Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
62
53 employees · 9 contractors · 24 on an average day The Valley Rehabilitation and Healthcare Center
Nursing Home, Memory Care & Skilled Nursing · Mancos, CO
CMS overall rating
4/5
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.
4/5
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.
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The Valley Rehabilitation and Healthcare Center
Nursing Home, Memory Care & Skilled Nursing · Mancos, CO
CMS overall rating
4/5
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.
4/5
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.
The Valley Rehabilitation and Healthcare Center accepts Medicare, Medicaid, and private pay.
Overview of The Valley Rehabilitation and Healthcare Center
The Valley Rehabilitation and Healthcare Center offers nursing home, skilled nursing, and memory care in Mancos, Colorado. Nursing home and skilled nursing services provide licensed nursing care for residents who need ongoing clinical support. Memory care provides supervision in a secured setting for someone living with dementia who may be at risk of wandering. Having these care options in one center may suit a resident whose needs could grow over time without requiring a move to another community.
The center has 110 beds, with total nurse staffing of 2 hours and 49 minutes per resident each day. That figure represents the daily hands on nursing time allocated to each resident. Ashlee Monarco serves as the administrator.
Rehabilitation services include cardiac, orthopedic, and subacute rehabilitation, giving residents therapy focused on heart recovery, orthopedic recovery, or recovery after an acute illness or hospital stay. Temporary rehabilitation stays are also available for someone who needs short term care rather than long term residence. A spacious courtyard and patio provide outdoor space on the property, and the dining program includes a variety of options.
Medicare, Medicaid, and private pay are accepted. The area has a Walk Score of 61, described as somewhat walkable, so some errands can be completed on foot. A resident who no longer drives may be able to manage limited outings independently.
Quality ratings
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 185th out of 191 nursing 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 49m
This nursing home is ranked 185th out of 191 nursing 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 49mStandout metric: Physical therapist is +9% above Colorado average
5 of 6 metrics below Colorado average
Daily care time per resident, by role
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. All 9 are the facility's own employees; no agency contractors work in this role.
9 staff · 8.6-hour shifts
32m
↓ 36% · CO 50mThis facility: 32m per resident per day, 36% below the Colorado average of 50m (among Colorado facilities reporting a recent figure).
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. All 9 are the facility's own employees; no agency contractors work in this role.
9 staff · 8.6-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 7 total: 5 of the facility's own employees and 2 agency contractors.
7 staff · 10.1-hour shifts
26m
↓ 37% · CO 41mThis facility: 26m per resident per day, 37% below the Colorado average of 41m (among Colorado facilities reporting a recent figure).
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. 7 total: 5 of the facility's own employees and 2 agency contractors.
7 staff · 10.1-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 9.2-hour shifts
1h 52m
↓ 15% · CO 2h 12mThis facility: 1h 52m per resident per day, 15% below the Colorado average of 2h 12m (among Colorado facilities reporting a recent figure).
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 9.2-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
5m
↑ 9% · CO 5mThis facility: 5m per resident per day, 9% above the Colorado average of 5m (among Colorado facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 30m
↓ 24% · CO 3h 16mThis facility: 2h 30m per resident per day, 24% below the Colorado average of 3h 16m (among Colorado facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
24m
↓ 34% · CO 36mThis facility: 24m per resident per day, 34% below the Colorado average of 36m (among Colorado facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
62
53 employees · 9 contractors · 24 on an average day
62 total staff / 58 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.07 : 1
↓ 40% · CO 1.77This facility: 1.07 staff per resident, 40% below the Colorado average of 1.77 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
62 staff ÷ 58 residents
See full Colorado ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.6 h
↑ 2% · CO 8.4 hThis facility: 8.6 h, 2% above the Colorado average of 8.4 h (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
18,960 staff hours this quarter
See full Colorado ranking →96.6% of staff hours were worked by the facility's own employees
Colorado average: 92.3% · Contractors this quarter: Occupational Therapy Assistant (4), Licensed Practical Nurse (2), Occupational Therapy Aide (1), Medical Director (1), Feeding Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
110
Rank #58 / 212Bed count — State benchmarked This nursing home is ranked 58th out of 212 nursing 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 compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
110
Rank #58 / 212Bed count — State benchmarked This nursing home is ranked 58th out of 212 nursing 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 compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #122 / 233Walk Score — State benchmarked This nursing home is ranked 122nd out of 233 nursing 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 compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #122 / 233Walk Score — State benchmarked This nursing home is ranked 122nd out of 233 nursing 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 compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
61
/ 100
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
52
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
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.
