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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeColoradoPaonia Care and Rehabilitation Center

Paonia Care and Rehabilitation Center

1625 Meadowbrook Blvd, Paonia, CO 814289705274837
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
5/5
Beds
60
certified
This facility has been flagged for abuse.
2 fine(s) totaling $39,316

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 60 certified beds with an average of 47 residents per day (78% occupancy)

• Last health inspection found 12 deficiencies (inspected Aug 7, 2025)

• Has been fined a total of $39,316 across 2 fine(s)

• Total nursing staff: 2.95 hours per resident per day

• Staff turnover rate: 74.1% (high)

• Part of the Madison Creek Partners chain (12 facilities)

Paonia Care and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Paonia, Colorado with 60 certified beds. It has been operating since 1989. The facility scored below average compared to Colorado facilities.

Beds
60
Avg Residents/Day
47
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 1, 1989
Sprinklers
Yes
Council
Resident
County
Delta
Last Inspection
Aug 7, 2025
Deficiencies (Cycle 1)
12
Weighted Score
122.0
Infection Citations
0

Deficiency Citations (44)

F0600Potential for Harm

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

Survey: Mar 24, 2025Corrected: NoCycle: 1
F0600Potential for Harm

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

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0603Actual Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0887Potential for Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0567Potential for Harm

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

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0569Potential for Harm

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0574Minimal Harm

The resident has the right to receive notices in a format and a language he or she understands.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0626Potential for Harm

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0660Potential for Harm

Plan the resident's discharge to meet the resident's goals and needs.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0680Potential for Harm

Ensure the activities program is directed by a qualified professional.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0801Potential for Harm

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0805Immediate Jeopardy

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0867Potential for Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey: Mar 1, 2024Corrected: NoCycle: 2

+ 14 more deficiencies

Total Fines
$39,316
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineAug 7, 2025
$19,135
FineMar 1, 2024
$20,181

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.70 hrs
National avg: 2.35 hrs
LPN0.50 hrs
National avg: 0.86 hrs
RN0.76 hrs
National avg: 0.68 hrs
Total Nursing2.95 hrs
National avg: 3.89 hrs
Weekend Total2.68 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
74.1%
RN Turnover
61.5%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (11)

NameRoleTypeOwnership %Since
MADISON CREEK PARTNERS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 1, 2016
BRUCE, LELAND5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual30%Jul 1, 2016
CHRISTENSEN, COVEY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual70%Jul 1, 2016
BRUCE, LELANDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2016
CHRISTENSEN, COVEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2016
SILVER, RACHELCORPORATE DIRECTORIndividualN/AJul 1, 2016
BRUCE, LELANDCORPORATE OFFICERIndividualN/AJul 1, 2016
CHRISTENSEN, COVEYCORPORATE OFFICERIndividualN/AJul 1, 2016
BRUCE, LELANDW-2 MANAGING EMPLOYEEIndividualN/AJul 1, 2016
CHRISTENSEN, COVEYW-2 MANAGING EMPLOYEEIndividualN/AJul 1, 2016
SILVER, RACHELW-2 MANAGING EMPLOYEEIndividualN/AJul 1, 2016

Frequently Asked Questions

What is the CMS rating for Paonia Care and Rehabilitation Center?▾
Paonia Care and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 5/5. This facility is rated below average.
Has Paonia Care and Rehabilitation Center had any health inspection violations?▾
Paonia Care and Rehabilitation Center had 12 deficiency citations in its most recent health inspection (Aug 7, 2025). The facility has been fined a total of $39,316 across 2 fine(s).
What are the staffing levels at Paonia Care and Rehabilitation Center?▾
Paonia Care and Rehabilitation Center provides 2.95 total nursing staff hours per resident per day, including 0.76 RN hours, 0.50 LPN hours, and 1.70 nurse aide hours. The total staff turnover rate is 74.1%.
How many beds does Paonia Care and Rehabilitation Center have?▾
Paonia Care and Rehabilitation Center has 60 certified beds with an average of 47 residents per day, resulting in approximately 78% occupancy. The facility is For profit - Limited Liability company owned and is part of the Madison Creek Partners chain.

Part of Madison Creek Partners

This chain operates 12 facilities. View all →