The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER
WALSENBURG, CO · Medicare-certified · 120 beds
Needs attention
Abuse citationGovernment-run
Data as of July 1, 2026
3 of 5 overall
SPANISH PEAKS VETERANS COMMUNITY LIVING CENTER has a 3 out of 5 overall rating. Its staffing is strong at 5 out of 5 and 4.68 nurse hours per resident per day, above the 4.1 federal benchmark, but its health inspection rating is low at 2 out of 5 and it has a recent abuse citation; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.6825 hrs/resident/day
Quality measures
Last inspection: June 18, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6825.
Staffing detail
- Registered nurses
- 1.23
- Licensed practical nurses
- 0.56
- Nurse aides
- 2.90
- Weekend nursing
- 4.01
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 42%
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
20%21.6%Worsening
Residents with a fall causing major injury
5.6%4%Improving
Residents with pressure ulcers (bedsores)
6.2%5.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.4%1.4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.6%22.7%No change
Residents whose ability to walk got worse
7.1%17%Worsening
Long-stay residents on antianxiety or sleep medication
8.7%5.4%Improving
Residents with a long-term catheter
1.4%0%Improving
Residents with new or worsening incontinence
30.1%27.1%Improving
Residents with depressive symptoms
1.4%1.4%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
—93.4%—
Long-stay residents given the pneumonia vaccine
95.8%81.3%Worsening
Short-stay residents given the pneumonia vaccine
—54.2%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited August 2019 — widespread issue, potential for harm.
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F-Tag 838 — 42 CFR §483.70 — S/S: F
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: E
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - Hospital district
- Occupancy
- 73.9 residents on an average day (62% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.