Vista Grande Rehabilitation and Healthcare Center
680 E Hospital Dr · Cortez, CO · 81321 · 9705641122
101 certified beds For profit - Corporation Chain: Centennial Healthcare
Why this verdict
- 3 citations involved actual harm to residents.
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Red flags
Cited under the freedom-from-abuse rule
Cited 1 time 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
2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 2.47 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 2 · $36,023 |
Inspection citations (22 in the current record)
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Potential for harm · D April 10, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 24, 2025 · Quality of Life and Care
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Actual harm · G March 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 31, 2025 · Quality of Life and Care
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Potential for harm · D March 6, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 9, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 2, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 2, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 2, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected June 2, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected June 2, 2024 · Resident Rights
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Potential for harm · E May 9, 2024
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.
Corrected June 2, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 9, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected June 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 9, 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 June 3, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 2, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 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 June 2, 2024 · Pharmacy Service
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Potential for harm · E May 9, 2024
Provide and implement an infection prevention and control program.
Corrected June 7, 2024 · Infection Control
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Potential for harm · E May 9, 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 June 2, 2024 · Nursing and Physician Services
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Actual harm · G January 23, 2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 12, 2020 · Quality of Life and Care
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Potential for harm · D January 23, 2020
Reasonably accommodate the needs and preferences of each resident.
Corrected February 17, 2020 · Resident Rights
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Potential for harm · E January 23, 2020
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 January 31, 2020 · Pharmacy Service
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Potential for harm · F January 23, 2020
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.
Corrected February 18, 2020 · Administration
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Potential for harm · D January 23, 2020
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 14, 2020 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 6, 2025 | Fine | $20,111 |
| May 9, 2024 | Fine | $15,912 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065153 · certified since July 18, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.