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Nursing Home

Paonia Care and Rehabilitation Center

Nursing Home

Paonia Care and Rehabilitation Center

1625 MEADOWBROOK BLVD, PAONIA, CO 81428-9325 View map
Overview of Paonia Care and Rehabilitation Center
Paonia Care and Rehabilitation Center is a licensed 60-bed skilled nursing and rehabilitation facility located in Paonia, Colorado. The center provides short-term rehabilitation, long-term care, outpatient rehab services, and a secure memory unit. It aims to create a home-like environment for residents with various activities to stimulate the mind and body.
(970) 527-4837

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
2/5
Colorado average: 3.2/5
Health Inspection Info 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.
2/5
Colorado average: 2.8/5
Staffing Info 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.
3/5
Colorado average: 3.1/5
Quality Measures Info 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.
4/5
Colorado average: 4.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 7m per day

This home provides 7% more nursing time per resident than the Colorado average.

Colorado average: 3h 51m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 60

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Colorado average
Occupancy rate 56.7%
Residents per day (avg) 42
Occupancy rate
56.7%
Residents per day (avg)
42

Finances and operations

Privately-owned community
Home revenue
$4.4M
Operating loss
-$607.1K
Privately-owned community
Home revenue
$4,392,964.00
Operating loss
$-607,111.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.8M
39.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.2M
Total costs $5.0M
Bed community size
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

License details

Facility type
Snf/nf Dual Certification
Status Active

Additional licensing details

CMS Certification Number: 065251

Ownership & operating entity

Paonia Care and Rehabilitation Center is administrated by Salstrand, Michelle.

Owner name: MEADOWBROOK BLVD. OPERATIONS LLC

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab

All Levels of Care

Skilled Nursing
Rehabilitation
Memory Care

Amenities & Lifestyle

24-hour laundry
wander guard
restaurant-style dining
free wi-fi access
private rehab rooms
mental health services
beauty salon
smoking patio
outpatient therapy
recreational therapy

Programs & Activities

Activities
Daily activities that stimulate the mind and body.
Specific Programs
Rehabilitation Services, Physical Therapy, Occupational Therapy, Speech Therapy, Activities
Operating Hours
10AM-8PM

Dining & Nutrition

Food Description
Restaurant-style dining
Meals Included
Yes
Contact Paonia Care and Rehabilitation Center

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.

Health Inspection History

Inspections
Total health inspections 4

Colorado average 4.8


Last Health inspection on Aug 2025

Total health citations 44

Colorado average 24.8

Citations per inspection
11

Colorado average 5.2


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

39 of 44 citations resulted from standard inspections; 1 of 44 resulted from complaint investigations; and 4 of 44 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
150% worse than Colorado average

Colorado average: 0.4


Serious Health citations More info 4
90% worse than Colorado average

Colorado average: 2.1

1 critical citation More info Colorado average: 0.4

4 serious citations More info Colorado average: 2.1

38 moderate citations More info Colorado average: 22.2

1 minor citation More info Colorado average: 0.2
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Aug 07, 2025
Corrected

Abuse/Neglect serious citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Aug 07, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Aug 07, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Aug 07, 2025
Corrected

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

5 facilities compared · CMS & CO Dept. of Health data · Updated Mar 2026

Paonia Care and Rehabilitation 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.

PAONIA
60
56.7%
-26%
4.11
+7%
+7%
1
44
5
42
Bruce, Leland
$4,4M
$1,8M
39.9%
65251
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 Paonia Care and Rehabilitation Center

Address 0.0 miles from city center

Address 1625 MEADOWBROOK BLVD, PAONIA, CO 81428-9325

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 83
Employees 34
Contractors 49
Staff to resident ratio 1.73:1
9% worse than Colorado average

Colorado average ratio: 1.91:1

Avg staff/day 20
Average shift 8.9 hours
7% better than Colorado average

Colorado average: 8.3 hours

Total staff hours (quarter) 16,112
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 45
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

27.7%

4,468 contractor hours this quarter

Certified Nursing Assistant: 33 Licensed Practical Nurse: 12 Registered Nurse: 4
Staff by category
Certified Nursing Assistant1233457,13091100%9
Registered Nurse84122,89291100%9.8
Licensed Practical Nurse212141,9889099%9.9
Other Dietary Services Staff4041,2568897%7.2
Dental Services Staff2021,0077077%7.8
Nurse Practitioner1015206571%8
Administrator1014325459%8
Physical Therapy Assistant1014166268%6.7
Speech Language Pathologist1013344549%7.4
Physical Therapy Aide101741618%4.6
Qualified Social Worker101632527%2.5
45 Certified Nursing Assistant
% of Days 100%
12 Registered Nurse
% of Days 100%
14 Licensed Practical Nurse
% of Days 99%
4 Other Dietary Services Staff
% of Days 97%
2 Dental Services Staff
% of Days 77%
1 Nurse Practitioner
% of Days 71%
1 Administrator
% of Days 59%
1 Physical Therapy Assistant
% of Days 68%
1 Speech Language Pathologist
% of Days 49%
1 Physical Therapy Aide
% of Days 18%
1 Qualified Social Worker
% of Days 27%

Facility Characteristics

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

Total census
48 residents
Residents by payment source
Medicaid
41 residents (85.4%)
Private pay or other
7 residents (14.6%)
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.

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. 11.2
24% worse than Colorado average

Colorado average: 9.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.5
20% worse than Colorado average

Colorado average: 18.8

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.7%
35% worse than Colorado average

Colorado average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 26.8%
58% worse than Colorado average

Colorado 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 18.9%
19% better than Colorado average

Colorado average: 23.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
23% better than Colorado average

Colorado average: 3.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.8%
78% better than Colorado average

Colorado average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
55% better than Colorado average

Colorado average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.1%
21% better than Colorado average

Colorado average: 5.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.3%
41% better than Colorado average

Colorado average: 7.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 29.7%
58% worse than Colorado average

Colorado average: 18.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.7%
In line with Colorado average

Colorado average: 93.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3%
In line with Colorado average

Colorado average: 94.7%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.1%
14% worse than Colorado average

Colorado average: 76.6%

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

Colorado average: 1.4%

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 $39K
In line with Colorado average

Colorado average: $40K

Number of fines 2
10% fewer fines than Colorado average

Colorado 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 Colorado average

Colorado average: 0.3

Fines amount comparison
Fines amount comparison
This facility $39K
Colorado average $40K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 7, 2025
$19K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 1, 2024
$20K

Last updated: Jan 2026

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Financial Aid for Colorado Seniors

Get financial aid guidance

Elderly, Blind, and Disabled Waiver

Colorado Medicaid EBD Waiver

Age 65+ or disabled, Colorado resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Requires level-of-care assessment by case manager.

Old Age Pension (OAP) Health Care Program

Colorado OAP

Age 60+, Colorado resident.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; limited medical coverage.

Program of All-Inclusive Care for the Elderly (PACE)

Colorado Medicaid PACE

Age 55+, Colorado resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited to specific regions (e.g., Denver, Pueblo).

Home Care Allowance (HCA)

Colorado Home Care Allowance (HCA)

Seniors typically 65+, Age 5+ with disability, Colorado resident, financial/functional need.

~$1,004/month (individual, stricter than waivers).

$2,000 (individual), $3,000 (couple).

Must need help with ADLs; not Medicaid-waiver eligible.

Senior Community Service Employment Program (SCSEP)

Colorado SCSEP (federally funded, state-administered)

Age 55+, unemployed, low-income, Colorado resident.

~$1,983/month (125% FPL, individual).

Not specified; income-focused.

Priority for veterans, rural residents.