Facility type
Snf (medicare Only)
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Cottonwood Rehabilitation and Healthcare Center
Cottonwood Rehabilitation and Healthcare Center is located in Durango, Colorado. It offers specialized therapy services and rehabilitative care, focusing on collaboration and communication with patients and their families. The center provides long-term care, short-term rehab, and various specialized services including cardiac and orthopedic care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
40
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.7%
Residents per day (avg)
35
Occupancy rate
87.7%
Residents per day (avg)
35
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
68% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
28% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
4% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$7.2M
Profit
$520.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$7,175,790.00
Profit
$519,989.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.7M
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License details
Additional licensing details
CMS Certification Number:
065411
Ownership & operating entity
Cottonwood Rehabilitation and Healthcare Center is administrated by Bradley, Christy Bernice.
Owner name:
COTTONWOOD REHABILITATION AND HEALTHCARE CENTER LLC
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Long-term care, Full Service Rehab, Skilled Nursing Staff, Cardiac Care, Orthopedic Care.
Dining & Nutrition
Food Description
A variety of fine dining options available.
Meals Included
Yes
Health Inspection History
Inspections
Total health inspections
3
Colorado average 4.8
Last Health inspection on Nov 2024
Total health citations
8
Colorado average 24.8
Citations per inspection
2.67
Colorado average 5.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 8 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Colorado averageColorado average: 0.4
Serious Health citations
3
3
43% worse than Colorado averageColorado average: 2.1
0 critical citations
3 serious citations
5 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 21, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 21, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 21, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 21, 2024
Corrected
Pharmacy serious citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 12, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 12, 2023
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 12, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 12, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Colorado The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
Cottonwood Rehabilitation and Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
DURANGO
40
87.7%
+15%
3.24
-16%
1
8
3
35
Monarco, Ashlee
$7,2M
$2,3M
32.3%
65411
Adventhealth Avista
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
LOUISVILLE
114
-
-
-
-
0
0
0
-
-
-
-
-
-
Adventhealth Castle Rock
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
CASTLE ROCK
90
-
-
-
-
0
0
0
-
-
-
-
-
-
Adventhealth Littleton
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
LITTLETON
231
-
-
-
-
0
0
0
-
-
-
-
-
-
Adventhealth Parker
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
PARKER
179
-
-
-
-
0
0
0
-
-
-
-
-
-
Places of interest near Cottonwood Rehabilitation and Healthcare Center
0.0 miles from city center
450 PROSPECTOR AVE, DURANGO, CO 81301-7940
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
72
Employees
69
Contractors
3
Staff to resident ratio
2.06:1
8% better than Colorado averageColorado average ratio: 1.91:1
Avg staff/day
21
Average shift
8.5 hours
0% compared with Colorado averageColorado average: 8.3 hours
Total staff hours (quarter)
16,216
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.8%
125 contractor hours this quarter
Occupational Therapy Assistant: 2
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 23 | 0 | 23 | 6,025 | 91 | 100% | 9.4 |
| Registered Nurse | 11 | 0 | 11 | 3,782 | 91 | 100% | 9.4 |
| Physical Therapy Assistant | 6 | 0 | 6 | 867 | 80 | 88% | 7 |
| Nurse Aide in Training | 4 | 0 | 4 | 574 | 53 | 58% | 9.8 |
| Medication Aide/Technician | 1 | 0 | 1 | 571 | 48 | 53% | 11.9 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 564 | 81 | 89% | 5.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 553 | 61 | 67% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 516 | 64 | 70% | 8.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Diagnostic X-ray Services Staff | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Licensed Practical Nurse | 3 | 0 | 3 | 501 | 40 | 44% | 10.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 365 | 51 | 56% | 7.2 |
| Respiratory Therapist | 4 | 0 | 4 | 235 | 44 | 48% | 5 |
| Medical Director | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 65 | 12 | 13% | 5.4 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 21 | 5 | 5% | 4.2 |
23 Certified Nursing Assistant
% of Days
100%
11 Registered Nurse
% of Days
100%
6 Physical Therapy Assistant
% of Days
88%
4 Nurse Aide in Training
% of Days
58%
1 Medication Aide/Technician
% of Days
53%
8 Respiratory Therapy Technician
% of Days
89%
2 Clinical Nurse Specialist
% of Days
67%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
70%
1 Diagnostic X-ray Services Staff
% of Days
69%
3 Licensed Practical Nurse
% of Days
44%
1 Other Dietary Services Staff
% of Days
63%
2 Speech Language Pathologist
% of Days
56%
4 Respiratory Therapist
% of Days
48%
1 Medical Director
% of Days
14%
1 RN Director of Nursing
% of Days
13%
2 Occupational Therapy Assistant
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
35 residents
Residents by payment source
Medicare
11 residents (31.4%)
Private pay or other
24 residents (68.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.4
29% better than Colorado averageColorado average: 9.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.6
33% better than Colorado averageColorado average: 18.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.2%
Percent of long-stay residents whose need for help with daily activities has increased
12.2%
24% better than Colorado averageColorado average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
9.9%
Percent of long-stay residents whose ability to move independently worsened
9.9%
42% better than Colorado averageColorado average: 17.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.7%
32% better than Colorado averageColorado average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
102% worse than Colorado averageColorado average: 3.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.9%
Percent of long-stay high risk residents with pressure ulcers
1.9%
50% better than Colorado averageColorado average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.5%
Percent of long-stay residents with a urinary tract infection
3.5%
143% worse than Colorado averageColorado average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.3%
Percent of long-stay residents who lose too much weight
1.3%
76% better than Colorado averageColorado average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
26.7%
Percent of long-stay residents who have depressive symptoms
26.7%
272% worse than Colorado averageColorado average: 7.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.6%
Percent of long-stay residents who received an antipsychotic medication
5.6%
70% better than Colorado averageColorado average: 18.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Colorado averageColorado average: 93.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Colorado averageColorado average: 94.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
29% better than Colorado averageColorado average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
In line with Colorado averageColorado average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
28% better than Colorado averageColorado average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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
$22K
44% lower than Colorado averageColorado average: $40K
Number of fines
1
55% fewer fines than Colorado averageColorado average: 2.2
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Colorado averageColorado average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$22K
Colorado average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 12, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 12, 2023
$22K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Cottonwood Rehabilitation and Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
87.7%
↓ 2.1pp vs 2022
Net Income
$519,989
↑ ~$588K vs 2022
Total Payroll
$2,946,795
↑ ~$2.1M vs 2022
Profit Margin
7.3%
↑ 10.9pp vs 2022
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