2/5
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.
2/5
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.
Operated by owner Leland Bruce, Paonia Care and Rehabilitation Center is a nursing facility on Meadowbrook Boulevard in Paonia, Colorado. The 60-bed center focuses on short-term rehabilitation and offers dedicated private rehab rooms and a range of therapy services that support recovery from surgery, injury, or hospitalization. The facility’s occupancy rate is 57%, so there’s room for new admissions, giving families more flexibility in placement timing.
Daily nurse staffing averages 4 hours and 7 minutes per resident. Registered nurses spend 44 minutes per day on direct care. That foundation of staffing supports both physical healing and mental health services, which are part of the facility’s care approach. Rehabilitation extends across outpatient therapy and recreational therapy, which may benefit residents as they regain function and achieve independence at their own pace.
The neighborhood is moderately walkable, with a Walk Score of 52. Visiting families can navigate some errands on foot. However, only some nearby amenities are within a reasonable distance.
Amenities on-site include restaurant-style dining, free Wi-Fi throughout the building, a beauty salon, and 24-hour laundry service. Recreational activities are built around daily programming to stimulate both mind and body. There’s also a smoking patio for residents who need it. Wander Guard technology is available for residents who need memory support or monitoring.
The center’s focus on rehabilitation and the availability of private rooms make it a great choice for patients recovering from an acute event who need structured, professional care and expect to return home.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 55th out of 203 homes in Colorado for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 44m per day | ▼ 12% State avg: 50m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 34m per day | ▼ 16% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 38m per day | ▼ 26% State avg: 2h 12m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 36m per day | ▼ 20% State avg: 3h 16m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 100% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 23m per day | ▼ 37% State avg: 36m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Paonia Care and Rehabilitation Center is administered by Michelle Salstrand.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
0.64
51% better than Colorado averageColorado average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.40
44% worse than Colorado averageColorado average: 1.67
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #200 / 207Payroll — State benchmarkedThis home is ranked 200th out of 207 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.
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 #45 / 207Payroll % — State benchmarkedThis home is ranked 45th out of 207 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
0.0 miles from city center
Estimated distance in miles from Paonia's city center to Paonia Care and Rehabilitation Center's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the CO Dept. of Public Health & Environment (CDPHE), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Columbine Commons | NH | Windsor | 60
Facility
60
CO AVG
76
Rank
#299 / 526 |
97.5%
Facility
97.5%
CO AVG
70.5
Rank
#5 / 147 | +38% | 5.18
Facility
5.18
CO AVG
3.86
Rank
#17 / 203 | +44% | +34% | $0
Facility
$0
CO AVG
$39.2k
Rank
#1 / 209 | 7
Facility
7
CO AVG
24.8
Rank
#11 / 204 | 2.3
Facility
2.3
CO AVG
5.2
Rank
#10 / 204 | - | 59 | A+ |
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
#76 / 207 | $6.8MFiscal year ending 12/2023
Facility
$6.8MFiscal year ending 12/2023
CO AVG
$4.9M
Rank
#49 / 207 | 81.7%Fiscal year ending 12/2023
Facility
81.7%Fiscal year ending 12/2023
CO AVG
46.6%
Rank
#25 / 207 | 65410 | ||||
| Holly Creek | NH AL IL MC SNF | Centennial (East Peakview Avenue) | 25
Facility
25
CO AVG
76
Rank
#418 / 526 | - | - | 6.55
Facility
6.55
CO AVG
3.86
Rank
#5 / 203 | +39% | +70% | $42.1k
Facility
$42.1k
CO AVG
$39.2k
Rank
#167 / 209 | 7
Facility
7
CO AVG
24.8
Rank
#11 / 204 | 2.3
Facility
2.3
CO AVG
5.2
Rank
#10 / 204 | 2 | 25 | - |
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 / 207 | $7.1MFiscal year ending 12/2023
Facility
$7.1MFiscal year ending 12/2023
CO AVG
$4.9M
Rank
#70 / 207 | 151.1%Fiscal year ending 12/2023
Facility
151.1%Fiscal year ending 12/2023
CO AVG
46.6%
Rank
#201 / 207 | 65395 | ||||
| Continuing Care at Wind Crest | NH AL IL MC | Highlands Ranch (Westridge) | 44
Facility
44
CO AVG
76
Rank
#375 / 526 |
87.0%
Facility
87.0%
CO AVG
70.5
Rank
#43 / 147 | +23% | 5.03
Facility
5.03
CO AVG
3.86
Rank
#20 / 203 | +9% | +30% | $0
Facility
$0
CO AVG
$39.2k
Rank
#1 / 209 | 7
Facility
7
CO AVG
24.8
Rank
#11 / 204 | 2.3
Facility
2.3
CO AVG
5.2
Rank
#10 / 204 | - | 38 | - |
31
Facility
31
CO AVG
51
Rank
#671 / 869 | National Senior Communities, Inc | $7.8MFiscal year ending 12/2023
Facility
$7.8MFiscal year ending 12/2023
CO AVG
$11.2M
Rank
#1 / 207 | $33.7MFiscal year ending 12/2023
Facility
$33.7MFiscal year ending 12/2023
CO AVG
$4.9M
Rank
#1 / 207 | 430.6%Fiscal year ending 12/2023
Facility
430.6%Fiscal year ending 12/2023
CO AVG
46.6%
Rank
#199 / 207 | 65409 | ||||
| The Center at Northridge, LLC | NH SNF | Westminster (South Westminster) | 96
Facility
96
CO AVG
76
Rank
#173 / 526 |
96.0%
Facility
96.0%
CO AVG
70.5
Rank
#8 / 147 | +36% | 3.52
Facility
3.52
CO AVG
3.86
Rank
#109 / 203 | -34% | -9% | $0
Facility
$0
CO AVG
$39.2k
Rank
#1 / 209 | 15
Facility
15
CO AVG
24.8
Rank
#41 / 204 | 5.0
Facility
5.0
CO AVG
5.2
Rank
#98 / 204 | - | 92 | - |
27
Facility
27
CO AVG
51
Rank
#709 / 869 | Edward Smith | $19.4MFiscal year ending 12/2023
Facility
$19.4MFiscal year ending 12/2023
CO AVG
$11.2M
Rank
#11 / 207 | $11.4MFiscal year ending 12/2023
Facility
$11.4MFiscal year ending 12/2023
CO AVG
$4.9M
Rank
#10 / 207 | 59%Fiscal year ending 12/2023
Facility
59%Fiscal year ending 12/2023
CO AVG
46.6%
Rank
#178 / 207 | 65416 |
Paonia Care and Rehabilitation Center is legally operated by Meadowbrook Blvd. Operations LLC, and administered by Michelle Salstrand.
Paonia Care and Rehabilitation Center has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Paonia Care and Rehabilitation Center's occupancy is 56.7%.
No, Paonia Care and Rehabilitation Center has a no-pet policy.
Paonia Care and Rehabilitation Center is registered as a for-profit in CO.
Michelle Salstrand is the administrator of Paonia Care and Rehabilitation Center.
Paonia Care and Rehabilitation Center has 60 beds.
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