Cottonwood Rehabilitation and Healthcare Center

450 Prospector Ave · Durango, CO · 81301 · 9705161404

40 certified beds For profit - Partnership Chain: Centennial Healthcare

Why this verdict

  • 3 citations involved actual harm to residents.
  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 65
Serious harm & abuse 20% 82
Staffing 20% 85
Federal penalties 15% 71
Trend 10% 81
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.133.48 min · 4.1 strong
RN hours / resident-day1.540.55–0.75
Weekend hours / resident-day3.74≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)1 · $22,152

Inspection citations (9 in the current record)

  • Potential for harm · D April 1, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 30, 2026 · Quality of Life and Care

  • Potential for harm · D November 21, 2024

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

    Corrected December 20, 2024 · Quality of Life and Care

  • Potential for harm · F November 21, 2024

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected December 20, 2024 · Infection Control

  • Actual harm · G July 12, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected August 10, 2023 · Quality of Life and Care

  • Actual harm · G July 12, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected August 10, 2023 · Pharmacy Service

  • Potential for harm · E July 12, 2023

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

    Corrected August 10, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E July 12, 2023

    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.

    Corrected August 10, 2023 · Pharmacy Service

  • Actual harm · G April 7, 2022

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 8, 2022 · Quality of Life and Care

  • Potential for harm · D April 7, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 8, 2022 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
July 12, 2023Fine$22,152

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065411 · certified since March 25, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.