Elder Care Record

Colorado › Yuma County › Wray

Hillcrest Care Center

360 Canyon Ridge Dr, Wray, CO 80758

CCN 065316 · Government, hospital district · 45 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 45 beds, Hillcrest Care Center serves Wray in Yuma County, Colorado and has taken Medicare and Medicaid residents since 1994.

CMS gives it 5 of 5 stars overall, above the Colorado median of 3; the health inspection rating is 4, staffing 4 and quality measures 5.

Inspectors recorded 20 health deficiencies across the three most recent survey cycles (5, 8, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 44.4 per 100 beds, more than the state median of 25.0.

CMS lists 2 penalties in the period covered: fines totalling $9K.

Reported nurse staffing is 3.5 hours per resident per day (0.6 RN), close to the Colorado median of 3.5; nursing staff turnover is 55.0%.

20health deficiencies, 3 survey cycles2 at actual harm or worse
$9Kfines listed by CMS2 penalties in period
3.5nurse hours per resident per daystate median 3.5
91%occupancy (residents ÷ beds)41 residents a day

Compared with county, state and nation

MeasureThis facilityYuma Co. medianColorado medianUS average
Overall star rating5533.0
Health citations, 3 cycles20202228.7
Citations per 100 beds44.444.425.026.8
Total nurse hours per resident day3.53.53.53.9
RN hours per resident day0.60.60.70.7
Nursing staff turnover55.0%55.0%46.7%45.8%
Fines listed$9,174$9,174$10,033—

County and state figures are medians across facilities (1 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 28
Cycle 37

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Oct 2024, 30 Mar 2023.

Severity mix: G ×2 D ×9 E ×8 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
3 Oct 2024F0880Provide and implement an infection prevention and control program.EStandard survey2 Nov 2024
3 Oct 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey17 Oct 2024
3 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey2 Nov 2024
3 Oct 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey17 Oct 2024
3 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey2 Nov 2024
16 Jul 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint investigation28 Aug 2024
30 Mar 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey27 Apr 2023
30 Mar 2023F0880Provide and implement an infection prevention and control program.FStandard survey27 Apr 2023
30 Mar 2023F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey27 Apr 2023
30 Mar 2023F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey27 Apr 2023
30 Mar 2023F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard survey27 Apr 2023
30 Mar 2023F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey27 Apr 2023
30 Mar 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey27 Apr 2023
30 Mar 2023F0908Keep all essential equipment working safely.DStandard survey27 Apr 2023
16 Dec 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey24 Jan 2022
16 Dec 2021F0700Try 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.EStandard survey20 Jan 2022
16 Dec 2021F0758Implement 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.EStandard survey6 Jan 2022
16 Dec 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey24 Jan 2022
16 Dec 2021F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard survey5 Jan 2022
16 Dec 2021F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey12 Jan 2022

Penalties

DateTypeAmountDetail
5 Sep 2023Fine$4,587
21 Aug 2023Fine$4,587

Staffing

Total nursing3.49 h
Nurse aides2.25 h
LPN0.64 h
RN0.6 h
Weekend total3.16 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 55.0%, RNs 37.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityColorado medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.4%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay7.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.9%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.5%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.5%18.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, hospital district. Legal business name: Wray Community Long Term Care, Inc..

OrganisationRole in the CMS recordInterestSince
Wray Community Long Term Care, Inc.5% or greater direct ownership interest100%07/01/2014
Wray Community Long Term Care, Inc.5% or greater indirect ownership interest100%07/01/2014
Wray Community Long Term Care, Inc.5% or greater mortgage interestNOT APPLICABLE07/01/2014

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Hillcrest Care Center been cited for?

20 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Hillcrest Care Center been fined?

Yes. CMS lists fines totalling $9K in the period covered.

How does staffing at Hillcrest Care Center compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Hillcrest Care Center?

Ownership type is government, hospital district. Organisations in the CMS ownership record include Wray Community Long Term Care, Inc. and Wray Community Long Term Care, Inc.. Individual owners and managers are not listed on this site.

When was Hillcrest Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 3 Oct 2024; the most recent standard health survey was 3 Oct 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.