Colorado › Delta County › Eckert
Horizons Care Center
11411 Highway 65, Eckert, CO 81418
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.
Horizons Care Center, in Eckert, Colorado, is certified for 45 beds under non-profit, corporation ownership and belongs to the Volunteers Of America Senior Living chain.
CMS gives it 3 of 5 stars overall, equal to the Colorado median; the health inspection rating is 3, staffing 4 and quality measures 2.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (11, 8, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 57.8 per 100 beds, more than the state median of 25.0.
CMS lists 2 penalties in the period covered: fines totalling $11K and 1 payment denial.
Reported nurse staffing is 4.0 hours per resident per day (1.1 RN), close to the Colorado median of 3.5; nursing staff turnover is 53.7%.
Compared with county, state and nation
| Measure | This facility | Delta Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 44 | 22 | 28.7 |
| Citations per 100 beds | 57.8 | 65.0 | 25.0 | 26.8 |
| Total nurse hours per resident day | 4.0 | 3.3 | 3.5 | 3.9 |
| RN hours per resident day | 1.1 | 1.0 | 0.7 | 0.7 |
| Nursing staff turnover | 53.7% | 59.7% | 46.7% | 45.8% |
| Fines listed | $11,180 | $28,756 | $10,033 | — |
County and state figures are medians across facilities (3 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Nov 2024, 13 Apr 2023.
Severity mix: G ×2 D ×18 E ×4 F ×2
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Jan 2026 |
| 7 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Dec 2024 |
| 7 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Dec 2024 |
| 7 Nov 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 6 Dec 2024 |
| 7 Nov 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 6 Dec 2024 |
| 7 Nov 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 6 Dec 2024 |
| 7 Nov 2024 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 6 Dec 2024 |
| 7 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Dec 2024 |
| 7 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 Dec 2024 |
| 7 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Dec 2024 |
| 7 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 6 Dec 2024 |
| 5 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 6 Oct 2023 |
| 13 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 5 May 2023 |
| 13 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 5 May 2023 |
| 13 Apr 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 5 May 2023 |
| 13 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 5 May 2023 |
| 13 Apr 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 5 May 2023 |
| 13 Apr 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 May 2023 |
| 13 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 May 2023 |
| 13 Apr 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 5 May 2023 |
| 19 Jan 2022 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 3 Mar 2022 |
| 19 Jan 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 3 Mar 2022 |
| 19 Jan 2022 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 3 Mar 2022 |
| 19 Jan 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Mar 2022 |
| 19 Jan 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 3 Mar 2022 |
| 19 Jan 2022 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 3 Mar 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Sep 2023 | Payment denial | — | 2 days |
| 5 Sep 2023 | Fine | $11,180 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 53.7%, RNs 42.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.3% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.9% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.6% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.2% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.9% | 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: non-profit, corporation. Legal business name: Volunteers Of America Care Facilities. Chain: Volunteers Of America Senior Living (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Volunteers of America National Services | Direct ownership interest | NOT APPLICABLE | 01/16/2015 |
| Volunteers of America National Services | Operational/managerial control | NOT APPLICABLE | 01/16/2015 |
| Volunteers of America National Services | Adp of the snf | NOT APPLICABLE | 02/28/2026 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Delta County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Willow Tree Care Centerabuse icon | Delta | 80 | 2 | 2 | 3 | 52 | 65.0 | $29K | 26 Feb 2026 |
| Paonia Care and Rehabilitation Centerabuse icon | Paonia | 60 | 1 | 1 | 4 | 44 | 73.3 | $33K | 7 Aug 2025 |
All 3 facilities in Delta County
Questions and answers
How many deficiencies has Horizons Care Center been cited for?
26 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 Horizons Care Center been fined?
Yes. CMS lists fines totalling $11K in the period covered, plus 1 payment denial.
How does staffing at Horizons Care Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Horizons Care Center?
It is part of the Volunteers Of America Senior Living chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Volunteers of America National Services and Volunteers of America National Services. Individual owners and managers are not listed on this site.
When was Horizons Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 6 Jan 2026; the most recent standard health survey was 7 Nov 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.