Other senior care options in Colorado:

Page 23 of Best Nursing Homes in Colorado

Why trust this guide? Our editorial team analyzed 225 nursing homes in Colorado using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in CO
Reviewed by
Last updated
Jul 2026
We analyzed
225 homes
Other senior care options in Colorado:
Avg Overall CMS Rating: 3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Colorado. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Colorado. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Colorado. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Colorado

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

CMS & CO Dept. of Health data

Columbine Commons
NH
Windsor
60
Facility 60
CO AVG 76
Rank #299 / 527
97.5%
Facility 97.5%
CO AVG 70.7
Rank #5 / 149
+38%
5.18
Facility 5.18
CO AVG 3.86
Rank #18 / 211
+44%+34%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 217
7
Facility 7
CO AVG 24.8
Rank #12 / 212
2.3
Facility 2.3
CO AVG 5.2
Rank #10 / 212
-59A+
75
Facility 75
CO AVG 51
Rank #157 / 869
Palmer Withrow
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
CO AVG $11.2M
Rank #79 / 217
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
CO AVG $4.9M
Rank #53 / 217
81.7%Fiscal year ending 12/2023
Facility 81.7%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #28 / 217
65410
Lemy Avenue Health and Rehab Facility
NH
Fort Collins (South Lemay Avenue)
130
Facility 130
CO AVG 76
Rank #64 / 527
94.5%
Facility 94.5%
CO AVG 70.7
Rank #14 / 149
+34%
4.72
Facility 4.72
CO AVG 3.86
Rank #27 / 211
-3%+22%
$7.4k
Facility $7.4k
CO AVG $39.2k
Rank #91 / 217
7
Facility 7
CO AVG 24.8
Rank #12 / 212
1.4
Facility 1.4
CO AVG 5.2
Rank #1 / 212
1123A+
48
Facility 48
CO AVG 51
Rank #506 / 869
-
$18.4MFiscal year ending 12/2023
Facility $18.4MFiscal year ending 12/2023
CO AVG $11.2M
Rank #28 / 217
$9.8MFiscal year ending 12/2023
Facility $9.8MFiscal year ending 12/2023
CO AVG $4.9M
Rank #9 / 217
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #77 / 217
65142
Centre Avenue Health and Rehab Facility
NH
Fort Collins (Centre Avenue)
90
Facility 90
CO AVG 76
Rank #195 / 527
35.6%
Facility 35.6%
CO AVG 70.7
Rank #133 / 149
-50%
4.33
Facility 4.33
CO AVG 3.86
Rank #44 / 211
+16%+12%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 217
5
Facility 5
CO AVG 24.8
Rank #4 / 212
2.5
Facility 2.5
CO AVG 5.2
Rank #20 / 212
232A+
73
Facility 73
CO AVG 51
Rank #180 / 869
-
$13.6MFiscal year ending 12/2023
Facility $13.6MFiscal year ending 12/2023
CO AVG $11.2M
Rank #45 / 217
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
CO AVG $4.9M
Rank #25 / 217
56.6%Fiscal year ending 12/2023
Facility 56.6%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #63 / 217
65377
Life Care Center of Colorado Springs
NH
SNF
Colorado Springs (Southeast Colorado Springs)
121
Facility 121
CO AVG 76
Rank #76 / 527
75.5%
Facility 75.5%
CO AVG 70.7
Rank #78 / 149
+7%
4.05
Facility 4.05
CO AVG 3.86
Rank #65 / 211
+5%+5%
$36.9k
Facility $36.9k
CO AVG $39.2k
Rank #167 / 217
15
Facility 15
CO AVG 24.8
Rank #45 / 212
3.8
Facility 3.8
CO AVG 5.2
Rank #61 / 212
-91A+
63
Facility 63
CO AVG 51
Rank #327 / 869
Vanessa Zabojnik
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
CO AVG $11.2M
Rank #83 / 217
$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
CO AVG $4.9M
Rank #70 / 217
72.1%Fiscal year ending 12/2023
Facility 72.1%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #69 / 217
65356
Advanced Health Care of Colorado Springs
NH
SNF
Colorado Springs (Southeast Colorado Springs)
34
Facility 34
CO AVG 76
Rank #402 / 527
90.9%
Facility 90.9%
CO AVG 70.7
Rank #29 / 149
+29%
5.50
Facility 5.50
CO AVG 3.86
Rank #14 / 211
+19%+43%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 217
