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
3 of 5 overall
3/5 stars overall. Staffing is strong at 5/5 and reported nurse staffing is above the federal benchmark (4.48 vs 4.1 hours/resident/day), but health inspections and quality measures are both low at 2/5, with a recent abuse citation and several recent inspection concerns; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4804 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 4.4804.
Staffing detail
- Registered nurses
- 1.33
- Licensed practical nurses
- 0.44
- Nurse aides
- 2.71
- Weekend nursing
- 3.86
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 46%
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
21.4%27.3%Worsening
Residents with a fall causing major injury
6.9%2.6%Improving
Residents with pressure ulcers (bedsores)
7.2%7.4%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.3%21.5%Improving
Residents whose ability to walk got worse
26.9%27.2%No change
Long-stay residents on antianxiety or sleep medication
10.6%7.9%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.8%39.5%Worsening
Residents with depressive symptoms
0%1.5%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
—93.4%—
Long-stay residents given the pneumonia vaccine
97.2%84.2%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.
View the original federal record
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.
View the original federal record
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
Penalties & enforcement
On record with Medicare: 2 fines · $4,893 in total fines.
- $1,748
Federal fine
Jun 20, 2023
- $3,145
Federal fine
May 30, 2023
Operator & ownership
- Ownership
- Government - Hospital district
- Occupancy
- 75.5 residents on an average day (63% 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.