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.
Located in Del Norte, Colorado, River Valley Rehabilitation and Healthcare Center is a skilled nursing and short-term rehabilitation community owned by Swede Swagerty. The 60-bed community has an occupancy rate of 86%. Residents include people recovering from surgery, orthopedic procedures, cardiac events, and other acute care needs that require structured rehabilitation support. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover rehabilitation stays and ongoing nursing care.
Clinical rehabilitation is the center’s primary focus. Programs include orthopedic recovery, cardiac recovery, wound healing, pain management, and diabetes care. These services support residents who need intensive therapy and medical oversight as they work to regain strength and independence. Residents stay an average of 251 days, which are mostly under short-term post-acute rehabilitation and benefiting from longer-term care and monitoring.
Nurse staffing averages 2 hours and 23 minutes per resident each day. Residents are also cared for by registered nurses, nurse aides, and licensed practical nurses through medication management, wound care, therapeutic oversight, and assistance with activities of daily living. The staffing structure provides consistent hands-on support throughout the day.
The facility’s Walk Score is 59. Some local errands are within walking distance, but most trips require a short drive. Private and semi-private suites are available, and residents have access to the courtyard and patio. Dining here offers fine food service. Amenities include family lounges, laundry services, housekeeping services, WiFi, and cable TV.
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.
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 | ▼ 11% 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.
| 28m per day | ▼ 30% 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 45m per day | ▼ 21% 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 37m 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.
| 3m per day | ▼ 37% 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.
| 37m per day | ▲ 3% 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.
River Valley Rehabilitation and Healthcare Center is administered by Evan Williams.
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.
2.47
90% worse than State averageState average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
6.81
308% worse than State averageState average: 1.67
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
25% worse than State averageState average: 20.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.9%
24% worse than State averageState average: 12.8%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
155% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.6%
52% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.9%
15% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
61% of new residents, usually for short-term rehab.
10% of new residents, often for short stays.
28% of new residents, often for long-term daily care.
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 #203 / 217Payroll — State benchmarkedThis home is ranked 203rd out of 217 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 #174 / 217Payroll % — State benchmarkedThis home is ranked 174th out of 217 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).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (61% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Del Norte's city center to River Valley Rehabilitation and Healthcare Center's address, calculated via Google Maps.
Add your location
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
| Columbine Commons | NH | Windsor | - | 60 | A+ | 75 | - |
| Holly Creek | NH AL IL MC SNF | Centennial (East Peakview Avenue) | - | 25 | - | 39 | 1 Bed / 2 Bed / 3 Bed |
| Continuing Care at Wind Crest | NH AL IL MC | Highlands Ranch (Westridge) | - | 44 | - | 31 | - |
| Vi at Highlands Ranch Skilled Nursing | NH SNF | Highlands Ranch | - | 35 | - | 19 | - |
River Valley Rehabilitation and Healthcare Center has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
River Valley Rehabilitation and Healthcare Center's occupancy is 85.9%.
No, River Valley Rehabilitation and Healthcare Center has a no-pet policy.
River Valley Rehabilitation and Healthcare Center is registered as a for-profit in CO.
Evan Williams is the administrator of River Valley Rehabilitation and Healthcare Center.
River Valley Rehabilitation and Healthcare Center has 60 beds.
Yes — there are 2 photos of River Valley Rehabilitation and Healthcare Center in the photo gallery on this page.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
