The nursing home failed to protect residents from abuse and neglect by others. Cited May 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Rock Creek Rehabilitation & Care Center
Registered name: ROCK CREEK REHABILITATION AND HEALTHCARE CENTER
MONTE VISTA, CO · Medicare-certified · 60 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Rock Creek Rehabilitation & Care Center in Monte Vista, CO has an overall 1-star rating, with 1-star health inspection and staffing ratings and a 4-star quality measures rating. It also has a recent abuse citation and $9,110 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: May 20, 2026Penalties, last 24 months: $9,110recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
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
40.9%29.6%Improving
Residents with a fall causing major injury
6.1%9.4%Worsening
Residents with pressure ulcers (bedsores)
3%5.5%Worsening
Residents with a urinary tract infection
3%0%Improving
Residents who lost too much weight
9.1%3.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.3%10.7%No change
Residents whose ability to walk got worse
—22.8%—
Long-stay residents on antianxiety or sleep medication
9.1%25%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
20.8%12.7%Improving
Residents with depressive symptoms
53.1%65.5%Worsening
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
—93.8%—
Long-stay residents given the pneumonia vaccine
97%100%Improving
Short-stay residents given the pneumonia vaccine
—90%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited October 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
The home failed to monitor antibiotic use properly. Cited October 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited October 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
Recent history
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,110 was recorded.
- PENALTY
A federal fine of $14,015 was recorded.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $37,103 in total fines.
- $9,110
Federal fine
Dec 10, 2025
- $27,993
Federal fine
Feb 8, 2024
Operator & ownership
Recent ownership change · May 1, 2024
Now operated by Rock Creek Rehabilitation and Healthcare Center LLC, previously Monte Vista Estates, LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of CENTENNIAL HEALTHCARE · 8 homes · 2.4 stars avg
- Occupancy
- 34 residents on an average day (57% of 60 beds)
- Medicare history
- Certified for 35 years
The most recent standard health inspection was more than two years ago.
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.