Trinidad, CO

Trinidad Rehabilitation And Healthcare Center

2-star overall rating with 2-star inspections with abuse icon flag with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

409 Benedicta Ave, Trinidad, CO

(719) 846-9291

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

119

Certified beds

Average residents

90

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Centennial Healthcare

Operator or chain grouping

Approved since

1977-10-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

0.62

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.33

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.38

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

1.04

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.03

CMS adjusted total nurse staffing hours

Case-mix index

1.53

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,941

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.26

Composite VBP score used to determine payment impact.

Payment multiplier

0.9864

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

1.01

Baseline 6.63% · Performance 7.53% · Measure score 1.01 · Achievement 1.01 · Improvement 0

Total nurse turnover

7.08

Performance 34.72% · Measure score 7.08 · Achievement 7.08 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.29

Baseline 3.57 hours · Performance 3.44 hours · Measure score 1.29 · Achievement 1.29 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.67%
10.72%
1.1 pts better
No Different than the National Rate · Eligible stays 50 · Observed rate 4% · Lower 95% interval 6.22%
Discharge to community 36.51%
50.57%
14.1 pts worse
Worse than the National Rate · Eligible stays 31 · Observed rate 25.81% · Lower 95% interval 24.48%
Medicare spending per beneficiary 0.93
1.02
0.1 pts better
Drug regimen review with follow-up 90.48%
95.27%
4.8 pts worse
Numerator 19 · Denominator 21
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 21
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 14.29%
2.29%
12 pts worse
Numerator 3 · Denominator 21 · Adjusted rate 12.12%
Healthcare-associated infections requiring hospitalization 7.53%
7.12%
0.4 pts worse
No Different than the National Rate · Eligible stays 35 · Observed rate 8.57% · Lower 95% interval 4.48%
Staff COVID-19 vaccination coverage 16.35%
8.2%
8.2 pts better
Numerator 17 · Denominator 104
Staff flu vaccination coverage 91.26%
42%
49.3 pts better
Numerator 94 · Denominator 103
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

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 · Adjusted 1.2 · Observed 0.8 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 4.4
1.7
2.7 pts worse
1.8
2.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 3.2 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
93.5%
5.3 pts better
93.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 96.4% · 4Q avg 98.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
94.7%
4.2 pts better
95.5%
3.4 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury 9.1%
3.4%
5.7 pts worse
3.3%
5.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 13.4% · Q3 8.6% · Q4 6.0% · 4Q avg 9.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 34.9%
7.4%
27.5 pts worse
11.4%
23.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 49.4% · Q3 36.7% · Q4 33.8% · 4Q avg 34.9%
Percentage of long-stay residents who lose too much weight 6.7%
5.0%
1.7 pts worse
5.4%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.1% · Q3 19.4% · Q4 3.9% · 4Q avg 6.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.2%
11.2%
2 pts better
19.6%
10.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 9.3% · Q3 6.7% · Q4 6.4% · 4Q avg 9.2%
Percentage of long-stay residents who received an antipsychotic medication 16.7%
20.6%
3.9 pts better
16.7%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 16.9% · Q3 16.7% · Q4 17.9% · 4Q avg 16.7% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 4.7%
15.2%
10.5 pts better
16.3%
11.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.4% · Q3 0.0% · Q4 7.7% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 5.7%
14.6%
8.9 pts better
14.9%
9.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 6.8% · Q3 1.4% · Q4 9.3% · 4Q avg 5.7% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.5%
1.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.9%
22.4%
8.5 pts better
19.8%
5.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 5.9% · Q3 19.9% · Q4 18.1% · 4Q avg 13.9%
Percentage of long-stay residents with pressure ulcers 3.5%
3.7%
0.2 pts better
5.1%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.7% · Q3 2.8% · Q4 1.2% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.3%
76.4%
3.9 pts better
81.7%
1.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 87.0% · Q2 96.6% · Q3 82.9% · Q4 64.4% · 4Q avg 80.3%
Percentage of short-stay residents who had an outpatient emergency department visit 10.0%
12.8%
2.8 pts better
12.0%
2 pts better
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 8.7% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.7%
1.5%
0.2 pts worse
1.6%
0.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82.8%
75.6%
7.2 pts better
79.7%
3.1 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.1%
20.3%
0.8 pts worse
23.9%
2.8 pts better
Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 17.4% · Expected 19.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-05 · Fire 2024-06-05

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2020-02-05 · Fire 2020-02-05

20 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2019-02-07 · Fire 2019-02-07

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-05

E33 · Emergency Preparedness Deficiencies

Fire Safety

Establish methods for sharing information.

