoke2F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1D
- D
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
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San Luis Care Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Evergreen Nursing Home
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 28 min
- Fines
- $13,098
-
Colorado Veterans Community Living Center At Homel
Monte Vista, CO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 40 min
- Fines
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