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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D21 | E8 | F6 |
| 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 29, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 29, 2026 | Health | Health Complaint, Health Standard | 5 | Immediate jeopardy | — | Open → |
| Jun 6, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Feb 27, 2020 | Fire safety | Fire Safety Standard | 16 | Potential harm | — | Open → |
| Feb 27, 2020 | Health | Health Standard | 9 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 29, 2026 | Civil money penalty (fine) | $52,988 | — | 065394|Fine|137069 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D21 | E8 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 29, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Feb 26, 2026 | Complaint |
| Jan 29, 2026 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2026 | |
“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.
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.
CMS legal business name of the certified provider. Operates 4 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| State of Colorado | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 1975 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| State of Colorado | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 1975 |
| Jesse Cowan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Carrie Hsu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Barbara Moore | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Barbara Moore | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2006 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Veterans Community Living Center at Fitzsimons 1919 Quentin St, Aurora, CO 80045 CCN 065380 | 180 | Nov 21, 2024 | 472 IJ | — | |
| Colorado State Veterans Nursing Home - Rifle 851 E 5th St, Rifle, CO 81650 CCN 065386 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Hildebrand Care Center 1401 Phay Ave, Canon City, CO 81212 CCN 065179 | 13.4 km | 75 | Dec 4, 2025 | 171 IJ | $16k | |
| Progressive Care Center 1338 Phay Ave, Canon City, CO 81212 CCN 065183Abuse icon | 13.4 km | 68 | Nov 7, 2024 | 452 harm | — | |
| Skyline Ridge Nursing & Rehabilitation Center 515 Fairview St, Canon City, CO 81212 CCN 065250Abuse icon | 13.9 km | 85 | Dec 9, 2025 | 583 harm | $21k | |
| Valley View Care Center 2120 N 10th St, Canon City, CO 81212 CCN 065347Abuse icon | 14.3 km | 60 | Aug 13, 2026 | 611 IJ5 open | $8,281 | |
| Canon Lodge Care Center 905 Harding Ave, Canon City, CO 81212 CCN 065217Abuse icon | 14.3 km | 60 | Aug 13, 2025 | 40 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065394 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065394 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| 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 Feb 27, 2026 |
| Jan 29, 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 Feb 27, 2026 |
| Jan 29, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 27, 2026 |
| Jun 6, 2024 | 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 | Corrected Jul 25, 2024 |
| Jun 6, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 25, 2024 |
| Jun 6, 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 Sep 30, 2024 |
| Jun 6, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 4, 2024 |
| Jun 6, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jun 6, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 25, 2024 |
| Jun 6, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jun 6, 2024 | F-0700 | 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 25, 2024 |
| Jun 6, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Feb 27, 2020 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 13, 2020 |
| Feb 27, 2020 | 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 | Corrected Aug 13, 2020 |
| Feb 27, 2020 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 13, 2020 |
| Feb 27, 2020 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 13, 2020 |
| Feb 27, 2020 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 13, 2020 |
| Feb 27, 2020 | K-0231 | Provide large enough exits. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 18, 2020 |
| Feb 27, 2020 | K-0233 | Install resident room doors of proper design and width. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 18, 2020 |
| Feb 27, 2020 | K-0241 | Have correct number of accessible exits for each story. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 18, 2020 |
| Feb 27, 2020 | K-0261 | Have properly spaced exits within rooms. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 18, 2020 |
| Feb 27, 2020 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 18, 2020 |
| Feb 27, 2020 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 24, 2020 |
| Feb 27, 2020 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 18, 2020 |
| Feb 27, 2020 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 29, 2020 |
| Feb 27, 2020 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 16, 2020 |
| Feb 27, 2020 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 18, 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 18, 2020 |
| Feb 27, 2020 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 24, 2020 |
| Feb 27, 2020 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 16, 2020 |
| Feb 27, 2020 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2020 |
| Feb 27, 2020 | 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 Aug 13, 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 | E · Potential harm Pattern | Corrected Aug 13, 2020 |
| Feb 27, 2020 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2020 |
| Feb 27, 2020 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 13, 2020 |
| Feb 27, 2020 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 13, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.90 (case-mix index 1.17).
| Jesse Cowan |
| Individual |
| Additional disclosable party |
| ADP OF THE SNF |
| not provided |
| Jan 1, 2025 |
| Carrie Hsu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Barbara Moore | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| 89 |
| Nov 20, 2025 |
212 IJ2 harm |
| $33k |
| Colorado Veterans Community Living Center at Homel 3749 Sherman Ave, Monte Vista, CO 81144 CCN 065391 | 60 | Oct 17, 2024 | 121 harm | — |