Federal inspection record · CMS data as of October 1, 2026
Rock Creek Rehabilitation And Healthcare Center
2277 East Dr, Monte Vista, CO · (719) 852-5138
- Cited for abuse (CMS abuse icon)
- Certified beds
- 60
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- Centennial Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 5, 1991
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.
-
Staffing
★★★★★−1 star
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 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
Rock Creek Rehabilitation And Healthcare Center carries 86 inspection points. That is fewer than 32% 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
31 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)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Resident Rights5E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
- C
The resident has the right to receive notices in a format and a language he or she understands.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning3D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Nursing and Physician Services3F
- E
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.
- D
Observe each nurse aide's job performance and give regular training.
- F
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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Respond appropriately to all alleged violations.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Infection Control2F
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F
Implement a program that monitors antibiotic use.
Pharmacy Service1D
- D
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.
Environmental1F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2026-05-20
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-02-08
10 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2019-10-10
10 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 53 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
2 h 53 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$65,443 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-20 | Fine | $28,340 |
| 2025-12-10 | Fine | $9,110 |
| 2024-02-08 | Fine | $27,993 |
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 days0.4 pts worse | 1.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.7 pts worse | 4.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 99.2% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 97.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.7 pts worse | 8.1% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms52.9 pts worse | 61.7% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 4.2% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better | 10.6% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.8 pts worse | 33.7% | 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 worsened1.1 pts better | 10.6% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.3 pts better | 10.5% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 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 incontinence4.2 pts better | 16.4% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 5.3% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.8 pts better | 92.8% | 77.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
·
Who owns and runs it
18 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 Ii Colorado Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Centennial Ii Tbd Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Centennial Mn Tr I | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Centennial Mn Tr I | Adp Of The SNF · Organization | 0% | 7 facilities |
| Centennial Ms Trust I | Adp Of The SNF · Organization | 0% | 6 facilities |
| Centennial Yf Trust I | 5% Or Greater Direct Ownership Interest · Organization | 0% | 5 facilities |
| Centennial Yf Trust I | Adp Of The SNF · Organization | 0% | 5 facilities |
| Deacon, Alicia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Deacon, Alicia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gottlieb, Refoel | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Gottlieb, Refoel | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Gottlieb, Refoel | Trustee Of The SNF · Individual | 0% | 10 facilities |
| Gottlieb, Refoel | Adp Of The SNF · Individual | 0% | 10 facilities |
| Gotts Consulting Colorado LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Gotts Consulting Colorado LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Pandit, Kiran | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pandit, Kiran | Adp Of The SNF · Individual | 0% | 1 facilities |
| Snarl Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems5F
- D
Ensure proper usage of power strips and extension cords.
- 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.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness4F
- F
Establish policies and procedures for medical documentation.
- F
List the names and contact information of those in the facility.
- F
Provide a means of sharing information on occupancy/needs.
- F
Conduct testing and exercise requirements.
Egress3F
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have exits that are accessible at all times.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Colorado Veterans Community Living Center At Homel
Monte Vista, CO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 40 min
- Fines
- $0
-
River Valley Rehabilitation And Healthcare Center
Del Norte, CO · Centennial Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0
-
San Luis Care Center
Alamosa, CO · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0