Pine Ridge Rehabilitation and Healthcare Center
Nursing Home, Memory Care & Skilled Nursing · Pagosa Springs, CO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Pine Ridge Rehabilitation and Healthcare Center

Nursing Home, Memory Care & Skilled Nursing · Pagosa Springs, CO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Pine Ridge Rehabilitation and Healthcare Center accepts Medicare, Medicaid, and private pay.

Inspection History

In Colorado, the Department of Public Health and Environment, Health Facilities Division is the regulatory body that performs unannounced surveys and publishes facility inspection findings.

Since 2021 · 5 years of data 21 deficiencies 3 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Colorado state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Colorado state average
Overall vs. CO average 0 Worse No metrics in this bucket. 3 Better Metrics better than Colorado average:
• Total deficiencies (45% below)
• Deficiencies per year (45% below)
• Deficiencies per inspection (8% below)
Latest Inspection January 10, 2024 Routine

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityCO Averagevs. CO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 2138 This facility has 45% fewer total deficiencies than a typical Colorado assisted living residence (21 vs. CO avg 38).↓ 45% better
Deficiencies per year Info Average deficiencies per year since 2021. 4.27.6 This facility has 45% fewer deficiencies per year than a typical Colorado assisted living residence (4.2 vs. CO avg 7.6).↓ 45% better
Deficiencies per inspection Info Average deficiencies per inspection. 77.6 This facility has 8% fewer deficiencies per inspection than a typical Colorado assisted living residence (7 vs. CO avg 7.6).↓ 8% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityCO Averagevs. CO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 35 This facility has had 40% fewer total inspections than the Colorado average (3 vs. CO avg 5). More inspections can mean more regulatory scrutiny rather than worse care.↓ 40% fewer

Health Inspection History

Inspections since 2021
Total health inspections 3

State average N/A


Last Health inspection on Jan 2024

Total health citations
18 Rank #74 / 212Health citations — State benchmarkedThis home is ranked 74th out of 212 homes in Colorado for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Colorado State average, with a ranking across all 212 CO facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
6 Rank #140 / 212Citations per inspection — State benchmarkedThis home is ranked 140th out of 212 homes in Colorado for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Colorado mean across 212 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 18 citations resulted from standard inspections.

Breakdown of citation severity (last 5 years)
Critical health citations
1
In line with State average

State average: N/A


Serious health citations
2
In line with State average

State average: N/A

1 critical citation State average: N/A

2 serious citations State average: N/A

15 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 5 years)
Nutrition moderate citation Jan 10, 2024
Corrected

Pharmacy moderate citation Jan 10, 2024
Corrected

Pharmacy moderate citation Jan 10, 2024
Corrected

Care Planning moderate citation Jan 10, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 53
Employees 49
Contractors 4
Staff to resident ratio 1.18 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 17
Average shift 8.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 12,825

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 13 RN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 11 CNA Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.7%

92 contractor hours this quarter

Occupational Therapy Assistant: 2 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant110113,51592100%8.8
Registered Nurse130132,36892100%10.1
Licensed Practical Nurse7071,92792100%8.5
Nurse Aide in Training2029347480%11.4
Respiratory Therapy Technician3036176773%5.1
Medication Aide/Technician3035546267%8.1
Administrator1015206470%8.1
Other Dietary Services Staff1015046368%8
RN Director of Nursing1014165257%8
Physical Therapy Assistant3034125863%5.2
Diagnostic X-ray Services Staff1013444347%8
Nurse Practitioner2023284145%8
Speech Language Pathologist1012945054%5.9
Medical Director011651314%5
Occupational Therapy Assistant0221944%4.8
Occupational Therapy Aide011811%8
11 Certified Nursing Assistant
% of Days 100%
13 Registered Nurse
% of Days 100%
7 Licensed Practical Nurse
% of Days 100%
2 Nurse Aide in Training
% of Days 80%
3 Respiratory Therapy Technician
% of Days 73%
3 Medication Aide/Technician
% of Days 67%
1 Administrator
% of Days 70%
1 Other Dietary Services Staff
% of Days 68%
1 RN Director of Nursing
% of Days 57%
3 Physical Therapy Assistant
% of Days 63%
1 Diagnostic X-ray Services Staff
% of Days 47%
2 Nurse Practitioner
% of Days 45%
1 Speech Language Pathologist
% of Days 54%
1 Medical Director
% of Days 14%
2 Occupational Therapy Assistant
% of Days 4%
1 Occupational Therapy Aide
% of Days 1%

Penalties and fines

Includes penalties issued in 2023

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $3K Rank #84 / 217Federal fines — State benchmarkedThis home is ranked 84th out of 217 homes in Colorado for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Colorado average among facilities with fines, and where it ranks among 217 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
92% lower than State average

State average: $40K

Number of fines 1
55% fewer fines than State average

State average: 2.2

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.3

Fines amount comparison
Fines amount comparison
This facility $3K
State average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jul 17, 2023 · $3K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 17, 2023
$3K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 3.9
57% better than State average

State average: 9.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 8.4
55% better than State average

State average: 18.8

Long-stay resident measures
Significantly above average State avg: 3.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.2%
62% better than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.8%
66% better than State average

State average: 17.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 13.1%
43% better than State average

State average: 23.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.9%
108% worse than State average

State average: 3.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than State average

State average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
60% better than State average

State average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.6%
88% better than State average

State average: 5.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 32.5%
353% worse than State average

State average: 7.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.5%
14% worse than State average

State average: 18.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
6% better than State average

State average: 93.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.6%
In line with State average

State average: 94.7%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.78
40% better than State average

State average: 1.30

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.38
43% worse than State average

State average: 1.67

Short-stay resident measures
Significantly above average State avg: 2.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.1%
20% better than State average

State average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 65.6%
13% worse than State average

State average: 75.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 12.2%
40% better than State average

State average: 20.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 28.8%
125% worse than State average

State average: 12.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 59.8%
18% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

44% of new residents, usually for short-term rehab.

Typical stay 18 days

Private pay

44% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 45
Medicaid
31
68.9% of residents
Private pay or other
14
31.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$604.1K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.6M Rank #201 / 217Revenue — State benchmarkedThis home is ranked 201st out of 217 homes in Colorado for Revenue. Shows this facility's annual revenue compared to the Colorado average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$604.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$24.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #209 / 217Payroll — State benchmarkedThis home is ranked 209th out of 217 homes in Colorado for Payroll. Shows total annual staff payroll benchmarked to the Colorado average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.7M 48.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #154 / 217Payroll % — State benchmarkedThis home is ranked 154th out of 217 homes in Colorado for Payroll %. Shows payroll as a percentage of revenue versus the Colorado average. Well-run Colorado facilities typically land around 60–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.0M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under Medicare (44% of admissions), and a typical Medicare stay runs around 18 days.

Admissions
103 total

Coverage residents most often arrive under.

Medicare 44%
Private pay 44%
Medicaid 13%
Discharges
101 total

Coverage residents most often leave under.

Medicare 40%
Private pay 44%
Medicaid 17%

Places of interest near Pine Ridge Rehabilitation and Healthcare Center

Address 0.0 miles from city center Info Estimated distance in miles from Pagosa Springs's city center to Pine Ridge Rehabilitation and Healthcare Center's address, calculated via Google Maps.

Calculate Travel Distance to Pine Ridge Rehabilitation and Healthcare Center

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Address

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The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.

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Frequently Asked Questions about Pine Ridge Rehabilitation and Healthcare Center

Is Pine Ridge Rehabilitation and Healthcare Center in a walkable area?

Pine Ridge Rehabilitation and Healthcare Center has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Pine Ridge Rehabilitation and Healthcare Center?

Pine Ridge Rehabilitation and Healthcare Center's occupancy is 82%.

Are pets allowed at Pine Ridge Rehabilitation and Healthcare Center?

No, Pine Ridge Rehabilitation and Healthcare Center has a no-pet policy.

Does Pine Ridge Rehabilitation and Healthcare Center operate as a for-profit or non-profit?

Pine Ridge Rehabilitation and Healthcare Center is registered as a for-profit in CO.

Who is the administrator of Pine Ridge Rehabilitation and Healthcare Center?

Dawn Cochran is the administrator of Pine Ridge Rehabilitation and Healthcare Center.

How many beds does Pine Ridge Rehabilitation and Healthcare Center have?

Pine Ridge Rehabilitation and Healthcare Center has 60 beds.

What is the address of Pine Ridge Rehabilitation and Healthcare Center?

Pine Ridge Rehabilitation and Healthcare Center is located at 119 Bastille Dr, Pagosa Springs, CO 81147-9388.

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