Pine Ridge Rehabilitation and Healthcare Center
119 Bastille Dr · Pagosa Springs, CO · 81147 · 9707314330
60 certified beds For profit - Limited Liability company Chain: Centennial Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.23 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 2.02 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 1 · $3,145 |
Inspection citations (22 in the current record)
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Actual harm · G February 12, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 12, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 12, 2026
Respond appropriately to all alleged violations.
Corrected March 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 12, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 6, 2026 · Pharmacy Service
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Potential for harm · D February 12, 2026
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 March 6, 2026 · Pharmacy Service
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Potential for harm · F February 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
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Potential for harm · F February 12, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected March 6, 2026 · Infection Control
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Potential for harm · E January 10, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 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 February 2, 2024 · Pharmacy Service
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Potential for harm · D January 10, 2024
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 February 2, 2024 · Pharmacy Service
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Potential for harm · E January 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 2, 2024 · Nutrition and Dietary
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Immediate jeopardy · J September 15, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 5, 2022 · Quality of Life and Care
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Potential for harm · E September 15, 2022
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 5, 2022 · Resident Rights
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Potential for harm · E September 15, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 6, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 15, 2022
Respond appropriately to all alleged violations.
Corrected October 6, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 15, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 6, 2022 · Resident Assessment and Care Planning
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Potential for harm · E September 15, 2022
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected October 5, 2022 · Quality of Life and Care
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Potential for harm · D September 15, 2022
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 October 5, 2022 · Pharmacy Service
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Potential for harm · F September 15, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 6, 2022 · Nutrition and Dietary
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Potential for harm · F September 15, 2022
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 5, 2022 · Administration
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Potential for harm · E September 15, 2022
Provide and implement an infection prevention and control program.
Corrected October 14, 2022 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 17, 2023 | Fine | $3,145 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065366 · certified since January 16, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.