The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
GUNNISON VALLEY HEALTH SENIOR CARE CENTER
GUNNISON, CO · Medicare-certified · 50 beds
In good standing
Government-run
5 of 5 overall
Gunnison Valley Health Senior Care Center has an overall 5-star rating, with a 5-star health inspection rating and 4-star staffing, though its quality measures are lower at 2 stars. It reports 4.38 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.3786 hrs/resident/day
Quality measures
Last inspection: January 29, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3786.
Staffing detail
- Registered nurses
- 1.16
- Licensed practical nurses
- 0.87
- Nurse aides
- 2.34
- Weekend nursing
- 3.98
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.2%Worsening
Residents with a fall causing major injury
9.4%Worsening
Residents with pressure ulcers (bedsores)
3.8%Worsening
Residents with a urinary tract infection
2.4%Steady
Residents who lost too much weight
3.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.5%Improving
Residents whose ability to walk got worse
24.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
6.5%Worsening
Residents with a long-term catheter
1.6%Improving
Residents with new or worsening incontinence
23.4%Worsening
Residents with depressive symptoms
0.8%Worsening
Long-stay residents given the seasonal flu vaccine
97.1%Steady
Long-stay residents given the pneumonia vaccine
99.2%Steady
Short-stay residents given the pneumonia vaccine
69.6%Steady
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2020 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2020 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $14,866 in total fines.
- $8,018
Federal fine
Apr 2, 2024
- $4,363
Federal fine
Dec 11, 2023
- $2,485
Federal fine
Oct 23, 2023
Operator & ownership
- Ownership
- Government - City/county
- Occupancy
- 29.1 residents on an average day (58% of 50 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.