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The Valley Rehabilitation and Healthcare Center
Nursing Home, Memory Care & Skilled Nursing · Mancos, 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.

The Valley Rehabilitation and Healthcare Center

Nursing Home, Memory Care & Skilled Nursing · Mancos, 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.
211 E 3Rd Ave, Mancos, CO 81328 View map Calculator: See prices in your area
The Valley Rehabilitation and Healthcare Center accepts Medicare, Medicaid, and private pay.
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The Valley Rehabilitation and Healthcare Center accepts Medicare, Medicaid, and private pay.

Overview of The Valley Rehabilitation and Healthcare Center

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A 110-bed skilled nursing and rehabilitation facility owned by Matthew Mitchell is The Valley Rehabilitation and Healthcare Center on East 3rd Avenue in Mancos, Colorado. The center takes Medicare, Medicaid, and private pay, giving families several coverage choices for short-term rehabilitation or longer-term care. It sits in a moderately walkable neighborhood where some errands can be finished on foot, with a mix of nearby amenities and access to daily needs.

The Valley Rehabilitation and Healthcare Center’s clinical focus is rehabilitation and subacute care, seen in its array of specialized programs. Cardiac rehabilitation and orthopedic rehabilitation are core offerings, supported by services in wound healing, pain management, and diabetes management. This makes it a grounded choice for people healing from cardiac events, surgeries, or orthopedic procedures, plus those needing subacute care before returning home. The average stay duration runs about 306 days, denoting a mix of shorter rehabilitation stays and longer-term care placements. Daily nursing support totals around 2 hours 45 minutes per resident day, with registered nurses providing 32 minutes of that care. The facility is staffed 24/7, ensuring that clinical and personal support are there whenever residents need them. Above clinical services, the center offers wound healing management and approaches to pain and diabetes care that mirror the typical conditions of the occupants it serves. Everyday comfort is anchored by semi-private suites and an array of amenities designed for residents and visiting families. A spacious courtyard and patio provide outdoor space, while family lounges allow visitors to spend time together. Dining offerings span various fine cuisine choices, and the facility provides housekeeping and laundry services so residents can focus on recovery. Wi-Fi and cable television are available throughout, keeping residents connected to entertainment and their dearest ones.

Facility Direct Line (970) 533-9031
Facility Direct Line (970) 533-9031 admin@thevalleyrhc.com
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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.
▼ 4.6% Below CO avg. ▼ 4.6% Below CO avg.CO average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 8.3% Above CO avg. ▲ 8.3% Above CO avg.CO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 67.1% Below CO avg. ▼ 67.1% Below CO avg.CO average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 20.5% Above CO avg. ▲ 20.5% Above CO avg.CO average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Colorado averages

Rank #196 / 203Nurse hours — State benchmarkedThis home is ranked 196th out of 203 homes we track in Colorado for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Colorado average, with a ranking across 203 Colorado facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Colorado that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 196th out of 203 homes we track 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.

2h 32m

35% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
27m
−46% State avg: 50m per day · National avg: 41m per day
LPN / LVN Info 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.
29m
−29% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info 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 35m
−28% State avg: 2h 12m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 11m
−33% State avg: 3h 16m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
6m
+18% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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.
20m
−43% State avg: 36m per day · National avg: 28m per day

5 of 6 metrics below state avg

Standout metric: Physical Therapist is +18% above Colorado average

Capacity and availability

Residents per day (avg)
55
Avg. Length of Stay Info 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.
306 days
Bed community size
110-bed community Rank #101 / 516Bed count — State benchmarkedThis home is ranked 101st out of 516 homes we track in Colorado for bed count. Shows this facility's certified or reported bed count compared to other Colorado facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Colorado that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 61 / 100 Rank #343 / 838Walk Score — State benchmarkedThis home is ranked 343rd out of 838 homes we track in Colorado for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Colorado facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Colorado that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
50%
Rank #118 / 140Occupancy rate — State benchmarkedThis home is ranked 118th out of 140 homes we track in Colorado for occupancy. Shows this facility's occupancy rate versus the Colorado average, with its Statewide rank out of 140. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Colorado that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Colorado average: 76.5%
Occupied beds
54 / 110
Average occupied beds in Colorado homes 72 beds

License Details

Facility TypeSkilled Nursing Facility / Nursing Facility Dual Certification
StatusActive

Ownership & Operating Entity

The Valley Rehabilitation and Healthcare Center is administered by Ashlee Monarco.

Owner NameThe Valley Rehabilitation And Healthcare Center, LLC

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

7 services
Orthopedic Rehab
Subacute Rehab
Cardiac Care
Wound Healing
Pain Management
Diabetes Management
Pulmonary Care

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Dining
Courtyard
Patio
Housekeeping
Laundry
Wi-Fi
Cable Tv
Specific ProgramsCardiac Rehabilitation, Orthopedic Rehabilitation

Contact The Valley Rehabilitation and Healthcare Center

CMS Health Inspection History

Inspections Since 2019 · 7 years of data
Total health inspections 4

State average 4.8

Last Health inspection on Sep 2025

Total health citations
12 Rank #25 / 205Health citations — State benchmarkedThis home is ranked 25th out of 205 homes we track in Colorado for health citations. Shows this facility's total health deficiency citations benchmarked to the Colorado State average, with a ranking across all 205 CO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Colorado that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 24.8

Citations per inspection
3 Rank #35 / 205Citations per inspection — State benchmarkedThis home is ranked 35th out of 205 homes we track in Colorado for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Colorado mean across 205 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Colorado that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 5.2

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

7 of 12 citations resulted from standard inspections; 2 of 12 resulted from complaint investigations; and 3 of 12 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than State average

State average: 0.4

Serious health citations
1
52% better than State average

State average: 2.1

0 critical citations State average: 0.4
1 serious citation State average: 2.1
10 moderate citations State average: 22.2
1 minor citation State average: 0.2
Citations history (last 7 years)
Care Planning moderate citation Sep 11, 2025
Corrected
Resident Rights moderate citation Sep 11, 2025
Corrected
Infection Control moderate citation Jun 27, 2024
Corrected
Nutrition moderate citation Jun 27, 2024
Corrected
Show Inspection Reports

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

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

Total staff 62
Employees 53
Contractors 9
Staff to resident ratio 1.07 : 1
43% fewer staff per resident than Colorado average
Colorado average ratio: 1.88 : 1 Colorado average ratio: 1.88 : 1See full Colorado ranking
Avg staff/day 24
Average shift 8.6 hours
0% compared with Colorado average
Colorado average: 8.3 hours Colorado average shift: 8.3 hoursSee full Colorado ranking
Total staff hours (quarter) 18,960

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 9 RN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 7 total: 5 full-time employees and 2 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 18 CNA Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 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

3.4%

647 contractor hours this quarter

Occupational Therapy Assistant: 4 Licensed Practical Nurse: 2 Occupational Therapy Aide: 1 Medical Director: 1 Feeding Assistant: 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 Assistant180188,38292100%9.2
Licensed Practical Nurse5272,62692100%10.1
Registered Nurse9091,6319199%8.6
Medication Aide/Technician5051,2668997%9.3
Nurse Aide in Training2028926470%8.9
Physical Therapy Assistant3036016166%6.4
Respiratory Therapy Technician5055437379%5.4
Nurse Practitioner1015146874%7.6
Administrator1015126470%8
Diagnostic X-ray Services Staff1015126773%7.6
Clinical Nurse Specialist1015126672%7.8
Other Dietary Services Staff1014966267%8
Feeding Assistant0111802426%7.5
Speech Language Pathologist1011712830%6.1
Medical Director011651314%5
Occupational Therapy Aide0113633%12
Occupational Therapy Assistant0442244%5.5
18 Certified Nursing Assistant
% of Days 100%
7 Licensed Practical Nurse
% of Days 100%
9 Registered Nurse
% of Days 99%
5 Medication Aide/Technician
% of Days 97%
View All Staffing Data

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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. 8.6
In line with 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. 18.8
In line with Colorado average

Colorado average: 18.8

Long-stay resident measures
Significantly above average 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 16.1%
In line with Colorado average

Colorado average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.4%
14% 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 20.8%
11% 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 3.3%
In line with Colorado average

Colorado average: 3.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than Colorado average

Colorado average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Colorado average

Colorado average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.4%
15% better than Colorado average

Colorado average: 5.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 62.0%
763% worse than Colorado average

Colorado average: 7.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.8%
21% worse than Colorado average

Colorado average: 18.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.3%
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 89.1%
6% worse than Colorado average

Colorado average: 94.7%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.12
14% better than Colorado average

Colorado average: 1.30

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.04
82% worse than Colorado average

Colorado average: 1.67

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.7%
16% better 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%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.1%
15% better than Colorado average

Colorado average: 75.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 11.1%
45% better than Colorado average

Colorado average: 20.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.4%
58% better than Colorado average

Colorado average: 12.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Colorado average

Colorado average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 41.7%
22% worse than Colorado average

Colorado average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.8%
In line with 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.

Breakdown by payment type

Medicare

58% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

16% of new residents, often for short stays.

Typical stay 1 years

Medicaid

26% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

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

Total residents 58
Medicare
2
3.4% of residents
Medicaid
42
72.4% of residents
Private pay or other
14
24.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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.

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."
$6.3M
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."
-$144.1K
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."
$6.3M Rank #150 / 180Net patient revenue — State benchmarkedThis home is ranked 150th out of 180 homes we track in Colorado. Shows this facility's net patient revenue compared to the Colorado average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Colorado that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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."
-$144.1K
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.
$34.1K
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 #153 / 180Payroll costs — State benchmarkedThis home is ranked 153rd out of 180 homes we track in Colorado. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Colorado average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Colorado that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.1M 49.6% 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 #151 / 180Payroll % of net patient revenue — State benchmarkedThis home is ranked 151st out of 180 homes we track in Colorado. Shows payroll as a percentage of net patient revenue versus the Colorado average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Colorado that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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).
$3.3M
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).
$6.5M
How we calculate these figures

This home is administered by Ashlee Monarco.

This home is owned by Matthew Mitchell

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 65306

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (58% of admissions), and a typical Medicare stay runs around 28 days.

Admissions
80 total

Coverage residents most often arrive under.

Medicare 58%
Private pay 16%
Medicaid 26%
Discharges
68 total

Coverage residents most often leave under.

Medicare 44%
Private pay 9%
Medicaid 47%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near The Valley Rehabilitation and Healthcare Center

Address 0.0 miles from city center Info Estimated distance in miles from Mancos's city center to The Valley Rehabilitation and Healthcare Center's address, calculated via Google Maps.

