Heritage Park Care Center
1200 Village Rd · Carbondale, CO · 81623 · 9709631500
90 certified beds For profit - Corporation Chain: Life Care Centers of America
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.98 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 2 · $38,365 |
Inspection citations (30 in the current record)
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Actual harm · G August 29, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 26, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
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.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Observe each nurse aide's job performance and give regular training.
Corrected September 26, 2024 · Nursing and Physician Services
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Potential for harm · D August 29, 2024
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 September 26, 2024 · Pharmacy Service
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Potential for harm · E August 29, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 26, 2024 · Nutrition and Dietary
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Potential for harm · E August 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2024 · Nutrition and Dietary
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Potential for harm · F August 29, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 26, 2024 · Administration
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Potential for harm · E August 29, 2024
Provide and implement an infection prevention and control program.
Corrected September 26, 2024 · Infection Control
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Potential for harm · D August 29, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected September 26, 2024 · Nursing and Physician Services
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Potential for harm · D August 29, 2024 · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected September 26, 2024 · Quality of Life and Care
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No harm found · C August 29, 2024
Post nurse staffing information every day.
Corrected September 26, 2024 · Nursing and Physician Services
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Actual harm · G July 5, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 4, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 5, 2023 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected August 4, 2023 · Quality of Life and Care
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Actual harm · G February 9, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 31, 2023 · Quality of Life and Care
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Potential for harm · E February 9, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 9, 2023
Respond appropriately to all alleged violations.
Corrected March 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 9, 2023
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 31, 2023 · Quality of Life and Care
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Potential for harm · F February 9, 2023
Provide and implement an infection prevention and control program.
Corrected March 11, 2023 · Infection Control
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Potential for harm · E February 9, 2023
Perform COVID19 testing on residents and staff.
Corrected March 11, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 29, 2024 | Fine | $25,990 |
| July 5, 2023 | Fine | $12,375 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065237 · certified since December 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.