5
Facility 5
CO AVG 24.8
Rank #4 / 212
2.5
Facility 2.5
CO AVG 5.2
Rank #20 / 212
-31A+
66
Facility 66
CO AVG 51
Rank #283 / 869
Robert Beckman
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
CO AVG $11.2M
Rank #133 / 217
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
CO AVG $4.9M
Rank #177 / 217
50.8%Fiscal year ending 12/2023
Facility 50.8%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #185 / 217
65407
Holly Creek
NH
AL
IL
MC
SNF
Centennial (East Peakview Avenue)
25
Facility 25
CO AVG 76
Rank #419 / 527
--
6.55
Facility 6.55
CO AVG 3.86
Rank #5 / 211
+39%+70%
$42.1k
Facility $42.1k
CO AVG $39.2k
Rank #175 / 217
7
Facility 7
CO AVG 24.8
Rank #12 / 212
2.3
Facility 2.3
CO AVG 5.2
Rank #10 / 212
225-
39
Facility 39
CO AVG 51
Rank #584 / 869
Madelyn Chapman
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
CO AVG $11.2M
Rank #9 / 217
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
CO AVG $4.9M
Rank #74 / 217
151.1%Fiscal year ending 12/2023
Facility 151.1%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #211 / 217
65395
Hover Senior Living Community
NH
AL
IL
SNF
Longmont
25
Facility 25
CO AVG 76
Rank #419 / 527
--
6.55
Facility 6.55
CO AVG 3.86
Rank #5 / 211
+39%+70%
$42.1k
Facility $42.1k
CO AVG $39.2k
Rank #175 / 217
7
Facility 7
CO AVG 24.8
Rank #12 / 212
2.3
Facility 2.3
CO AVG 5.2
Rank #10 / 212
225-
46
Facility 46
CO AVG 51
Rank #524 / 869
Madelyn Chapman
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
CO AVG $11.2M
Rank #9 / 217
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
CO AVG $4.9M
Rank #74 / 217
151.1%Fiscal year ending 12/2023
Facility 151.1%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #211 / 217
65395
Garden Terrace at Aurora
NH
MC
SNF
Aurora (South Potomac Street)
120
Facility 120
CO AVG 76
Rank #77 / 527
79.6%
Facility 79.6%
CO AVG 70.7
Rank #65 / 149
+13%
4.36
Facility 4.36
CO AVG 3.86
Rank #34 / 211
-10%+13%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 217
11
Facility 11
CO AVG 24.8
Rank #23 / 212
2.8
Facility 2.8
CO AVG 5.2
Rank #30 / 212
-96-
46
Facility 46
CO AVG 51
Rank #524 / 869
Jerry Weeter
$10.7MFiscal year ending 09/2023
Facility $10.7MFiscal year ending 09/2023
CO AVG $11.2M
Rank #88 / 217
$7.9MFiscal year ending 09/2023
Facility $7.9MFiscal year ending 09/2023
CO AVG $4.9M
Rank #57 / 217
73.3%Fiscal year ending 09/2023
Facility 73.3%Fiscal year ending 09/2023
CO AVG 46.6%
Rank #31 / 217
65266
Center At Foresight Llc
NH
SNF
Grand Junction (East Foresight Circle)
54
Facility 54
CO AVG 76
Rank #338 / 527
88.3%
Facility 88.3%
CO AVG 70.7
Rank #40 / 149
+25%
4.51
Facility 4.51
CO AVG 3.86
Rank #32 / 211
+35%+17%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 217
6
Facility 6
CO AVG 24.8
Rank #8 / 212
2.0
Facility 2.0
CO AVG 5.2
Rank #6 / 212
148-
49
Facility 49
CO AVG 51
Rank #492 / 869
-
$9.3MFiscal year ending 12/2023
Facility $9.3MFiscal year ending 12/2023
CO AVG $11.2M
Rank #41 / 217
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
CO AVG $4.9M
Rank #154 / 217
50.8%Fiscal year ending 12/2023
Facility 50.8%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #207 / 217
65425
Life Care Center of Greeley
NH
SNF
Greeley
124
Facility 124
CO AVG 76
Rank #73 / 527
55.4%
Facility 55.4%
CO AVG 70.7
Rank #113 / 149
-22%
3.35
Facility 3.35
CO AVG 3.86
Rank #137 / 211
+2%-13%
$12.3k
Facility $12.3k
CO AVG $39.2k
Rank #109 / 217
6
Facility 6
CO AVG 24.8
Rank #8 / 212
2.0
Facility 2.0
CO AVG 5.2
Rank #6 / 212
369-
56
Facility 56
CO AVG 51
Rank #408 / 869
Daniel Gauger
$10.3MFiscal year ending 05/2024
Facility $10.3MFiscal year ending 05/2024
CO AVG $11.2M
Rank #82 / 217
$6.2MFiscal year ending 05/2024
Facility $6.2MFiscal year ending 05/2024
CO AVG $4.9M
Rank #104 / 217
60.1%Fiscal year ending 05/2024
