Paonia Care and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 1625 Meadowbrook Blvd, Paonia, CO 81428
- CCN
- 065251
- Ownership type
- For-profit, limited liability company
- Certified beds
- 60
- Residents per day
- 52
- CMS flags
- CMS abuse icon
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Paonia Care and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 7 Aug 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Colorado is 8. CMS lists 2 fines with a total of $32,619 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Delta County median | Colorado median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 2.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 2.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 210 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Colorado median |
|---|---|---|---|
| Cycle 1 (latest) | 7 Aug 2025 | 11 | 8 |
| Cycle 2 | 1 Mar 2024 | 24 | 8 |
| Cycle 3 | No date | 9 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 2 Sep 2025 |
| 7 Aug 2025 | F0887 | 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. | D | Standard survey | 2 Sep 2025 |
Survey cycle 2: 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 29 Apr 2025 |
| 1 Mar 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | C | Standard survey | 28 Mar 2024 |
| 1 Mar 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. | E | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 28 Mar 2024 |
| 1 Mar 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 28 Mar 2024 |
| 1 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 28 Mar 2024 |
| 1 Mar 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 28 Mar 2024 |
| 1 Mar 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Standard survey | 1 Mar 2024 |
| 1 Mar 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Mar 2024 |
| 1 Mar 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 30 Mar 2024 |
| 1 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Mar 2024 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Nov 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 | 13 Dec 2022 |
| 3 Nov 2022 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 13 Dec 2022 |
| 3 Nov 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 13 Dec 2022 |
| 3 Nov 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 13 Dec 2022 |
| 3 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 31 Jan 2023 |
| 3 Nov 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 13 Dec 2022 |
| 3 Nov 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 13 Dec 2022 |
| 3 Nov 2022 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 31 Jan 2023 |
| 3 Nov 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 13 Dec 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 7 Aug 2025 | Fine | $12,438 | |
| 1 Mar 2024 | Fine | $20,181 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Colorado median | Colorado average (CMS) |
|---|---|---|---|
| All nurse staff | 3.00 | 3.50 | 3.72 |
| Registered nurses (RN) | 1.03 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.34 | 0.68 | |
| Nurse aides | 1.62 | 2.22 | |
| All nurse staff, weekends | 2.73 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 62.5%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 58.3%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.5% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 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 | 11.2% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.5% | 18.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Meadowbrook Blvd. Operations, LLC
- Chain
- Madison Creek Partners (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chief Joseph Trail, LLC | 5% or greater direct ownership interest | 100% | 2 Mar 2026 |
| Tippet, LLC | 5% or greater indirect ownership interest | 2 Mar 2026 | |
| White Canyon, LLC | 5% or greater indirect ownership interest | 2 Mar 2026 | |
| Madison Creek Partners LLC | Operational/managerial control | 1 Jul 2016 | |
| Madison Creek Partners LLC | Adp of the snf | 26 Mar 2026 |
The site shows organisations only. It does not show the names of persons.
Other homes in Delta County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Horizons Care Center | Eckert | 3 of 5 | 11 | $11,180 | 7 Nov 2024 | |
| Willow Tree Care Center | Delta | 2 of 5 | 14 | $28,756 | 26 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Paonia Care and Rehabilitation Center (CCN 065251). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/paonia-care-and-rehabilitation-center-paonia-co-065251/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Paonia Care and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 7 Aug 2025. It was a standard survey. It gave 11 citations. The standard survey before the last one was on 1 Mar 2024.
- Who operates Paonia Care and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Madison Creek Partners. The CMS ownership file names Madison Creek Partners LLC for operational or managerial control. This site does not show the names of persons.
- Is Paonia Care and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists no home in Colorado as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.