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.
290
days
About This Community
Facility TypeSkilled Nursing Facility / Nursing Facility Dual Certification
StatusActive
The Valley Rehabilitation and Healthcare Center is administered by Ashlee Monarco.
OwnerThe Valley Rehabilitation And Healthcare Center, LLC
Owner NameThe Valley Rehabilitation And Healthcare Center, LLC
Resident Council
CNA Training Program
Short-Term Rehab
Short-Term Rehabilitation
Cardiac RehabilitationA supervised program that helps people regain strength and endurance after heart problems or procedures, often including exercise and risk-factor education.
Orthopedic Rehabilitation
Subacute Rehab
Physical Therapy
Occupational Therapy
Speech Therapy
Cardiac Care
IV Therapy
Orthopedic CareMedical care for bone, joint, muscle, and connective-tissue problems, including injuries, arthritis, and mobility concerns. It may involve orthopedic specialists or treatment plans.
Pain Management
Dietitian
Bariatric CareSpecialized care for people with severe obesity, including safe transfers, equipment, mobility support, and management of related health needs.
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Laundry & Linen
Transportation
Pets not allowedVisiting pets welcome.
Garden
Patio
Parking
Wi-Fi
Beauty Salon
Occupational Kitchen
Activities
Happy Hour
Games
Arts & Crafts
Seasonal Events
Live Music
Exercise Classes
Shopping Trips
Outings To Local Restaurants
Theater Outings
Outings To Area Parks
Museum Outings
Chapel
Dining & Nutrition
Sourced directly from the team at The Valley Rehabilitation and Healthcare Center.
Dining & Nutrition
Sourced directly from the team at The Valley Rehabilitation and Healthcare Center.- Guests welcome at meals.
Room Types
Private Room
Semi-Private / Shared Room
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
Inspection Scorecard
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.
Overall vs. CO average
1 Worse
Metrics worse than Colorado average:
• Deficiencies per inspection (46% above) 1 Better Metrics better than Colorado average:
• Total deficiencies (24% below)
• Deficiencies per inspection (46% above) 1 Better Metrics better than Colorado average:
• Total deficiencies (24% below)
Deficiencies
| This Facility | CO Average | vs. CO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 13 | 17.0 | This facility has 24% fewer total deficiencies than a typical Colorado nursing home (13 vs. CO avg 17).↓ 24% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.9 | 1.3 | This facility has 46% more deficiencies per inspection than a typical Colorado nursing home (1.9 vs. CO avg 1.3).↑ 46% worse |
Deficiency breakdown
Per-category split of the 13 deficiencies recorded across all inspections. Counts are compared against the Colorado state average for each category. A green dot means this facility is below the state average for that category; an amber dot means it is above.
Per-category split of the 13 deficiencies recorded across all inspections. Counts are compared against the Colorado state average for each category. A green dot means this facility is below the state average for that category; an amber dot means it is above.
0
Immediate jeopardy
CO avg: 0.0
0
Actual harm
CO avg: 0.3
10
Potential harm
CO avg: 6.0
0
Minor
CO avg: 8.1
3
Unclassified
CO avg: 2.8
Inspections
| This Facility | CO Average | vs. CO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 7 | 12.0 | This facility has had 42% fewer total inspections than the Colorado average (7 vs. CO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 42% fewer |
|
Reported occurrences
Serious events a facility is required by Colorado law to report to the state, including abuse, neglect, deaths, brain or spinal injuries, burns, diverted drugs, and missing residents. Occurrences are self-reported and separate from inspection findings, so a higher count can reflect more diligent reporting.
| 41 | 15.7 | This facility has had 161% more reported occurrences than the Colorado average (41 vs. CO avg 15.7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 161% more |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
5
↑ 2% · CO 4.9This facility: 5, 2% above the CO average of 4.9 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
13
Rank #34 / 196Health citations — State benchmarked This nursing home is ranked 34th out of 196 nursing 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 196 CO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 48% · CO 25.2This facility: 13, 48% below the CO average of 25.2 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.6
Rank #28 / 196Citations per inspection — State benchmarked This nursing home is ranked 28th out of 196 nursing homes we track in Colorado for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Colorado mean across 196 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 49% · CO 5.1This facility: 2.6, 49% below the CO average of 5.1 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
92% corrected
12 of 13 citations corrected · 1 still open
Critical
J–L
0
↓ 100% · CO 0.4This facility: 0, 100% below the CO average of 0.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
2
≈ 0% · CO 2This facility: 2, level with the CO average of 2 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
50% corrected · 1 open
Actual harm
Moderate
D–F
10
↓ 56% · CO 22.6This facility: 10, 56% below the CO average of 22.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, more than minimal risk
Minor
A–C
1
↑ 400% · CO 0.2This facility: 1, 400% above the CO average of 0.2 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, minimal riskLatest inspection: Dec 10, 2025 · 1 citation (Quality of Care, serious), not yet corrected
Most cited category: Quality of Life & Care, 4 of 13 citations · 6 categories in total
Citations history
Most recent first
Dec 10, 2025
1 citation
Quality of Care serious citation
Sep 11, 2025
2 citations
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jun 27, 2024
3 citations
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Feb 27, 2020
3 citations
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Jan 10, 2019
4 citations
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Top deficiency categories
Share of 13 citations
Quality of Life & Care
4 deficiencies (31%)
Pharmacy Services
3 deficiencies (23%)
Resident Rights
2 deficiencies (15%)
Nutrition & Dietary
2 deficiencies (15%)
Infection Control
1 deficiency (8%)
Resident Assessment & Care Planning
1 deficiency (8%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 13 citations resulted from standard inspections; 3 of 13 resulted from complaint investigations; and 3 of 13 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
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 · Data as of Aug 2026
1 penalty in the past 3 years
Latest: Dec 10, 2025 · $8,278 civil money penalty
Dec 10, 2025 · $8,278 civil money penalty
Total fines
$8,278
↓ 78% · CO $37KThis facility: $8,278, 78% below the Colorado average of $37,278. Average among the 133 Colorado facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #92 / 197Federal fines — State benchmarked This nursing home is ranked 92nd out of 197 nursing homes we track in Colorado for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Colorado average among facilities with fines, and where it ranks among 197 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 47% · CO 1.89This facility: 1, 47% below the Colorado average of 1.89. Average among the 133 Colorado facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
CO avg 0.24Colorado average: 0.24. Average among the 133 Colorado facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Dec 10, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,278
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,278Fine amount comparison
This facility
$8,278
Colorado average
$37,278
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Colorado and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Colorado average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
5.9
Score · lower is better
↓ 22% · CO 7.6This facility: 5.9, 22% below the CO average of 7.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
12.2
Score · lower is better
↓ 24% · CO 16.0This facility: 12.2, 24% below the CO average of 16.0 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 5 worse, 1 without a benchmark
8 short-stay measures: 5 better, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
↓ 45% · CO 13.4This facility: 7.3, 45% below the CO average of 13.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
↓ 45% · CO 13.4This facility: 7.3, 45% below the CO average of 13.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
9.9%
↓ 26% · CO 13.3This facility: 9.9, 26% below the CO average of 13.3 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
9.9%
↓ 26% · CO 13.3This facility: 9.9, 26% below the CO average of 13.3 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
↓ 9% · CO 21.2This facility: 19.3, 9% below the CO average of 21.2 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
↓ 9% · CO 21.2This facility: 19.3, 9% below the CO average of 21.2 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · CO 1.4This facility: 0.0, 100% below the CO average of 1.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · CO 1.4This facility: 0.0, 100% below the CO average of 1.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
↑ 65% · CO 3.4This facility: 5.6, 65% above the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
↑ 65% · CO 3.4This facility: 5.6, 65% above the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.0%
↓ 70% · CO 3.4This facility: 1.0, 70% below the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.0%
↓ 70% · CO 3.4This facility: 1.0, 70% below the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
5.6%
↑ 18% · CO 4.7This facility: 5.6, 18% above the CO average of 4.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.6%
