Mancos, CO

Valley Rehabilitation And Healthcare Center, The

3-star overall rating with 3-star inspections with $12,735 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

211 E 3rd Ave, Mancos, CO

(970) 533-9031

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

52

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Centennial Healthcare

Operator or chain grouping

Approved since

1993-01-06

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

0.54

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

2.20

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.37

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

1.17

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

3.02

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

2.89

CMS adjusted total nurse staffing hours

Case-mix index

1.59

Higher values indicate more complex resident acuity

RN turnover

70%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

0

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

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

Not reported

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

Total nurse turnover

0

Performance 62.26% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 3.53 hours · Performance 2.93 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.22%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 58 · Observed rate 6.9% · Lower 95% interval 6.03%
Discharge to community	49.83%	50.57% 0.7 pts worse	No Different than the National Rate · Eligible stays 48 · Observed rate 50% · Lower 95% interval 38.86%
Medicare spending per beneficiary	0.87	1.02 0.2 pts better
Drug regimen review with follow-up	92.59%	95.27% 2.7 pts worse	Numerator 25 · Denominator 27
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 27
Discharge self-care score	41.67%	53.69% 12 pts worse	Numerator 10 · Denominator 24
Discharge mobility score	58.33%	50.94% 7.4 pts better	Numerator 14 · Denominator 24
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 27 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 76
Staff flu vaccination coverage	100%	42% 58 pts better	Numerator 84 · Denominator 84
Discharge function score	66.67%	56.45% 10.2 pts better	Numerator 16 · Denominator 24
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 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · 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	1.1	1.3 0.2 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	1.7 1.3 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.5 · Expected 1.4 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	89.1%	94.7% 5.6 pts worse	95.5% 6.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 89.1%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	3.4% 0.9 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.9% · Q3 3.9% · Q4 4.1% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	71.1%	7.4% 63.7 pts worse	11.4% 59.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.3% · Q2 70.8% · Q3 86.0% · Q4 88.6% · 4Q avg 71.1%
Percentage of long-stay residents who lose too much weight	4.1%	5.0% 0.9 pts better	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 10.6% · Q3 4.1% · Q4 0.0% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.1%	11.2% 7.9 pts worse	19.6% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 16.7% · Q3 24.0% · Q4 17.4% · 4Q avg 19.1%
Percentage of long-stay residents who received an antipsychotic medication	25.5%	20.6% 4.9 pts worse	16.7% 8.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 26.2% · Q3 27.3% · Q4 20.6% · 4Q avg 25.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	2.4%	0.1% 2.3 pts worse	0.1% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.9% · Q3 2.0% · Q4 4.1% · 4Q avg 2.4%
Percentage of long-stay residents whose ability to walk independently worsened	19.8%	15.2% 4.6 pts worse	16.3% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q3 13.5% · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.5%	14.6% 0.1 pts better	14.9% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 27.7% · Q3 6.2% · Q4 7.0% · 4Q avg 14.5% · 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	19.4%	22.4% 3 pts better	19.8% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 12.3% · Q3 30.9% · Q4 8.4% · 4Q avg 19.4%
Percentage of long-stay residents with pressure ulcers	0.0%	3.7% 3.7 pts better	5.1% 5.1 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 short-stay residents assessed and appropriately given the pneumococcal vaccine	98.5%	76.4% 22.1 pts better	81.7% 16.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 90.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.5%
Percentage of short-stay residents who had an outpatient emergency department visit	5.4%	12.8% 7.4 pts better	12.0% 6.6 pts better	Short Stay · 20240701-20250630 · Adjusted 5.4% · Observed 5.0% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	87.1%	75.6% 11.5 pts better	79.7% 7.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 87.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	11.1%	20.3% 9.2 pts better	23.9% 12.8 pts better	Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 10.0% · Expected 21.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-27 · Fire 2024-06-27

6 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2020-02-27 · Fire 2020-02-27

3 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-01-10 · Fire 2019-01-10

4 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-27

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-06-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-08-02

E · Potential for more than minimal harm 2024-06-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-06-27

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-06-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-06-27

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 2024-08-02

D · Potential for more than minimal harm 2024-06-27

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-08-02

D · Potential for more than minimal harm 2020-02-27

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2020-09-14

D · Potential for more than minimal harm 2020-02-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-09-14

D · Potential for more than minimal harm 2020-02-27

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2020-09-14

D · Potential for more than minimal harm 2019-01-10

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 2019-02-07

D · Potential for more than minimal harm 2019-01-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-02-15

Inspection history

Recent health citations

G · Actual harm 2025-12-10

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.

Not marked corrected

D · Potential for more than minimal harm 2025-09-11

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-11

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-09-29

F · Potential for more than minimal harm 2024-06-27

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 2024-07-11

E · Potential for more than minimal harm 2024-06-27

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 2024-07-11

E · Potential for more than minimal harm 2024-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-11

G · Actual harm 2020-02-27

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 2020-03-20

E · Potential for more than minimal harm 2020-02-27

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 2020-03-20

D · Potential for more than minimal harm 2020-02-27

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 2020-03-20

F · Potential for more than minimal harm 2019-01-10

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 2019-02-01

E · Potential for more than minimal harm 2019-01-10

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2019-02-01

E · Potential for more than minimal harm 2019-01-10

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 2019-01-29

C · Minimal harm 2019-01-10

F620 · Resident Rights Deficiencies

Health

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Corrected 2019-02-01

Penalties and ownership

What sits behind the stars

$12,735 2025-12-10

Fine

Fine · fine $12,735

Fine

Ownership

Centennial Iii Colorado Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2022-09-01

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

Centennial I Tbd Holdco LLC