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
Data as of July 1, 2026
1 of 5 overall
PAONIA CARE AND REHABILITATION CENTER has a 1-star overall rating, with a 1-star health inspection rating but 4-star staffing and quality ratings. It also has a recent abuse citation, $12,438 in fines over the last 24 months, and reported nurse staffing of 3.00 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
2.9984 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 2.9984.
Staffing detail
- Registered nurses
- 1.03
- Licensed practical nurses
- 0.34
- Nurse aides
- 1.62
- Weekend nursing
- 2.73
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 58%
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
31%40.5%Worsening
Residents with a fall causing major injury
2.5%6.1%Worsening
Residents with pressure ulcers (bedsores)
3.3%2.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.7%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.5%17%Worsening
Residents whose ability to walk got worse
13.9%11.4%Improving
Long-stay residents on antianxiety or sleep medication
23.1%27.1%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
20.4%26.2%Worsening
Residents with depressive symptoms
2.7%2.1%Improving
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
—97.3%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
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 · 3.2 stars avg
- Occupancy
- 51.5 residents on an average day (86% 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.