Pine Ridge Rehabilitation and Healthcare CenterCMS ratings, inspections and fines
- Address
- 119 Bastille Dr, Pagosa Springs, CO 81147
- CCN
- 065366
- Ownership type
- For-profit, limited liability company
- Certified beds
- 60
- Residents per day
- 44
- CMS flags
- None in the CMS record
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 Pine Ridge Rehabilitation and Healthcare Center an overall rating of 3 of 5 stars. The last standard survey was on 12 Feb 2026. The latest survey cycle has 8 health citations. The median for nursing homes in Colorado is 8. CMS lists 1 fine of $19,750 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 | Colorado median | US average (CMS) |
|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 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) | 12 Feb 2026 | 8 | 8 |
| Cycle 2 | 10 Jan 2024 | 4 | 8 |
| Cycle 3 | No date | 10 | 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 | K0 | 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 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0761 | 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. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | 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. | F | Standard survey | 6 Mar 2026 |
Survey cycle 2: 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 2 Feb 2024 |
| 10 Jan 2024 | F0758 | 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. | D | Standard survey | 2 Feb 2024 |
| 10 Jan 2024 | F0761 | 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. | D | Standard survey | 2 Feb 2024 |
| 10 Jan 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 | 2 Feb 2024 |
Survey cycle 3: 10 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 |
|---|---|---|---|---|---|
| 15 Sep 2022 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 5 Oct 2022 |
| 15 Sep 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 | 6 Oct 2022 |
| 15 Sep 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 6 Oct 2022 |
| 15 Sep 2022 | 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 | 6 Oct 2022 |
| 15 Sep 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 5 Apr 2022 |
| 15 Sep 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 5 Oct 2022 |
| 15 Sep 2022 | F0761 | 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. | D | Standard survey | 5 Oct 2022 |
| 15 Sep 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Oct 2022 |
| 15 Sep 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 5 Oct 2022 |
| 15 Sep 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Oct 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 |
|---|---|---|---|
| 12 Feb 2026 | Fine | $19,750 |
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 | 2.59 | 3.50 | 3.72 |
| Registered nurses (RN) | 0.51 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.68 | 0.68 | |
| Nurse aides | 1.41 | 2.22 | |
| All nurse staff, weekends | 2.33 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 56.3%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 66.7%
- 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 | 7.5% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 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 | 7.9% | 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 | 5.6% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.3% | 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
- Pine Ridge Rehabilitation and Healthcare Center LLC
- Chain
- Centennial Healthcare (8 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Centennial I TBD Holdco LLC | 5% or greater indirect ownership interest | 1 Sep 2022 | |
| Capital Finance LLC | 5% or greater security interest | 1 Sep 2022 | |
| Capital Finance LLC | Operational/managerial control | 1 Sep 2022 | |
| Gotts Consulting Colorado LLC | Operational/managerial control | 1 Sep 2022 |
The site shows organisations only. It does not show the names of persons.
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 Pine Ridge Rehabilitation and Healthcare Center (CCN 065366). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/pine-ridge-rehabilitation-and-healthcare-center-pagosa-springs-co-065366/
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 Pine Ridge Rehabilitation and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 12 Feb 2026. It was a standard survey. It gave 8 citations. The standard survey before the last one was on 10 Jan 2024.
- Who operates Pine Ridge Rehabilitation and Healthcare Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Centennial Healthcare. The CMS ownership file names Capital Finance LLC and Gotts Consulting Colorado LLC for operational or managerial control. This site does not show the names of persons.
- Is Pine Ridge Rehabilitation and Healthcare 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.