↑ 18% · CO 4.7This facility: 5.6, 18% above the CO average of 4.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
89.5%
Percent of long-stay residents who have depressive symptoms
89.5%
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
21.8%
↑ 9% · CO 20.0This facility: 21.8, 9% above the CO average of 20.0 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
21.8%
↑ 9% · CO 20.0This facility: 21.8, 9% above the CO average of 20.0 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 7% · CO 93.5This facility: 100.0, 7% above the CO average of 93.5 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 7% · CO 93.5This facility: 100.0, 7% above the CO average of 93.5 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.1%
↓ 6% · CO 94.7This facility: 89.1, 6% below the CO average of 94.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.1%
↓ 6% · CO 94.7This facility: 89.1, 6% below the CO average of 94.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.12
↓ 14% · CO 1.30This facility: 1.12, 14% below the CO average of 1.30 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.12
↓ 14% · CO 1.30This facility: 1.12, 14% below the CO average of 1.30 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.04
↑ 82% · CO 1.67This facility: 3.04, 82% above the CO average of 1.67 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.04
↑ 82% · CO 1.67This facility: 3.04, 82% above the CO average of 1.67 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
41.7%
↓ 22% · US 53.7This facility: 41.7, 22% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
41.7%
↓ 22% · US 53.7This facility: 41.7, 22% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
49.8%
↓ 1% · US 50.6This facility: 49.8, 1% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
49.8%
↓ 1% · US 50.6This facility: 49.8, 1% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↓ 17% · CO 1.6This facility: 1.3, 17% below the CO average of 1.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↓ 17% · CO 1.6This facility: 1.3, 17% below the CO average of 1.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 31% · CO 76.4This facility: 100.0, 31% above the CO average of 76.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 31% · CO 76.4This facility: 100.0, 31% above the CO average of 76.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.1%
↑ 15% · CO 75.6This facility: 87.1, 15% above the CO average of 75.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.1%
↑ 15% · CO 75.6This facility: 87.1, 15% above the CO average of 75.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.1%
↓ 45% · CO 20.3This facility: 11.1, 45% below the CO average of 20.3 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.1%
↓ 45% · CO 20.3This facility: 11.1, 45% below the CO average of 20.3 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
5.4%
↓ 58% · CO 12.8This facility: 5.4, 58% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
5.4%
↓ 58% · CO 12.8This facility: 5.4, 58% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
The Valley Rehabilitation and Healthcare Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 192 Colorado nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
5.4% operating margin
+7.7 pts vs prior year
Positive margin in 7 of the last 8 reported years. Net income $0.4M after other income.
Does it invest in staff?
Spends less on payroll than most Colorado homes
45.7% payroll share of revenue
CO average 63.3%Rank #175 / 192Payroll % of net patient revenue — State benchmarked This nursing home is ranked 175th out of 192 nursing homes we track in Colorado for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $0.1M while revenue rose $0.4M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Colorado homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | CO median | Compared with CO homesRank in CO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $6.7M | +$0.4M | Trend 20162024 | CO median $10.0M | Rank in CO Rank #159 / 192Net patient revenue — State benchmarked This nursing home is ranked 159th out of 192 nursing homes we track in Colorado for net patient revenue. 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 compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 17% of homes | Below CO median Higher net patient revenue than 17% of CO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $6.4M | −$0.1M | Trend 20162024 | CO median — | Rank in CO Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.4M | +$0.5M | Trend 20162024 | CO median — | Rank in CO Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 5.4% | +7.7 pts | Trend 20162024 | CO median — | Rank in CO Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | CO median — | Rank in CO Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.4M | +$0.5M | Trend — | CO median — | Rank in CO Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Colorado homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | CO median | Compared with CO homesRank in CO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.1M | −$0.1M | Trend 20162024 | CO median $6.0M | Rank in CO Rank #174 / 192Payroll costs — State benchmarked This nursing home is ranked 174th out of 192 nursing homes we track in Colorado for payroll costs. 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 compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 9% of homes | Below CO median Higher payroll than 9% of CO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 45.7% | −3.9 pts | Trend 20162024 | CO median 59.7% | Rank in CO Rank #175 / 192Payroll % of net patient revenue — State benchmarked This nursing home is ranked 175th out of 192 nursing homes we track in Colorado for payroll % of net patient revenue. 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 compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 9% of homes | 17.6 pts under CO average The CO average is 63.3% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · CO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Colorado payroll average.
% of net patient revenue
Payroll share Operating margin CO payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022no report | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.7M | $4.7M | $4.9M | $5.2M | $5.1M | $5.2M | $6.3M | $6.7M | |
| Operating expenses | $4.2M | $4.3M | $4.4M | $4.6M | $4.9M | $5.1M | $6.5M | $6.4M | |
| Net patient income | $0.5M | $0.4M | $0.5M | $0.6M | $0.2M | $0.1M | −$0.1M | $0.4M | |
| Operating margin | 11.5% | 8.7% | 10.3% | 11.4% | 3.0% | 1.4% | −2.3% | 5.4% | |
| Net income | $0.6M | $0.5M | $0.6M | $0.7M | $1.0M | $0.7M | −$0.1M | $0.4M | |
| Payroll costs | $2.5M | $2.6M | $2.7M | $2.9M | $3.1M | $3.1M | $3.1M | $3.1M | |
| Payroll share of revenue | 51.9% | 56.3% | 55.0% | 54.6% | 61.7% | 61.1% | 49.6% | 45.7% | |
| Beds | 72 | 60 | 60 | 60 | 60 | 60 | 110 | 110 | |
| Gross revenue | $4.8M | $4.7M | $5.0M | $5.2M | $5.1M | $5.1M | $6.9M | $7.3M | |
| Salaries | $2.1M | $2.2M | $2.3M | $2.5M | $2.7M | $2.7M | $2.8M | $2.8M | |
| Wage-related costs | $0.4M | $0.4M | $0.4M | $0.4M | $0.4M | $0.4M | $0.3M | $0.3M | |
| Contract labor | $0.3M | $0.2M | $0.2M | $0.2M | $0.2M | $0.3M | $0.3M | $0.6M | |
| Other operating costs | $1.7M | $1.6M | $1.7M | $1.8M | $1.8M | $1.9M | $3.3M | $3.3M | |
| Net patient revenue per day | $240 | $241 | $249 | $259 | $255 | $264 | $304 | $314 | |
| Cost per day | $212 | $220 | $223 | $230 | $247 | $260 | $310 | $297 | |
| Average length of stay | 275.3 days | 307.9 days | 363.6 days | 419.7 days | 588.0 days | 342.5 days | 306.0 days | 289.8 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
71 admissions · FY2024
Residents admitted during the year.
Medicare
29 · 41%
Medicaid
20 · 28%
Private pay & other
22 · 31%
Resident snapshot
58 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
2 · 3%
Medicaid
42 · 72%
Private pay & other
14 · 24%
Leaving
74 discharges · FY2024
Residents discharged during the year.
Medicare
19 · 26%
Medicaid
32 · 43%
Private pay & other
23 · 31%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near The Valley Rehabilitation and Healthcare Center
0.0 miles from city center
Estimated distance in miles from Mancos's city center to The Valley Rehabilitation and Healthcare 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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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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.
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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.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 63.3% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Columbine Manor Care Center | NH MC SNF | Salida | 112
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112
CO AVG
94
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#55 / 212 |
41.6%
Facility
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CO AVG
76.4%
Rank
#131 / 140 | -46% | 4.09
Facility
4.09
CO AVG
3.87
Rank
#110 / 191 | +10% | +6% | $0
Facility
$0
CO AVG
$38.1k
Rank
#1 / 197 | 16
Facility
16
CO AVG
25.2
Rank
#48 / 196 | 5.3
Facility
5.3
CO AVG
5.1
Rank
#107 / 196 | - | 47 | - |
76
Facility
76
CO AVG
60
Rank
#67 / 233 | Life Care Centers Of America, Inc | $5.8MFiscal year ending 12/2024
Facility
$5.8MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#176 / 192 | $3.5MFiscal year ending 12/2024
Facility
$3.5MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#165 / 192 | 59.8%Fiscal year ending 12/2024
Facility
59.8%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#93 / 192 | 065220 | ||||
| Forest Ridge Health and Rehab LLC | NH MC PC RC SNF | Woodland Park | 80
Facility
80
CO AVG
94
Rank
#128 / 212 |
98.8%
Facility
98.8%
CO AVG
76.4%
Rank
#2 / 140 | +29% | 3.44
Facility
3.44
CO AVG
3.87
Rank
#124 / 191 | -13% | -11% | $0
Facility
$0
CO AVG
$38.1k
Rank
#1 / 197 | 15
Facility
15
CO AVG
25.2
Rank
#43 / 196 | 3.8
Facility
3.8
CO AVG
5.1
Rank
#65 / 196 | 1 | 79 | - |
69
Facility
69
CO AVG
60
Rank
#95 / 233 | Forest Ridge Health And Rehab LLC | $9.5MFiscal year ending 12/2024
