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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 174th out of 177 homes in Colorado. 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.
|
39m per day | ▼ 22% 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.
|
43m per day | ▲ 5% 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 42m per day | ▼ 23% State avg: 2h 12m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 28m per day | ▼ 25% 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.
|
4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
|
34m per day | ▼ 6% State avg: 36m per day · National avg: 28m per day |
Occupancy between 85% and 95% suggests balanced demand.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsColorado average 4.8
Last Health inspection on Apr 2025
Colorado average 24.8
Colorado average 5.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 29 citations resulted from standard inspections; 1 of 29 resulted from complaint investigations; and 5 of 29 came from combined inspections (standard and complaint).
100% better than Colorado average
Colorado average: 0.4
52% better than Colorado average
Colorado average: 2.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
35% worse than Colorado average
0% compared with Colorado average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
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.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
713 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 0 | 29 | 7,037 | 92 | 100% | 8.8 |
| Registered Nurse | 9 | 1 | 10 | 3,085 | 92 | 100% | 9 |
| Licensed Practical Nurse | 4 | 0 | 4 | 2,071 | 92 | 100% | 9.3 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,064 | 75 | 82% | 10.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 586 | 63 | 68% | 7.5 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Diagnostic X-ray Services Staff | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 431 | 63 | 68% | 6.8 |
| Nurse Aide in Training | 2 | 0 | 2 | 398 | 38 | 41% | 8.3 |
| Respiratory Therapy Technician | 3 | 1 | 4 | 255 | 67 | 73% | 2.4 |
| RN Director of Nursing | 1 | 0 | 1 | 240 | 30 | 33% | 8 |
| Medical Director | 0 | 1 | 1 | 120 | 14 | 15% | 8.6 |
| Physical Therapy Assistant | 2 | 0 | 2 | 97 | 37 | 40% | 2.5 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 26 | 7 | 8% | 3.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Includes penalties issued in 2023
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)
63% lower than Colorado average
Colorado average: $40K
55% fewer fines than Colorado average
Colorado average: 2.2
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 13, 2023 · $15K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 13, 2023
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.9
46% better than Colorado average
Colorado average: 9.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.3
35% better than Colorado average
Colorado average: 18.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.3%
42% better than Colorado average
Colorado average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
5.4%
68% better than Colorado average
Colorado average: 17.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.2%
In line with Colorado average
Colorado average: 23.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
72% worse than Colorado average
Colorado average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
3.1%
22% better than Colorado average
Colorado average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Colorado average
Colorado average: 1.4%
Percent of long-stay residents who lose too much weight
1.0%
81% better than Colorado average
Colorado average: 5.2%
Percent of long-stay residents who have depressive symptoms
48.5%
575% worse than Colorado average
Colorado average: 7.2%
Percent of long-stay residents who received an antipsychotic medication
19.6%
In line with Colorado average
Colorado average: 18.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
6% better than Colorado average
Colorado average: 93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Colorado average
Colorado average: 94.7%
Number of hospitalizations per 1,000 long-stay resident days.
2.47
90% worse than Colorado average
Colorado average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
6.81
308% worse than Colorado average
Colorado average: 1.67
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
31% better than Colorado average
Colorado average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Colorado average
Colorado average: 1.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
25% worse than Colorado average
Colorado average: 20.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.9%
24% worse than Colorado average
Colorado average: 12.8%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
155% worse than Colorado average
Colorado average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.6%
52% worse than Colorado average
Colorado average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.9%
15% worse than Colorado average
Colorado 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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54
Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for River Valley Rehabilitation Healthcare Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #168 / 182Payroll — State benchmarkedThis home is ranked 168th out of 182 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.4 miles from city center
Estimated distance in miles from Del Norte's city center to River Valley Rehabilitation Healthcare Center's address, calculated via Google Maps.
Add your location
River Valley Rehabilitation Healthcare Center is located in DEL NORTE, Colorado.
Here are the financial assistance programs available to residents in Colorado.
River Valley Rehabilitation Healthcare Center has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
River Valley Rehabilitation Healthcare Center has 60 beds.
Yes — there are 2 photos of River Valley Rehabilitation Healthcare Center in the photo gallery on this page.
River Valley Rehabilitation Healthcare Center is located at 1335 6TH ST, DEL NORTE, CO 81132-3201.
(719) 657-1105 will put you in contact with the team at River Valley Rehabilitation Healthcare Center.
River Valley Rehabilitation Healthcare Center is in Rio Grande County.
Yes — River Valley Rehabilitation Healthcare Center is a CMS-certified provider of Medicare and Medicaid.
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