The Valley Rehabilitation and Healthcare Center — nursing home in Mancos, CO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 60 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 52.4 CMS, MDS-derived
CMS Certification Number: 065306
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 6, 1993
Ownership type: For profit - Corporation
Operator (legal business name): The Valley Rehabilitation and Healthcare Center LLC
CMS chain: Centennial Healthcare 8 facilities
Phone: (970) 533-9031
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jul 30, 2026

Citations

26

13 health · 13 fire

Harm or worse

2

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D14	E7	F3
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,278

Payment denials

0

Latest

Dec 10, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 065306
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: Jan 6, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Colorado.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 30, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jul 30, 2026	Health	Health Standard	4	Potential harm	—	Open →
Dec 10, 2025	Health	Health Complaint	1	Actual harm	—	Open →
Sep 11, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Jun 27, 2024	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Jun 27, 2024	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →
Feb 27, 2020	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Feb 27, 2020	Health	Health Standard	3	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 10, 2025	Civil money penalty (fine)	$8,278	—	065306\|Fine\|136002

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D14	E7	F3
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 30, 2026	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 28, 2026
Jul 30, 2026	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 28, 2026
Jul 30, 2026	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 28, 2026
Jul 30, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 19, 2026
Jul 30, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 19, 2026
Jul 30, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Aug 19, 2026
Jul 30, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Aug 19, 2026
Dec 10, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance	Complaint
Sep 11, 2025	F-0573	Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 25, 2025	Complaint
Sep 11, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 29, 2025	Complaint
Jun 27, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 26, 2024
Jun 27, 2024	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 2, 2024
Jun 27, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Waiver granted Oct 25, 2024
Jun 27, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 31, 2024
Jun 27, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 31, 2024
Jun 27, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 2, 2024
Jun 27, 2024	K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 2, 2024
Jun 27, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jul 11, 2024	Complaint
Jun 27, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jul 11, 2024	Complaint
Jun 27, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 11, 2024	Complaint
Feb 27, 2020	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Mar 20, 2020
Feb 27, 2020	K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 14, 2020
Feb 27, 2020	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 14, 2020
Feb 27, 2020	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 14, 2020
Feb 27, 2020	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 20, 2020
Feb 27, 2020	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 20, 2020

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 3.1

Quality measuresstate 4.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.16

State avg 3.69US avg 3.90

Registered nurse (RN)0.60

State avg 0.81US avg 0.69

Licensed practical nurse0.48

State avg 0.68US avg 0.86

Nurse aide2.08

State avg 2.20US avg 2.35

Weekend total nurse2.79

State avg 3.26US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.82 (case-mix index 1.57).

Staff turnover

Total nursing staff turnover46.0%

State avg 47.0%US avg 45.3%

Registered nurse turnover50.0%

State avg 44.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 30, 2026
Cycle 1 health score: 52
Total weighted score: 49

Operating entity

The Valley Rehabilitation and Healthcare Center LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Centennial Healthcare

8 facilities in 1 states. CMS chain ID 750.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

16

Organizations

7

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Centennial I Tbd Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2022
Centennial Mn Tr I	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2022
Centennial M Trust II	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Centennial I Tbd Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2022
Centennial Mn Tr I	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2022
Centennial M Trust II	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2025
Refoel Gottlieb	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 1, 2022
Capital Finance LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Gotts Consulting Colorado LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Refoel Gottlieb	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Ashlee Monarco	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 12, 2022
Mark Turpen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2024
Meir Singer	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 1, 2022
Capital Finance LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Sep 1, 2022
Centennial Ms Trust I	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2022
Centennial Yf Trust I	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2022
Refoel Gottlieb	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2022
Ashlee Monarco	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 23, 2025
Mark Turpen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 23, 2025

Same chain in Colorado

All 7 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Vista Grande Rehabilitation and Healthcare Center 680 E Hospital Dr, Cortez, CO 81321 CCN 065153Abuse icon	101	Jun 3, 2026	383 harm	$36k
Rock Creek Rehabilitation and Healthcare Center 2277 East Dr, Monte Vista, CO 81144 CCN 065291Abuse icon	60	May 20, 2026	553 harm	$65k
Pine Ridge Rehabilitation and Healthcare Center 119 Bastille Dr, Pagosa Springs, CO 81147 CCN 065366	60	Feb 12, 2026	281 IJ1 harm1 open	$13k
Trinidad Rehabilitation and Healthcare Center 409 Benedicta Ave, Trinidad, CO 81082 CCN 065396Abuse icon	119	Feb 18, 2026	42	—
Rio Grande Rehabilitation and Healthcare Center 39 Calle Miller, La Jara, CO 81140 CCN 065399Abuse icon	60	Aug 4, 2026	541 IJ2 harm	$55k
Cottonwood Rehabilitation and Healthcare Center 450 Prospector Ave, Durango, CO 81301 CCN 065411	40	Apr 1, 2026	203 harm	—
River Valley Rehabilitation and Healthcare Center 1335 6th St, Del Norte, CO 81132 CCN 065424Abuse icon	60	Apr 2, 2025	381 harm	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 211 E 3rd Ave, Mancos, CO 81328
ZIP: 81328
County: Montezuma County FIPS 08083
State: Colorado
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	065306	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	065306	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 065306

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction