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
Nursing home report
The Valley
Registered name: VALLEY REHABILITATION AND HEALTHCARE CENTER, THE
MANCOS, CO · Medicare-certified · 110 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
The Valley in Mancos, CO has an overall 3-star rating, with strong quality measures (5 stars) but very weak staffing (1 star) at 2.81 nurse hours per resident day versus the 4.1 federal benchmark. It also had $8,278 in fines in the last 24 months and a recent federal penalty, while its health inspection rating is 3 stars.
Facility ratings
Health inspections
Staffing
2.8144 hrs/resident/day
Quality measures
Last inspection: December 10, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8144.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.54
- Nurse aides
- 1.77
- Weekend nursing
- 2.44
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 55%
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
28.6%20%Improving
Residents with a fall causing major injury
3.9%8.2%Worsening
Residents with pressure ulcers (bedsores)
0%2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.1%13%Worsening
Residents who were physically restrained
2%2%No change
Residents needing more help with daily activities
6.2%8.9%Worsening
Residents whose ability to walk got worse
13.5%10.5%Improving
Long-stay residents on antianxiety or sleep medication
24%13%Improving
Short-stay residents newly given an antipsychotic
0%4.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
30.9%23.4%Improving
Residents with depressive symptoms
86%91.8%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
—89.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—87.1%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited February 2020 — isolated incident, actual harm.
View the original federal record
F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — 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 properly label and securely store medications and biologicals. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
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 June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- PENALTY
A federal fine of $8,278 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $12,735 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Dec 10, 2025
Operator & ownership
Recent ownership change · Sep 1, 2022
Now operated by The Valley Rehabilitation and Healthcare Center, previously The Valley Inn.
- Ownership
- For profit - Corporation
- Chain
- Part of CENTENNIAL HEALTHCARE · 8 homes · 2.4 stars avg
- Occupancy
- 54.5 residents on an average day (50% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.