PlainNursing
CMS Nursing Home Compare · August 2026

Horizons Care Center

11411 Highway 65, Eckert, CO 81418

Horizons Care Center, a 45-bed non profit - corporation nursing facility in Eckert, CO, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #121 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9708352600

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3 / 5
Average · CMS overall · nat'l 3.0
#121 of 209
In-state rank among rated CO homes
3.97
About average · nurse hrs/day · nat'l 3.86
26
Inspection findings · 2 serious

The verdict

Horizons Care Center, a 45-bed non profit - corporation nursing facility in Eckert, CO, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #121 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#121 of 209
In-state rank among rated CO homes
3.97
Nurse hrs/resident-day · national 3.86
26
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 210 CO nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
065258
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
45
Residents
31
In Hospital
No
County
Delta
Last Inspection
Nov 7, 2024

Staffing Data

How the 3.97 total nursing hours per resident-day are staffed:

RN Hours
1.05 (nat'l avg: 0.69)
LPN Hours
0.95
CNA Hours
1.96
Total Nursing Hours
3.97 (nat'l avg: 3.86)
PT Hours
0.13
Nursing Turnover
53.7%
RN Turnover
42.9%

What the CMS Record Reveals About Horizons Care Center

According to CMS Nursing Home Compare, Horizons Care Center ranks #121 of 209 rated nursing homes in CO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Horizons Care Center operates 45 certified beds in Eckert, CO with approximately 31 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 4★ · quality 2★).

The inspection file contains 26 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $11K. Staffing is reported at 3.97 total nursing hours per resident day (national average 3.86), with RN coverage at 1.05 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Horizons Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 53.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (26 most recent)

D - Isolated - Minimal harm Jan 6, 2026 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 31, 2026

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0659

Provide care by qualified persons according to each resident's written plan of care.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Dec 6, 2024

E - Pattern - Minimal harm Nov 7, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 6, 2024

F - Widespread - Minimal harm Nov 7, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 6, 2024

G - Isolated - Actual harm Sep 5, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 6, 2023

D - Isolated - Minimal harm Apr 13, 2023 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 13, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 13, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 13, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 13, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Apr 13, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 5, 2023

F - Widespread - Minimal harm Apr 13, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 5, 2023

G - Isolated - Actual harm Apr 13, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2023

D - Isolated - Minimal harm Jan 19, 2022 Tag: 0742

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 3, 2022

D - Isolated - Minimal harm Jan 19, 2022 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 3, 2022

D - Isolated - Minimal harm Jan 19, 2022 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 3, 2022

E - Pattern - Minimal harm Jan 19, 2022 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 3, 2022

E - Pattern - Minimal harm Jan 19, 2022 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 3, 2022

E - Pattern - Minimal harm Jan 19, 2022 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Mar 3, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 22.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 8.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 32.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 5.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 59.7% No

Penalty History 1 penalties totaling $11K

Date Type Amount
Sep 5, 2023 Fine $11K
Sep 5, 2023 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Horizons Care Center, both outside CO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Horizons Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The CO registry aggregates state averages and the highest-rated homes in this cohort. View CO registry
  • Peer homes near 45 beds show how CMS stars vary at a similar scale in CO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Horizons Care Center?
Horizons Care Center has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (2★).
Where does Horizons Care Center rank among nursing homes in CO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Horizons Care Center ranks 121st among 209 rated nursing homes in CO (#121 of 209). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Horizons Care Center?
Horizons Care Center reports 3.97 total nursing hours per resident day (national average: 3.86). RN hours are 1.05 per resident day (national average: 0.69). Nursing staff turnover is 53.7%.
How many beds does Horizons Care Center have?
Horizons Care Center has 45 certified beds with approximately 31 residents. The facility is located at 11411 Highway 65, Eckert, CO 81418.
Does Horizons Care Center have any deficiencies on record?
Yes, Horizons Care Center has 26 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Horizons Care Center received any fines or penalties?
Yes, Horizons Care Center has received 1 penalties totaling $11K.
Who owns Horizons Care Center?
Horizons Care Center is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Horizons Care Center last inspected?
The most recent health inspection for Horizons Care Center was on Nov 7, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Horizons Care Center?
Horizons Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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