The home failed to provide enough food and fluids to keep residents healthy. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
VALLEY MANOR CARE CENTER
MONTROSE, CO · Medicare-certified · 101 beds
Needs attention
Abuse citationNon-profitChain member
3 of 5 overall
Valley Manor Care Center in Montrose, CO has an overall rating of 3 out of 5 stars, with weaker health inspections (2 stars) but stronger staffing (4 stars) and quality measures (5 stars). It reports 4.19 nurse staffing hours per resident per day, just above the federal benchmark of 4.1, and had $35,968 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
4.1925 hrs/resident/day
Quality measures
Last inspection: December 10, 2025Penalties, last 24 months: $35,968recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1925.
Staffing detail
- Registered nurses
- 0.89
- Licensed practical nurses
- 0.85
- Nurse aides
- 2.45
- Weekend nursing
- 3.64
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 52%
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
37.5%25%Improving
Residents with a fall causing major injury
0%1.9%Worsening
Residents with pressure ulcers (bedsores)
3%1.8%Improving
Residents with a urinary tract infection
2%1.9%No change
Residents who lost too much weight
5.3%4.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.4%11.9%Improving
Residents whose ability to walk got worse
—21.4%—
Long-stay residents on antianxiety or sleep medication
12.5%11.9%Improving
Short-stay residents newly given an antipsychotic
0%4.9%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.1%25.3%Improving
Residents with depressive symptoms
6%2%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
—98.2%—
Long-stay residents given the pneumonia vaccine
98%94.3%Worsening
Short-stay residents given the seasonal flu vaccine
—94.3%—
Short-stay residents given the pneumonia vaccine
94.1%88.7%Worsening
What the inspectors found
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited November 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $35,968 was recorded.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $43,131 in total fines.
- $35,968
Federal fine
May 23, 2024
- $7,163
Federal fine
Jun 8, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of VOLUNTEERS OF AMERICA SENIOR LIVING · 6 homes · 3.2 stars avg
- Occupancy
- 61.5 residents on an average day (61% of 101 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 53 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.