Rio Grande Rehabilitation and Healthcare Center
Nursing Home, Memory Care, Nursing Care, Palliative Care & Respite Care · La Jara, 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.

Rio Grande Rehabilitation and Healthcare Center

Nursing Home, Memory Care, Nursing Care, Palliative Care & Respite Care · La Jara, 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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Rio Grande 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 2018 · 8 years of data 31 deficiencies 5 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 2018 vs. Colorado state average
Overall vs. CO average 3 Worse Metrics worse than Colorado average:
• Total deficiencies (3% above)
• Deficiencies per year (3% above)
• Deficiencies per inspection (24% above)
1 Better Metrics better than Colorado average:
• Total inspections (17% below)
Latest Inspection November 6, 2025 Complaint Investigation

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

This Facility CO Average vs. CO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 31 30 This facility has 3% more total deficiencies than a typical Colorado assisted living residence (31 vs. CO avg 30).↑ 3% worse
Deficiencies per year Info Average deficiencies per year since 2018. 3.9 3.8 This facility has 3% more deficiencies per year than a typical Colorado assisted living residence (3.9 vs. CO avg 3.8).↑ 3% worse
Deficiencies per inspection Info Average deficiencies per inspection. 6.2 5 This facility has 24% more deficiencies per inspection than a typical Colorado assisted living residence (6.2 vs. CO avg 5).↑ 24% worse

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

This Facility CO Average vs. CO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 5 6 This facility has 17% fewer total inspections than a typical Colorado assisted living residence (5 vs. CO avg 6).↓ 17% better

Health Inspection History

Inspections since 2018
Total health inspections 5

State average N/A


Last Health inspection on Nov 2025

Total health citations
31 Rank #155 / 221Health citations — State benchmarkedThis home is ranked 155th out of 221 homes in Colorado. Shows this facility's total health deficiency citations benchmarked to the Colorado State average, with a ranking across all 221 CO facilities. Lower citation counts earn a better 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
6.2 Rank #156 / 221Citations per inspection — State benchmarkedThis home is ranked 156th out of 221 homes in Colorado. Shows average deficiency citations per CMS inspection for this facility versus the Colorado mean across 221 facilities with citation data. Lower is better.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.

26 of 31 citations resulted from standard inspections; and 5 of 31 resulted from complaint investigations.

Breakdown of citation severity (last 8 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

28 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 8 years)
Abuse/Neglect serious citation Nov 06, 2025
Corrected

Quality of Care serious citation Nov 06, 2025
Corrected

Quality of Care critical citation Nov 06, 2025
Corrected

Abuse/Neglect moderate citation Jul 24, 2025
Corrected

Staffing Data

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

Total staff 82
Employees 70
Contractors 12
Staff to resident ratio 1.49 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23
Average shift 8.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,557

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 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 9 total: 6 full-time employees and 3 contractors. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 35 CNA Staff are full-time employees. No contractors work on this role. 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 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

5.9%

1,040 contractor hours this quarter

Occupational Therapy Assistant: 4 Licensed Practical Nurse: 3 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Speech Language Pathologist: 1 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 Assistant 35 0 35 8,362 92 100% 8.9
Licensed Practical Nurse 6 3 9 2,811 92 100% 11.1
Medication Aide/Technician 8 0 8 1,609 86 93% 9.1
Registered Nurse 8 0 8 1,446 92 100% 7.5
Administrator 2 0 2 536 65 71% 7.9
Nurse Practitioner 2 0 2 514 53 58% 8.7
Clinical Nurse Specialist 1 0 1 510 66 72% 7.7
Diagnostic X-ray Services Staff 1 0 1 499 64 70% 7.8
Physical Therapy Assistant 2 1 3 430 59 64% 5.6
Other Dietary Services Staff 1 0 1 392 49 53% 8
Speech Language Pathologist 1 1 2 169 40 43% 4.2
Respiratory Therapy Technician 2 1 3 135 47 51% 2.1
Medical Director 0 1 1 65 13 14% 5
Respiratory Therapist 1 0 1 34 4 4% 8.6
Occupational Therapy Aide 0 1 1 24 3 3% 8
Occupational Therapy Assistant 0 4 4 22 5 5% 4.5
35 Certified Nursing Assistant
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
8 Medication Aide/Technician
% of Days 93%
8 Registered Nurse
% of Days 100%
2 Administrator
% of Days 71%
2 Nurse Practitioner
% of Days 58%
1 Clinical Nurse Specialist
% of Days 72%
1 Diagnostic X-ray Services Staff
% of Days 70%
3 Physical Therapy Assistant
% of Days 64%
1 Other Dietary Services Staff
% of Days 53%
2 Speech Language Pathologist
% of Days 43%
3 Respiratory Therapy Technician
% of Days 51%
1 Medical Director
% of Days 14%
1 Respiratory Therapist
% of Days 4%
1 Occupational Therapy Aide
% of Days 3%
4 Occupational Therapy Assistant
% of Days 5%

