The home failed to ensure residents received food prepared in a form that met their individual needs. Cited March 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: K
Nursing home report
PAONIA CARE AND REHABILITATION CENTER
PAONIA, CO · Medicare-certified · 60 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
PAONIA CARE AND REHABILITATION CENTER has an overall rating of 2 out of 5 stars, with a very low health inspection rating of 1 star and a recent abuse citation. Staffing is 3 stars, but reported nurse staffing is 2.93 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $12,438 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.9308 hrs/resident/day
Quality measures
Last inspection: August 7, 2025Penalties, last 24 months: $12,438recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9308.
Staffing detail
- Registered nurses
- 0.73
- Licensed practical nurses
- 0.57
- Nurse aides
- 1.63
- Weekend nursing
- 2.61
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 58%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
29.1%Worsening
Residents with a fall causing major injury
4.4%Worsening
Residents with pressure ulcers (bedsores)
2.4%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.1%Improving
Residents whose ability to walk got worse
14.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.8%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
14.1%Steady
Residents with depressive symptoms
1.9%Worsening
Long-stay residents given the seasonal flu vaccine
97.3%Steady
Long-stay residents given the pneumonia vaccine
96.2%Improving
Short-stay residents given the pneumonia vaccine
88.3%Steady
What the inspectors found
The home failed to protect residents from being separated from others or confined to their rooms. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 603 — 42 CFR §483.12 — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $12,438 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 23 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $32,619 in total fines.
- $12,438
Federal fine
Aug 7, 2025
- $20,181
Federal fine
Mar 1, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MADISON CREEK PARTNERS · 13 homes · 3.5 stars avg
- Occupancy
- 50.9 residents on an average day (85% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.