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
Data as of July 1, 2026
3 of 5 overall
VALLEY MANOR CARE CENTER in Montrose, CO has an overall rating of 3 out of 5 stars. It has a low health inspection rating of 2 stars, a recent abuse citation, no fines in the last 24 months, and reported nurse staffing of 4.10 hours per resident per day, matching the federal benchmark of 4.1; staffing is rated 4 stars and quality measures are rated 5 stars.
Facility ratings
Health inspections
Staffing
4.0997 hrs/resident/day
Quality measures
Last inspection: April 9, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0997.
Staffing detail
- Registered nurses
- 0.92
- Licensed practical nurses
- 0.81
- Nurse aides
- 2.37
- Weekend nursing
- 3.51
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 44%
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
29.2%32.4%Worsening
Residents with a fall causing major injury
0%1.9%Worsening
Residents with pressure ulcers (bedsores)
4.8%3.5%Improving
Residents with a urinary tract infection
1.9%7.5%Worsening
Residents who lost too much weight
0%7.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%7.1%Improving
Residents whose ability to walk got worse
—16.3%—
Long-stay residents on antianxiety or sleep medication
16.7%21.4%Worsening
Short-stay residents newly given an antipsychotic
0%2.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
28.8%27.1%Improving
Residents with depressive symptoms
6.1%3.9%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
98.1%98.1%No change
Short-stay residents given the seasonal flu vaccine
—94.3%—
Short-stay residents given the pneumonia vaccine
96.4%92.3%Worsening
What the inspectors found
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 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 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
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- 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: 1 fine · $35,968 in total fines.
- $35,968
Federal fine
May 23, 2024
Operator & ownership
- Ownership
- Non profit - Church related
- Chain
- Part of VOLUNTEERS OF AMERICA SENIOR LIVING · 6 homes · 3.2 stars avg
- Occupancy
- 66.1 residents on an average day (65% of 101 beds)
- Resident voice
- Resident & family councils
- 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.