Penalties and fines

Includes penalties issued in 2024

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 $16K Rank #191 / 221Federal fines — State benchmarkedThis home is ranked 191st out of 221 homes in Colorado. Shows this facility's cumulative CMS federal fine dollars versus the Colorado average among facilities with fines, and where it ranks among 221 facilities in the pool. Lower total dollars mean a better 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.
60% 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 $16K
State average $40K
Penalty History

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

1 penalty in the past 3 years

Mar 26, 2024 · $16K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 26, 2024
$16K

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. 7.1
21% 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. 11.7
38% better than State average

State average: 18.8

Long-stay resident measures
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 11.0%
31% better than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.6%
38% 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 13.6%
41% 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 6.0%
80% 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 3.6%
7% better than State average

State average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.5%
67% better than State average

State average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.3%
17% better than State average

State average: 5.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 35.2%
391% worse than State average

State average: 7.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.7%
52% worse than State average

State average: 18.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than State average

State average: 93.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.3%
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. 0.93
28% 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. 2.48
49% worse than State average

State average: 1.67

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.2%
23% 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 85.7%
13% better than State average

State average: 75.6%

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. 40.3%
20% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

43% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

13% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

44% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

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

Total residents 55
Medicare
2
3.6% of residents
Medicaid
48
87.3% of residents
Private pay or other
5
9.1% of residents
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.

Finances and operations

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

For-profit
Corporation
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."
$6.0M
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."
$210.0K
For-profit Corporation
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."
$6.0M Rank #199 / 221Revenue — State benchmarkedThis home is ranked 199th out of 221 homes in Colorado. Shows this facility's annual revenue compared to the Colorado average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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."
$210.0K
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.
$29.1K
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 #202 / 221Payroll — State benchmarkedThis home is ranked 202nd out of 221 homes in Colorado. 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.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.
$2.9M 48.6% 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 #155 / 221Payroll % — State benchmarkedThis home is ranked 155th out of 221 homes in Colorado. Shows payroll as a percentage of revenue versus the Colorado average. Well-run Colorado facilities typically land around 59–66% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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).
$2.9M
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).
$5.8M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (44% of admissions), and a typical Medicaid stay runs around 1 years.

Admissions
93 total

Coverage residents most often arrive under.

Medicare 43%
Private pay 13%
Medicaid 44%
Discharges
77 total

Coverage residents most often leave under.

Medicare 30%
Private pay 8%
Medicaid 62%

Places of interest near Rio Grande Rehabilitation and Healthcare Center

Address 0.0 miles from city center Info Estimated distance in miles from La Jara's city center to Rio Grande Rehabilitation and Healthcare Center's address, calculated via Google Maps.

Calculate Travel Distance to Rio Grande Rehabilitation and Healthcare Center

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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 Rio Grande Rehabilitation and Healthcare Center

Is Rio Grande Rehabilitation and Healthcare Center in a walkable area?

Rio Grande Rehabilitation and Healthcare Center has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Rio Grande Rehabilitation and Healthcare Center?

Rio Grande Rehabilitation and Healthcare Center's occupancy is 87%.

Does Rio Grande Rehabilitation and Healthcare Center operate as a for-profit or non-profit?

Rio Grande Rehabilitation and Healthcare Center is registered as a for-profit in CO.

Who is the administrator of Rio Grande Rehabilitation and Healthcare Center?

Neida Priscilla Guerrero is the administrator of Rio Grande Rehabilitation and Healthcare Center.

How many beds does Rio Grande Rehabilitation and Healthcare Center have?

Rio Grande Rehabilitation and Healthcare Center has 60 beds.

What is the address of Rio Grande Rehabilitation and Healthcare Center?

Rio Grande Rehabilitation and Healthcare Center is located at 39 Calle Miller, La Jara, Co 81140-.

What is the phone number of Rio Grande Rehabilitation and Healthcare Center?

(719) 274-3311 will put you in contact with the team at Rio Grande Rehabilitation and Healthcare Center.

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