Calculate Travel Distance to The Valley Rehabilitation and Healthcare Center

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Address

Compare Nursing Homes around the area

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.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Colorado average is: 63.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Brighton Care Center ★ ★ ★ ★ ☆
NH
MC
SNF
Brighton
108
Facility 108
CO AVG 74
Rank #115 / 516
82.1%
Facility 82.1%
CO AVG 73.3%
Rank #62 / 140
+12%
3.42
Facility 3.42
CO AVG 3.86
Rank #132 / 203
 ★ ★ ★ ★ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ -50%-11%
$61.0k
Facility $61.0k
CO AVG $39.2k
Rank #183 / 211
16
Facility 16
CO AVG 24.8
Rank #45 / 205
4.0
Facility 4.0
CO AVG 5.2
Rank #61 / 205
489A+
70
Facility 70
CO AVG 53
Rank #225 / 838
Rachel Rodriquez$7.5M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.2M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.56.5%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.65240
Lakeside Post Acute ★ ★ ★ ☆ ☆
NH
HOS
SNF
Wheat Ridge (Barths)
78
Facility 78
CO AVG 74
Rank #237 / 516
79.6%
Facility 79.6%
CO AVG 73.3%
Rank #68 / 140
+9%
3.51
Facility 3.51
CO AVG 3.86
Rank #118 / 203
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -27%-9%
$14.1k
Facility $14.1k
CO AVG $39.2k
Rank #110 / 211
20
Facility 20
CO AVG 24.8
Rank #82 / 205
4.0
Facility 4.0
CO AVG 5.2
Rank #61 / 205
362A+
76
Facility 76
CO AVG 53
Rank #149 / 838
Jeannae Dergance$7.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.43.1%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.65273
The Valley Rehabilitation and Healthcare Center ★ ★ ★ ☆ ☆
NH
MC
SNF
Mancos
110
Facility 110
CO AVG 74
Rank #101 / 516
49.5%
Facility 49.5%
CO AVG 73.3%
Rank #118 / 140
-32%
2.53
Facility 2.53
CO AVG 3.86
Rank #196 / 203
 ★ ★ ★ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ +3%-35%
$12.7k
Facility $12.7k
CO AVG $39.2k
Rank #108 / 211
12
Facility 12
CO AVG 24.8
Rank #25 / 205
3.0
Facility 3.0
CO AVG 5.2
Rank #35 / 205
155-
61
Facility 61
CO AVG 53
Rank #343 / 838
Matthew Mitchell
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
CO AVG $9.9M
Rank #150 / 180
$3.1MFiscal year ending 12/2023
Facility $3.1MFiscal year ending 12/2023
CO AVG $6.1M
Rank #153 / 180
49.6%Fiscal year ending 12/2023
Facility 49.6%Fiscal year ending 12/2023
CO AVG 63.5%
Rank #151 / 180
65306
The Center at Lincoln, LLC ★ ★ ☆ ☆ ☆
NH
SNF
Parker
96
Facility 96
CO AVG 74
Rank #168 / 516
83.9%
Facility 83.9%
CO AVG 73.3%
Rank #54 / 140
+14%
3.81
Facility 3.81
CO AVG 3.86
Rank #78 / 203
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +2%-1%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 211
29
Facility 29
CO AVG 24.8
Rank #136 / 205
5.8
Facility 5.8
CO AVG 5.2
Rank #131 / 205
181A+
89
Facility 89
CO AVG 53
Rank #38 / 838
Don Quixote Enterprises, LLC
$18.5MFiscal year ending 12/2023
Facility $18.5MFiscal year ending 12/2023
CO AVG $9.9M
Rank #12 / 180
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
CO AVG $6.1M
Rank #18 / 180
55.9%Fiscal year ending 12/2023
Facility 55.9%Fiscal year ending 12/2023
CO AVG 63.5%
Rank #123 / 180
65403
Progressive Care Center ★ ★ ☆ ☆ ☆
NH
RC
SNF
Canon City
68
Facility 68
CO AVG 74
Rank #267 / 516
96.0%
Facility 96.0%
CO AVG 73.3%
Rank #11 / 140
+31%
3.04
Facility 3.04
CO AVG 3.86
Rank #178 / 203
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -67%-21%
$0
Facility $0
CO AVG $39.2k
Rank #1 / 211
23
Facility 23
CO AVG 24.8
Rank #108 / 205
7.7
Facility 7.7
CO AVG 5.2
Rank #175 / 205
265A+
70
Facility 70
CO AVG 53
Rank #225 / 838
Adam Baker
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
CO AVG $9.9M
Rank #134 / 180
$2.9MFiscal year ending 12/2023
Facility $2.9MFiscal year ending 12/2023
CO AVG $6.1M
Rank #160 / 180
39.6%Fiscal year ending 12/2023
Facility 39.6%Fiscal year ending 12/2023
CO AVG 63.5%
Rank #178 / 180
65183
Nursing Home Explorer

Frequently Asked Questions about The Valley Rehabilitation and Healthcare Center

Is The Valley Rehabilitation and Healthcare Center in a walkable area?

The Valley Rehabilitation and Healthcare Center has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at The Valley Rehabilitation and Healthcare Center?

The Valley Rehabilitation and Healthcare Center's occupancy is 50%.

Are pets allowed at The Valley Rehabilitation and Healthcare Center?

No, The Valley Rehabilitation and Healthcare Center has a no-pet policy.

Does The Valley Rehabilitation and Healthcare Center operate as a for-profit or non-profit?

The Valley Rehabilitation and Healthcare Center is registered as a for-profit in CO.

Who is the administrator of The Valley Rehabilitation and Healthcare Center?

Ashlee Monarco is the administrator of The Valley Rehabilitation and Healthcare Center.

How many beds does The Valley Rehabilitation and Healthcare Center have?

The Valley Rehabilitation and Healthcare Center has 110 beds.

Has The Valley Rehabilitation and Healthcare Center had any deficiencies?

The Valley Rehabilitation and Healthcare Center has had 15 reported deficiencies since 2019 according to records from Colorado Dept. of Public Health and Environment (CDPHE).

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