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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E10 | F14 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 18, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 5, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 5, 2024 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Feb 5, 2020 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 5, 2020 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Feb 7, 2019 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 7, 2019 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E10 | F14 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 18, 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 | E · Potential harm Pattern | Corrected Mar 5, 2026 | Complaint |
| Dec 5, 2025 | 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 Dec 29, 2025 | Complaint |
“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 this facility only.
8 facilities in 1 states. CMS chain ID 750.
Chain average overall rating (CMS): 2.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Centennial III Colorado Holdco LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| 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 |
| Centennial Ms Trust I | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| Centennial Yf Trust I | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| Emssah Non- Grantor Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| Refoel Gottlieb | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Centennial III Colorado Holdco LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| 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 |
| Facility | Beds | CMS overall | 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 065291 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065396 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065396 | 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
| Dec 5, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 29, 2025 | Complaint |
| Jun 5, 2024 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 21, 2024 |
| Jun 5, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2024 |
| Jun 5, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| Jun 5, 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 Jun 25, 2024 |
| Jun 5, 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 Jun 20, 2024 |
| Jun 5, 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 | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 5, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 24, 2024 |
| Jun 5, 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 Jun 6, 2024 |
| Jun 5, 2024 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 2, 2024 |
| Feb 5, 2020 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 1, 2020 |
| Feb 5, 2020 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 2, 2020 |
| Feb 5, 2020 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2020 |
| Feb 5, 2020 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 1, 2020 |
| Feb 5, 2020 | 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 | F · Potential harm Widespread | Corrected Mar 6, 2020 |
| Feb 5, 2020 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Mar 1, 2020 |
| Feb 5, 2020 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Mar 2, 2020 |
| Feb 5, 2020 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 1, 2020 |
| Feb 5, 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 Mar 2, 2020 |
| Feb 5, 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 | D · Potential harm Isolated | Corrected Mar 15, 2020 |
| Feb 5, 2020 | 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 Mar 1, 2020 |
| Feb 5, 2020 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Mar 2, 2020 |
| Feb 5, 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 | E · Potential harm Pattern | Corrected Mar 2, 2020 |
| Feb 5, 2020 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 2, 2020 |
| Feb 5, 2020 | 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 Mar 2, 2020 |
| Feb 5, 2020 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 2, 2020 |
| Feb 5, 2020 | F-0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Mar 2, 2020 |
| Feb 5, 2020 | F-0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Feb 5, 2020 |
| Feb 5, 2020 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 2, 2020 |
| Feb 5, 2020 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 2, 2020 |
| Feb 7, 2019 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 11, 2019 |
| Feb 7, 2019 | 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 Feb 26, 2019 |
| Feb 7, 2019 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 1, 2019 |
| Feb 7, 2019 | 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 Mar 8, 2019 |
| Feb 7, 2019 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Mar 8, 2019 |
| Feb 7, 2019 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 20, 2019 |
| Feb 7, 2019 | 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 Mar 8, 2019 |
| Feb 7, 2019 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 11, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.17 (case-mix index 1.50).
| not provided |
| Jan 1, 2025 |
| Centennial Ms Trust I | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| Centennial Yf Trust I | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| Emssah Non- Grantor Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| Refoel Gottlieb | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2022 |
| Refoel Gottlieb | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 1, 2022 |
| Bank Hapoalim B.m | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 30, 2025 |
| 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 |
| Stacie Jennings | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 3, 2023 |
| Douglas Mcfarland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2024 |
| Tamar Friedman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Sep 1, 2022 |
| Emanuel Neuman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Sep 1, 2022 |
| Simon Singer | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Sep 1, 2022 |
| Bank Hapoalim B.m | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Apr 30, 2025 |
| 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 |
| Emssah Non- Grantor Trust | 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 |
| Stacie Jennings | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 19, 2025 |
| Douglas Mcfarland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 19, 2025 |
| 60 |
| May 20, 2026 |
553 harm |
| $65k |
| The Valley Rehabilitation and Healthcare Center 211 E 3rd Ave, Mancos, CO 81328 CCN 065306 | 60 | Jul 30, 2026 | 262 harm | $8,278 |
| Pine Ridge Rehabilitation and Healthcare Center 119 Bastille Dr, Pagosa Springs, CO 81147 CCN 065366 | 60 | Feb 12, 2026 | 281 IJ1 harm1 open | $13k |
| 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 | — |