Facility 60.1%Fiscal year ending 05/2024
CO AVG 46.6%
Rank #146 / 217
65368
The Gardens Skilled Nursing and Rehabilitation
NH
SNF
Colorado Springs (West Colorado Springs)
45
Facility 45
CO AVG 76
Rank #367 / 527
96.0%
Facility 96.0%
CO AVG 70.7
Rank #9 / 149
+36%
3.96
Facility 3.96
CO AVG 3.86
Rank #65 / 211
+3%+3%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 217
5
Facility 5
CO AVG 24.8
Rank #4 / 212
1.7
Facility 1.7
CO AVG 5.2
Rank #5 / 212
-43-
46
Facility 46
CO AVG 51
Rank #524 / 869
Madison Partners Inc
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
CO AVG $11.2M
Rank #202 / 217
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
CO AVG $4.9M
Rank #207 / 217
52.4%Fiscal year ending 12/2023
Facility 52.4%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #135 / 217
65198
Littleton Care and Rehabilitation Center
NH
MC
SNF
Littleton
35
Facility 35
CO AVG 76
Rank #396 / 527
91.7%
Facility 91.7%
CO AVG 70.7
Rank #27 / 149
+30%
3.66
Facility 3.66
CO AVG 3.86
Rank #94 / 211
+41%-5%
$7.8k
Facility $7.8k
CO AVG $39.2k
Rank #94 / 217
12
Facility 12
CO AVG 24.8
Rank #26 / 212
2.4
Facility 2.4
CO AVG 5.2
Rank #17 / 212
132A+
69
Facility 69
CO AVG 51
Rank #243 / 869
-
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
CO AVG $11.2M
Rank #203 / 217
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
CO AVG $4.9M
Rank #198 / 217
59.7%Fiscal year ending 12/2023
Facility 59.7%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #78 / 217
65320
Life Care Center of Aurora
NH
SNF
Aurora (Southeast Crossing)
166
Facility 166
CO AVG 76
Rank #27 / 527
31.9%
Facility 31.9%
CO AVG 70.7
Rank #137 / 149
-55%
3.95
Facility 3.95
CO AVG 3.86
Rank #65 / 211
+17%+2%
$33.2k
Facility $33.2k
CO AVG $39.2k
Rank #159 / 217
28
Facility 28
CO AVG 24.8
Rank #137 / 212
5.6
Facility 5.6
CO AVG 5.2
Rank #133 / 212
253A+
41
Facility 41
CO AVG 51
Rank #568 / 869
David Strain
$14.6MFiscal year ending 08/2024
Facility $14.6MFiscal year ending 08/2024
CO AVG $11.2M
Rank #40 / 217
$10.6MFiscal year ending 08/2024
Facility $10.6MFiscal year ending 08/2024
CO AVG $4.9M
Rank #20 / 217
72.4%Fiscal year ending 08/2024
Facility 72.4%Fiscal year ending 08/2024
CO AVG 46.6%
Rank #60 / 217
65332
The Center at Centennial
NH
SNF
Colorado Springs (West Colorado Springs)
80
Facility 80
CO AVG 76
Rank #233 / 527
98.8%
Facility 98.8%
CO AVG 70.7
Rank #3 / 149
+40%
4.04
Facility 4.04
CO AVG 3.86
Rank #65 / 211
+14%+5%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 217
21
Facility 21
CO AVG 24.8
Rank #92 / 212
4.2
Facility 4.2
CO AVG 5.2
Rank #70 / 212
379-
45
Facility 45
CO AVG 51
Rank #534 / 869
The Medical Center LLC
$15.1MFiscal year ending 12/2023
Facility $15.1MFiscal year ending 12/2023
CO AVG $11.2M
Rank #12 / 217
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
CO AVG $4.9M
Rank #34 / 217
60.3%Fiscal year ending 12/2023
Facility 60.3%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #205 / 217
65390
Broadview Health and Rehabilitation
NH
SNF
Greeley
100
Facility 100
CO AVG 76
Rank #158 / 527
91.8%
Facility 91.8%
CO AVG 70.7
Rank #26 / 149
+30%
3.01
Facility 3.01
CO AVG 3.86
Rank #175 / 211
-37%-22%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 217
16
Facility 16
CO AVG 24.8
Rank #49 / 212
2.3
Facility 2.3
CO AVG 5.2
Rank #10 / 212
192-
76
Facility 76
CO AVG 51
Rank #150 / 869
-
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
CO AVG $11.2M
Rank #98 / 217
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
CO AVG $4.9M
Rank #121 / 217
45.3%Fiscal year ending 12/2023
Facility 45.3%Fiscal year ending 12/2023
CO AVG 46.6%
Rank #146 / 217
65219
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Nursing Home Explorer
Overview of VI at Highlands Ranch Assisted Living