Facility
$9.5MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#112 / 192 | $5.3MFiscal year ending 12/2024
Facility
$5.3MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#123 / 192 | 55.5%Fiscal year ending 12/2024
Facility
55.5%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#132 / 192 | 065418 | ||||
| Englewood Post Acute and Rehabilitation | NH MC SNF | Englewood | 82
Facility
82
CO AVG
94
Rank
#123 / 212 |
88.5%
Facility
88.5%
CO AVG
76.4%
Rank
#37 / 140 | +16% | 3.24
Facility
3.24
CO AVG
3.87
Rank
#137 / 191 | -17% | -16% | $0
Facility
$0
CO AVG
$38.1k
Rank
#1 / 197 | 16
Facility
16
CO AVG
25.2
Rank
#48 / 196 | 5.3
Facility
5.3
CO AVG
5.1
Rank
#107 / 196 | 3 | 73 | - |
82
Facility
82
CO AVG
60
Rank
#50 / 233 | Cherry Hills Healthcare, Inc | $11.5MFiscal year ending 12/2024
Facility
$11.5MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#70 / 192 | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#71 / 192 | 60.9%Fiscal year ending 12/2024
Facility
60.9%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#76 / 192 | 065077 | ||||
| The Valley Rehabilitation and Healthcare Center | NH MC SNF | Mancos | 110
Facility
110
CO AVG
94
Rank
#58 / 212 | - | - | 2.82
Facility
2.82
CO AVG
3.87
Rank
#185 / 191 | +3% | -27% | $8.3k
Facility
$8.3k
CO AVG
$38.1k
Rank
#92 / 197 | 13
Facility
13
CO AVG
25.2
Rank
#34 / 196 | 2.6
Facility
2.6
CO AVG
5.1
Rank
#28 / 196 | 2 | 52 | - |
61
Facility
61
CO AVG
60
Rank
#122 / 233 | The Valley Rehabilitation And Healthcare Center, LLC | $6.7MFiscal year ending 12/2024
Facility
$6.7MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#159 / 192 | $3.1MFiscal year ending 12/2024
Facility
$3.1MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#174 / 192 | 45.7%Fiscal year ending 12/2024
Facility
45.7%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#175 / 192 | 065306 | ||||
| The Center at Lincoln, LLC | NH SNF | Parker | 96
Facility
96
CO AVG
94
Rank
#98 / 212 |
67.2%
Facility
67.2%
CO AVG
76.4%
Rank
#57 / 140 | -12% | 3.91
Facility
3.91
CO AVG
3.87
Rank
#72 / 191 | +2% | +1% | $0
Facility
$0
CO AVG
$38.1k
Rank
#1 / 197 | 29
Facility
29
CO AVG
25.2
Rank
#120 / 196 | 5.8
Facility
5.8
CO AVG
5.1
Rank
#127 / 196 | 1 | 65 | A+ |
89
Facility
89
CO AVG
60
Rank
#27 / 233 | The Center At Lincoln, LLC | $18.6MFiscal year ending 12/2024
Facility
$18.6MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#15 / 192 | $10.5MFiscal year ending 12/2024
Facility
$10.5MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#19 / 192 | 56.2%Fiscal year ending 12/2024
Facility
56.2%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#124 / 192 | 065403 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CO nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about The Valley Rehabilitation and Healthcare Center
Quick answers from public records and the community's own listing.01 Is The Valley Rehabilitation and Healthcare Center in a walkable area?
The Valley Rehabilitation and Healthcare Center has a walk score of 61. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
02 What is the occupancy rate at The Valley Rehabilitation and Healthcare Center?
The Valley Rehabilitation and Healthcare Center's occupancy is 53.3%.
03 Are pets allowed at The Valley Rehabilitation and Healthcare Center?
No, The Valley Rehabilitation and Healthcare Center has a no-pet policy.
04 What is the best email address for The Valley Rehabilitation and Healthcare Center?
The team at The Valley Rehabilitation and Healthcare Center can be reached at admin@thevalleyrhc.com.
05 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.
06 Who is the administrator of The Valley Rehabilitation and Healthcare Center?
Ashlee Monarco is the administrator of The Valley Rehabilitation and Healthcare Center.
07 What is the overall rating for The Valley Rehabilitation and Healthcare Center?
The Valley Rehabilitation and Healthcare Center received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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