The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Vista Grande Inn
Registered name: VISTA GRANDE REHABILITATION AND HEALTHCARE CENTER
CORTEZ, CO · Medicare-certified · 101 beds
Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
2 of 5 overall
Vista Grande Inn in Cortez, CO has a 2-star overall rating, with 2 stars for health inspections and 1 star for staffing despite 5 stars for quality measures. It also has a recent abuse citation, $20,111 in fines over the last 24 months, and reported nurse staffing of 2.82 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
2.824 hrs/resident/day
Quality measures
Last inspection: June 3, 2026Penalties, last 24 months: $20,111recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.824.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 0.34
- Nurse aides
- 2.18
- Weekend nursing
- 2.51
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 20%
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
26.1%22%Improving
Residents with a fall causing major injury
5%1.8%Improving
Residents with pressure ulcers (bedsores)
3.5%1.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%1.9%Worsening
Residents who were physically restrained
5%5.5%No change
Residents needing more help with daily activities
2%8%Worsening
Residents whose ability to walk got worse
—4.1%—
Long-stay residents on antianxiety or sleep medication
20.3%24.1%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.8%16.6%Worsening
Residents with depressive symptoms
58.2%57.4%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.2%—
Short-stay residents given the pneumonia vaccine
91.9%93.9%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2026 — 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 January 2020 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — 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 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $20,111 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $15,912 was recorded.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $36,023 in total fines.
- $20,111
Federal fine
Mar 6, 2025
- $15,912
Federal fine
May 9, 2024
Operator & ownership
Recent ownership change · Sep 1, 2022
Now operated by Vista Grande Rehabilitation and Healthcare Center, previously Vista Grande Inn.
- Ownership
- For profit - Corporation
- Chain
- Part of CENTENNIAL HEALTHCARE · 8 homes · 2.4 stars avg
- Occupancy
- 66.2 residents on an average day (66% of 101 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.