What is the overall CMS rating of PAONIA CARE AND REHABILITATION CENTER?

PAONIA CARE AND REHABILITATION CENTER has a 2-star overall rating from CMS, based on health inspections, staffing, and quality measures.

How many deficiency citations does PAONIA CARE AND REHABILITATION CENTER have?

PAONIA CARE AND REHABILITATION CENTER has 44 health inspection citations recorded across the most recent three CMS inspection cycles. 1 are classified as "immediate jeopardy" (the most serious CMS severity level).

Has PAONIA CARE AND REHABILITATION CENTER been fined by CMS?

PAONIA CARE AND REHABILITATION CENTER has accumulated $32,619 in CMS fines across 2 separate penalties in the current three-year window.

Who owns PAONIA CARE AND REHABILITATION CENTER?

PAONIA CARE AND REHABILITATION CENTER is affiliated with the MADISON CREEK PARTNERS chain, which operates 12 facilities nationally. See the facility's ownership section for the full CMS Form 855A ownership disclosure.

Starfile / Colorado

PAONIA CARE AND REHABILITATION CENTER

1625 MEADOWBROOK BLVD, PAONIA, CO 81428 · CCN 065251

Abuse icon

Ratings

Overall: ★★☆☆☆ 2
Health inspection: ★☆☆☆☆ 1
Quality measures: ★★★★★ 5
Staffing: ★★★☆☆ 3

Facility

Ownership type: For profit - Limited Liability company
Certified beds: 60
Avg residents/day: 47.0
Phone: 9705274837

Inspection history vs Colorado & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle	Inspection date	This facility	Colorado avg	National avg	vs state
1	2025-08-07	12	8.7	9.5	+3.3 worse
2	2024-03-01	23	8.7	9.8	+14.3 worse
3	2022-11-03	9	7.5	9.3	+1.5 worse

Cycle 1 deficiencies by category

Category	Deficiencies
Abuse, neglect, exploitation	4
Quality of life and care	4
Infection control	4

Staffing (hours per resident per day)

Metric	This facility	Turnover
Total nurse staffing (reported)	2.95	74.1%
RN staffing (reported)	0.76	61.5%
Total nurse staffing (adjusted)	3.72	—

Fines & penalties

Total fines: $32,619
Number of fines: 2
Number of penalties: 2
Payment denials: 0

Chain

Chain: MADISON CREEK PARTNERS
Facilities in chain: 12
Chain avg overall: 3.20 / 5

Inspection citations (44)1 immediate jeopardy4 actual harm

EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
GF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-08-07 · Health · corrected 2025-09-02
Actual harm
DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
DF0699Provide care or services that was trauma informed and/or culturally competent.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
DF0880Provide and implement an infection prevention and control program.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
DF0881Implement a program that monitors antibiotic use.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
DF0887Educate 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.2025-08-07 · Health · corrected 2025-09-02
Potential for more than minimal harm
DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-24 · Health · corrected 2025-04-29
Potential for more than minimal harm
DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
EF0567Honor the resident's right to manage his or her financial affairs.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
EF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
CF0574The resident has the right to receive notices in a format and a language he or she understands.2024-03-01 · Health · corrected 2024-03-28
Potential for minimal harm
EF0584Honor 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.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
EF0679Provide activities to meet all resident's needs.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
EF0680Ensure the activities program is directed by a qualified professional.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
GF0692Provide enough food/fluids to maintain a resident's health.2024-03-01 · Health · corrected 2024-03-28
Actual harm
EF0759Ensure medication error rates are not 5 percent or greater.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
DF0760Ensure that residents are free from significant medication errors.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
FF0803Ensure 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.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
KF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-03-01 · Health · corrected 2024-03-01
Immediate jeopardy
DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-01 · Health · corrected 2024-03-30
Potential for more than minimal harm
EF0880Provide and implement an infection prevention and control program.2024-03-01 · Health · corrected 2024-03-28
Potential for more than minimal harm
EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-11-03 · Health · corrected 2022-12-13
Potential for more than minimal harm
DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-11-03 · Health · corrected 2022-12-13
Potential for more than minimal harm
EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-11-03 · Health · corrected 2022-12-13
Potential for more than minimal harm
DF0610Respond appropriately to all alleged violations.2022-11-03 · Health · corrected 2022-12-13
Potential for more than minimal harm
GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-03 · Health · corrected 2023-01-31
Actual harm
GF0692Provide enough food/fluids to maintain a resident's health.2022-11-03 · Health · corrected 2022-12-13
Actual harm
EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-11-03 · Health · corrected 2022-12-13
Potential for more than minimal harm
DF0825Provide or get specialized rehabilitative services as required for a resident.2022-11-03 · Health · corrected 2023-01-31
Potential for more than minimal harm
FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-11-03 · Health · corrected 2022-12-13
Potential for more than minimal harm

Ownership

Owner	Type	Role	Percent	Since
MADISON CREEK PARTNERS LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2016-07-01
CHRISTENSEN, COVEY	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	70%	2016-07-01
BRUCE, LELAND	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	30%	2016-07-01
SILVER, RACHEL	Individual	CORPORATE DIRECTOR	—	2016-07-01
BRUCE, LELAND	Individual	CORPORATE OFFICER	—	2016-07-01
CHRISTENSEN, COVEY	Individual	CORPORATE OFFICER	—	2016-07-01
BRUCE, LELAND	Individual	W-2 MANAGING EMPLOYEE	—	2016-07-01
CHRISTENSEN, COVEY	Individual	W-2 MANAGING EMPLOYEE	—	2016-07-01
SILVER, RACHEL	Individual	W-2 MANAGING EMPLOYEE	—	2016-07-01
BRUCE, LELAND	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2016-07-01
CHRISTENSEN, COVEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2016-07-01

Other facilities in PAONIA

Name	Overall	Beds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.