PlainNursing
CMS Nursing Home Compare · August 2026

Paonia Care and Rehabilitation Center

1625 Meadowbrook Blvd, Paonia, CO 81428

Paonia Care and Rehabilitation Center, a 60-bed for profit - limited liability company nursing facility in Paonia, CO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #184 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 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: 9705274837

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1 / 5
Much below average · CMS overall · nat'l 3.0
#184 of 209
In-state rank among rated CO homes
3.00
Well below average · nurse hrs/day · nat'l 3.86
44
Inspection findings · 5 serious

The verdict

Paonia Care and Rehabilitation Center, a 60-bed for profit - limited liability company nursing facility in Paonia, CO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #184 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#184 of 209
In-state rank among rated CO homes
3.00
Nurse hrs/resident-day · national 3.86
44
Inspection findings · 5 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 For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
065251
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
60
Residents
52
In Hospital
No
County
Delta
Last Inspection
Aug 7, 2025
Abuse citation on record

Staffing Data

How the 3.00 total nursing hours per resident-day are staffed:

RN Hours
1.03 (nat'l avg: 0.69)
LPN Hours
0.34
CNA Hours
1.62
Total Nursing Hours
3.00 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
62.5%
RN Turnover
58.3%

What the CMS Record Reveals About Paonia Care and Rehabilitation Center

According to CMS Nursing Home Compare, Paonia Care and Rehabilitation Center ranks #184 of 209 rated nursing homes in CO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Paonia Care and Rehabilitation Center operates 60 certified beds in Paonia, CO with approximately 52 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 4★).

The inspection file contains 44 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $33K against this provider. Per resident day, this facility reports 3.00 total nursing hours (national average 3.86) and 1.03 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Paonia Care and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 62.5% (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 (44 most recent)

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Sep 2, 2025

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Sep 2, 2025

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Sep 2, 2025

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 2, 2025

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 2, 2025

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 2, 2025

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 2, 2025

D - Isolated - Minimal harm Aug 7, 2025 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: Sep 2, 2025

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 2, 2025

E - Pattern - Minimal harm Aug 7, 2025 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: Sep 2, 2025

G - Isolated - Actual harm Aug 7, 2025 Tag: 0603

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 2, 2025

D - Isolated - Minimal harm Mar 24, 2025 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: Apr 29, 2025

C - Widespread - No harm Mar 1, 2024 Tag: 0574

The resident has the right to receive notices in a format and a language he or she understands.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 28, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Mar 28, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 28, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 28, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0626

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2024

D - Isolated - Minimal harm Mar 1, 2024 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2024

E - Pattern - Minimal harm Mar 1, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 28, 2024

E - Pattern - Minimal harm Mar 1, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 28, 2024

E - Pattern - Minimal harm Mar 1, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 28, 2024

E - Pattern - Minimal harm Mar 1, 2024 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: Mar 28, 2024

E - Pattern - Minimal harm Mar 1, 2024 Tag: 0680

Ensure the activities program is directed by a qualified professional.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2024

E - Pattern - Minimal harm Mar 1, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2024

E - Pattern - Minimal harm Mar 1, 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: Mar 28, 2024

E - Pattern - Minimal harm Mar 1, 2024 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2024

E - Pattern - Minimal harm Mar 1, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2024

F - Widespread - Minimal harm Mar 1, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Mar 30, 2024

F - Widespread - Minimal harm Mar 1, 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: Mar 28, 2024

F - Widespread - Minimal harm Mar 1, 2024 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 28, 2024

F - Widespread - Minimal harm Mar 1, 2024 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 28, 2024

G - Isolated - Actual harm Mar 1, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2024

K - Pattern - Jeopardy Mar 1, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 1, 2024

D - Isolated - Minimal harm Nov 3, 2022 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2023

D - Isolated - Minimal harm Nov 3, 2022 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 13, 2022

D - Isolated - Minimal harm Nov 3, 2022 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 13, 2022

E - Pattern - Minimal harm Nov 3, 2022 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 13, 2022

E - Pattern - Minimal harm Nov 3, 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: Dec 13, 2022

E - Pattern - Minimal harm Nov 3, 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: Dec 13, 2022

F - Widespread - Minimal harm Nov 3, 2022 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Dec 13, 2022

G - Isolated - Actual harm Nov 3, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 13, 2022

G - Isolated - Actual harm Nov 3, 2022 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: Jan 31, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 32.5% 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 2.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.4% 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 20.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 2 penalties totaling $33K

Date Type Amount
Aug 7, 2025 Fine $12K
Mar 1, 2024 Fine $20K

Nationwide facilities with similar scale or staffing

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

What the CMS records show for Paonia Care and Rehabilitation 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 60 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 Paonia Care and Rehabilitation Center?
Paonia Care and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (4★).
Where does Paonia Care and Rehabilitation Center rank among nursing homes in CO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Paonia Care and Rehabilitation Center ranks 184th among 209 rated nursing homes in CO (#184 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 Paonia Care and Rehabilitation Center?
Paonia Care and Rehabilitation Center reports 3.00 total nursing hours per resident day (national average: 3.86). RN hours are 1.03 per resident day (national average: 0.69). Nursing staff turnover is 62.5%.
How many beds does Paonia Care and Rehabilitation Center have?
Paonia Care and Rehabilitation Center has 60 certified beds with approximately 52 residents. The facility is located at 1625 Meadowbrook Blvd, Paonia, CO 81428.
Does Paonia Care and Rehabilitation Center have any deficiencies on record?
Yes, Paonia Care and Rehabilitation Center has 44 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Paonia Care and Rehabilitation Center received any fines or penalties?
Yes, Paonia Care and Rehabilitation Center has received 2 penalties totaling $33K.
Who owns Paonia Care and Rehabilitation Center?
Paonia Care and Rehabilitation Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Paonia Care and Rehabilitation Center last inspected?
The most recent health inspection for Paonia Care and Rehabilitation Center was on Aug 7, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Paonia Care and Rehabilitation Center?
Paonia Care and Rehabilitation 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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