Federal inspection record · CMS data as of October 1, 2026
Valley Rehabilitation And Healthcare Center, The
211 E 3rd Ave, Mancos, CO · (970) 533-9031
- Certified beds
- 60
- Residents per day
- 52
- Ownership
- For-Profit
- Chain
- Centennial Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 6, 1993
1
How this home got 4 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.
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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.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Colorado homes
Valley Rehabilitation And Healthcare Center, The carries 49 inspection points. That is fewer than 61% 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
13 health citations on record since 2020. 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 (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Everything else, by area of care
Pharmacy Service4E
- 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
Ensure that residents are free from significant medication errors.
- 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.
- 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.
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.
Quality of Life and Care2D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights1D
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-07-30
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-06-27
5 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2020-02-27
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 10 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 50% of registered nurses left in the past year.
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
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-10 | Fine | $8,278 |
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 days0.7 pts better | 0.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 3.0 | 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 vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts worse | 6.2% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms81.7 pts worse | 90.5% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 5.1% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts worse | 15.3% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.5 pts worse | 20.4% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained2 pts worse | 2.1% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.1 pts better | 6.6% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.6 pts better | 6.2% | 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 incontinence5.6 pts better | 15.0% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 1.0% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23 pts better | 100.0% | 77.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.6 pts better | 3.4% | 12.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.4% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.7 pts better | 83.3% | 73.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.2 pts better | 7.3% | 20.5% | 23.4% |
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Who owns and runs it
16 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 |
|---|---|---|---|
| Capital Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 35 facilities |
| Capital Finance LLC | Operational/Managerial Control · Organization | 0% | 35 facilities |
| Centennial I Tbd Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Centennial M Trust Ii | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Centennial Mn Tr I | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Centennial Ms Trust I | Adp Of The SNF · Organization | 0% | 6 facilities |
| Centennial Yf Trust I | Adp Of The SNF · Organization | 0% | 5 facilities |
| Gottlieb, Refoel | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Gottlieb, Refoel | Operational/Managerial Control · 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 |
| Monarco, Ashlee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Monarco, Ashlee | Adp Of The SNF · Individual | 0% | 1 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
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7E
- E
Install a fire alarm system that can be heard throughout the facility.
- D
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems3D
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Egress2E
- E
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
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Vista Grande Rehabilitation And Healthcare Center
Cortez, CO · Centennial Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 6 min
- Fines
- $36,023
-
Durango Health And Rehabilitation
Durango, CO · The Ensign Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 6 min
- Fines
- $0
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Cottonwood Rehabilitation And Healthcare Center
Durango, CO · Centennial Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0