Corrected 2024-06-21

F · Potential for more than minimal harm 2020-02-05

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2020-03-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-29

D · Potential for more than minimal harm 2025-12-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-12-29

F · Potential for more than minimal harm 2024-06-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-06-05

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-06-05

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-05

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-06-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-25

D · Potential for more than minimal harm 2024-06-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-06-05

F700 · Quality of Life and Care Deficiencies

Health

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 2024-06-20

D · Potential for more than minimal harm 2024-06-05

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 2024-06-26

D · Potential for more than minimal harm 2024-06-05

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-07-02

F · Potential for more than minimal harm 2020-02-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2020-03-06

F · Potential for more than minimal harm 2020-02-05

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2020-03-01

F · Potential for more than minimal harm 2020-02-05

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2020-03-02

F · Potential for more than minimal harm 2020-02-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2020-03-02

F · Potential for more than minimal harm 2020-02-05

F838 · Administration Deficiencies

Health

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 2020-03-02

F · Potential for more than minimal harm 2020-02-05

F841 · Nursing and Physician Services Deficiencies

Health

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Corrected 2020-03-02

F · Potential for more than minimal harm 2020-02-05

F843 · Administration Deficiencies

Health

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

Corrected 2020-02-05

F · Potential for more than minimal harm 2020-02-05

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2020-03-02

E · Potential for more than minimal harm 2020-02-05

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2020-03-02

E · Potential for more than minimal harm 2020-02-05

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2020-03-01

E · Potential for more than minimal harm 2020-02-05

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2020-03-01

E · Potential for more than minimal harm 2020-02-05

F726 · Nursing and Physician Services Deficiencies

Health

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 2020-03-02

E · Potential for more than minimal harm 2020-02-05

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2020-03-02

E · Potential for more than minimal harm 2020-02-05

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-03-02

E · Potential for more than minimal harm 2020-02-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-03-02

D · Potential for more than minimal harm 2020-02-05

F578 · Resident Rights Deficiencies

Health

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 2020-03-15

D · Potential for more than minimal harm 2020-02-05

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2020-03-02

D · Potential for more than minimal harm 2020-02-05

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 2020-03-15

D · Potential for more than minimal harm 2020-02-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2020-03-01

D · Potential for more than minimal harm 2020-02-05

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 2020-03-15

F · Potential for more than minimal harm 2019-02-07

F726 · Nursing and Physician Services Deficiencies

Health

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 2019-03-08

F · Potential for more than minimal harm 2019-02-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-03-08

F · Potential for more than minimal harm 2019-02-07

F838 · Administration Deficiencies

Health

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 2019-03-11

E · Potential for more than minimal harm 2019-02-07

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2019-03-20

D · Potential for more than minimal harm 2019-02-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-03-11

D · Potential for more than minimal harm 2019-02-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2019-02-26

D · Potential for more than minimal harm 2019-02-07

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2019-03-01

D · Potential for more than minimal harm 2019-02-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-03-08

Penalties and ownership

What sits behind the stars

Ownership

Bank Hapoalim B.m.

Operational/Managerial Control · Organization

0% 4 facilities 2025-04-30
Bank Hapoalim B.m.

5% Or Greater Security Interest · Organization

0% 4 facilities 2025-04-30
Centennial I Tbd Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2022-09-01
Centennial Mn Tr I

5% Or Greater Indirect Ownership Interest · Organization

0% 7 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
Jennings, Stacie

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-03
Mcfarland, Douglas

Operational/Managerial Control · Individual

0% 1 facilities 2024-05-01

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