River Valley Rehabilitation and Healthcare CenterCMS ratings, inspections and fines
- Address
- 1335 6th St, Del Norte, CO 81132
- CCN
- 065424
- Ownership type
- For-profit, individual
- Certified beds
- 60
- Residents per day
- 57
- 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 River Valley Rehabilitation and Healthcare Center an overall rating of 2 of 5 stars. The last standard survey was on 19 Dec 2024. The latest survey cycle has 11 health citations. The median for nursing homes in Colorado is 8. CMS lists no fines 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 | Rio Grande County median | Colorado median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 2.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 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) | 19 Dec 2024 | 11 | 8 |
| Cycle 2 | 13 Jul 2023 | 15 | 8 |
| Cycle 3 | No date | 3 | 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 | 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): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 30 Jan 2025 |
| 19 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Jan 2025 |
| 19 Dec 2024 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | E | Standard survey | 30 Jan 2025 |
| 19 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Jan 2025 |
| 19 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Jan 2025 |
| 19 Dec 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 30 Jan 2025 |
| 19 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 Jan 2025 |
| 19 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 30 Jan 2025 |
| 19 Dec 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 30 Jan 2025 |
| 19 Dec 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 | 30 Jan 2025 |
| 19 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Jan 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 29 Apr 2025 |
| 13 Jul 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | 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. | E | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | 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. | E | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Aug 2023 |
| 13 Jul 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 11 Aug 2023 |
Survey cycle 3: 3 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 |
|---|---|---|---|---|---|
| 24 Jan 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Feb 2020 |
| 24 Jan 2020 | 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 | 18 Feb 2020 |
| 24 Jan 2020 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 26 Feb 2020 |
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.
CMS lists no fine and no payment denial for this home in its penalties file.
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 | 2.79 | 3.50 | 3.72 |
| Registered nurses (RN) | 0.64 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.46 | 0.68 | |
| Nurse aides | 1.69 | 2.22 | |
| All nurse staff, weekends | 2.51 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 46.8%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 12.5%
- 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 | 5.9% | 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 | 3.4% | 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 | 5.1% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.7% | 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, individual
- 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 | |
| Bank Hapoalim B.M. | 5% or greater mortgage interest | 30 Apr 2025 | |
| Bank Hapoalim B.M. | Operational/managerial control | 30 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Rio Grande County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Rock Creek Rehabilitation and Healthcare Center | Monte Vista | 1 of 5 | 11 | $37,103 | 20 May 2026 | |
| Colorado Veterans Community Living Ctr at Homelake | Monte Vista | 5 of 5 | 2 | $0 | 17 Oct 2024 |
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 River Valley Rehabilitation and Healthcare Center (CCN 065424). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/river-valley-rehabilitation-and-healthcare-center-del-norte-co-065424/
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 River Valley Rehabilitation and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 2 Apr 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 13 Jul 2023.
- Who operates River Valley Rehabilitation and Healthcare Center?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in the chain Centennial Healthcare. The CMS ownership file names Bank Hapoalim B.M. for operational or managerial control. This site does not show the names of persons.
- Is River Valley 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.