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SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER

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SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER is a government - hospital district facility in WALSENBURG, CO with 120 certified beds and a 3-star overall CMS rating. The facility has 24 deficiency records on file. Total penalties: $5K.

23500 US HIGHWAY 160, WALSENBURG, CO 81089

Phone: 7197384540

Overall Rating

3/5

Health Inspection

2/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
06A190
Ownership
Government - Hospital district
Provider Type
Medicaid
Beds
120
Residents
74
In Hospital
No
County
Huerfano
Last Inspection
Dec 5, 2024
Abuse citation on record

Staffing Data

RN Hours
1.23 (nat'l avg: 0.68)
LPN Hours
0.45
CNA Hours
2.88
Total Nursing Hours
4.56 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
44.1%
RN Turnover
45.5%

What the CMS Record Reveals About SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER

SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER operates 120 certified beds in WALSENBURG, CO with approximately 74 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (5★), and quality measures (3★). 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.

The inspection file contains 24 deficiency records from recent surveys, of which 1 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 $5K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.56 total nursing hours per resident day (national average 3.89), with RN coverage at 1.23 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - Hospital district" ownership and operating as a "Medicaid" provider, SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 44.1%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (24 most recent)

D — Isolated - Minimal harm Jun 18, 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: Aug 1, 2025

D — Isolated - Minimal harm Dec 5, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 22, 2025

D — Isolated - Minimal harm Dec 5, 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: Jan 22, 2025

D — Isolated - Minimal harm Dec 5, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jan 22, 2025

E — Pattern - Minimal harm Dec 5, 2024 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 22, 2025

D — Isolated - Minimal harm Dec 5, 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: Jan 22, 2025

E — Pattern - Minimal harm Dec 5, 2024 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: Jan 22, 2025

D — Isolated - Minimal harm Jun 29, 2023 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: Aug 18, 2023

F — Widespread - Minimal harm Jun 29, 2023 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: Jul 20, 2023

D — Isolated - Minimal harm Jun 29, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Aug 18, 2023

D — Isolated - Minimal harm Jun 29, 2023 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: Aug 18, 2023

E — Pattern - Minimal harm Jun 29, 2023 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 18, 2023

E — Pattern - Minimal harm Jun 29, 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: Jul 11, 2023

D — Isolated - Minimal harm Jun 29, 2023 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 18, 2023

G — Isolated - Actual harm Jun 29, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 8, 2023

D — Isolated - Minimal harm Jun 29, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 28, 2023

D — Isolated - Minimal harm Jun 29, 2023 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 18, 2023

D — Isolated - Minimal harm Aug 6, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 27, 2019

F — Widespread - Minimal harm Aug 6, 2019 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Sep 27, 2019

E — Pattern - Minimal harm Aug 6, 2019 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Sep 27, 2019

D — Isolated - Minimal harm Aug 6, 2019 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: Sep 27, 2019

D — Isolated - Minimal harm Aug 6, 2019 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: Sep 27, 2019

D — Isolated - Minimal harm Aug 6, 2019 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Sep 27, 2019

D — Isolated - Minimal harm Aug 6, 2019 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Sep 27, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 27.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 57.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 23.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 5.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 29.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.0% Yes

Penalty History 2 penalties totaling $5K

Date Type Amount
Jun 20, 2023 Fine $2K
May 30, 2023 Fine $3K

Frequently Asked Questions

What is the overall CMS rating for SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER?
SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (5★), and quality measures (3★).
What are the staffing levels at SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER?
SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER reports 4.56 total nursing hours per resident day (national average: 3.89). RN hours are 1.23 per resident day (national average: 0.68). Nursing staff turnover is 44.1%.
How many beds does SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER have?
SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER has 120 certified beds with approximately 74 residents. The facility is located at 23500 US HIGHWAY 160, WALSENBURG, CO 81089.
Does SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER have any deficiencies on record?
Yes, SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER has 24 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER received any fines or penalties?
Yes, SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER has received 2 penalties totaling $5K.
Who owns SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER?
SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER is classified as "Government - Hospital district" ownership. The facility type is "Medicaid".
When was SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER last inspected?
The most recent health inspection for SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER was on Dec 5, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER?
SPANISH PEAKS VETERANS COMMUNITY LIVING 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial