The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
HILLCREST CARE CENTER
WRAY, CO · Medicare-certified · 45 beds
In good standing
Government-run
5 of 5 overall
HILLCREST CARE CENTER (WRAY, CO) has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It has no fines in the last 24 months, but reported nurse staffing is 3.56 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.5592 hrs/resident/day
Quality measures
Last inspection: October 3, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5592.
Staffing detail
- Registered nurses
- 0.80
- Licensed practical nurses
- 0.58
- Nurse aides
- 2.17
- Weekend nursing
- 3.15
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 14%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.1%3.1%Improving
Residents with a fall causing major injury
5.6%8.3%Worsening
Residents with pressure ulcers (bedsores)
20.2%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
11.8%5.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.2%20%Worsening
Residents whose ability to walk got worse
16.9%15.9%Improving
Long-stay residents on antianxiety or sleep medication
5.7%8.6%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.6%13.7%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—61.5%—
Long-stay residents given the pneumonia vaccine
88.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—33.3%—
Short-stay residents given the pneumonia vaccine
73.9%52.2%Worsening
What the inspectors found
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 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited March 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $25,406 in total fines.
- $4,587
Federal fine
Sep 5, 2023
- $4,587
Federal fine
Aug 21, 2023
- $4,587
Federal fine
Aug 14, 2023
- $11,645
Federal fine
Jul 24, 2023
Operator & ownership
- Ownership
- Government - Hospital district
- Occupancy
- 40 residents on an average day (89% of 45 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 32 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.