A 48-bed assisted living community in Highlands Ranch, Colorado, is VI at Highlands Ranch Assisted Living. Situated at 9085 Ranch River Cir in the quiet residential neighborhoods of Douglas County, the facility offers care that pairs personal assistance with daily structure and support for those seeking independence with reliable backup services.

The home provides a full range of care services, including assisted living with memory support, rehabilitation services, respite care, and short-term rehab. Staff is allocated an average of 2 hours 8 minutes of registered nursing per resident day, 3 hours 26 minutes of nurse aide support per resident day, and 19 minutes of LPN/LVN care per resident day, supplying consistent attentive support throughout each day. Meanwhile, dining is a focal point at VI at Highlands Ranch Assisted Living. Mount Rosa Restaurant serves breakfast, lunch, and dinner with seasonal ingredients and offers casual and fine-dining environments with full table service. The community’s on-site bar provides light bites and beverages for additional flexibility in daily meal and snacking options. This focus on quality dining with choice, beyond basic care needs, reflects the community’s commitment to lifestyle quality. Daily life is anchored by a mix of structured activities and programming built to promote engagement and social connection. The community features opportunities for various types of engagement that residents can choose according to their interests and energy levels. Location and transportation: Highlands Ranch is car-dependent with a Walk Score of 19. The neighborhood is tranquil and residential, making it a peaceful setting. Visitors and residents, however, should plan on using personal transportation for most errands and activities outside the community grounds.

The community operates under Colorado state health department oversight and isn’t currently a Medicare or Medicaid provider.

Contact Vi at Highlands Ranch Assisted Living

Overview of Brookdale Meridian Englewood
Brookdale Meridian Englewood is a continuing care retirement community located in Englewood, Colorado. It offers multiple levels of care including independent living, assisted living, and skilled nursing. Residents can enjoy a variety of amenities and activities designed to enhance their quality of life.

Contact Brookdale Meridian Englewood

Overview of Brookdale Meridian Lakewood
Brookdale Meridian Lakewood is a continuing care retirement community located in Lakewood, Colorado. It offers independent living and skilled nursing services, providing a supportive environment for seniors. Residents can enjoy a variety of activities and amenities designed to enhance their quality of life.

Contact Brookdale Meridian Lakewood

Overview of Prestige Care Center of Pueblo

Prestige Care Center of Pueblo is a 120-bed skilled nursing and rehabilitation facility in Pueblo, Colorado. Serving Pueblo County residents at 1601 Constitution Road, the facility offers long-term care, short-term rehabilitation, memory care, and respite care. 24-hour staffing is available.

Restaurant-style dining with an in-room dining option and connectivity and entertainment services are among the amenities. More offerings are safety and convenience features and private and semi-private room configurations.

Near the city’s medical corridor, the community is built for long- and short-term skilled nursing and post-acute rehabilitation in Pueblo. Families should request the latest survey report from the facility or through the Colorado Department of Public Health and Environment’s Health Facilities Division.

Contact Prestige Care Center of Pueblo

Overview of Bluestem Village

A newly built SNF in La Junta, Colorado, is Bluestem Village. It’s tailored to provide 24-hour nursing care in a home-like setting. The facility was built considering residents, offering a warm environment focused on individual needs and comfort. Instead of a big institutional building, the community is organized into four separate, independent homes within the community. This creates smaller, more intimate residential spaces where residents can feel homely while receiving extensive skilled nursing care.

Bluestem Village accommodates 56 residents, each in a private room with a private bath. Such a moderately sized approach allows for personalized attention and the full-service nursing facility benefits with on-site skilled care available 24/7. The location sits about 2.8 miles from La Junta’s city center, in a car-dependent area where lots of errands and appointments need driving. The surrounding neighborhood offers access to hospitals, parks, dining, shopping, and other essential services within a short drive.

Families interested in touring the facility, learning about skilled nursing services, staffing levels, activities, dietary options, or current availability are welcome to contact Bluestem Village directly.

Contact Bluestem Village

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Colorado

What's the difference between assisted living and a nursing home in Colorado?

Assisted living in Colorado is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Colorado Medicaid cover nursing home care?

Yes — Colorado Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 225 nursing homes in Colorado. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Colorado?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Colorado, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Colorado?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.