Public Record
Paonia Care and Rehabilitation Center
Operated by Madison Creek Partners
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 60
- Avg. residents per day
- 50.9
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 44
- Fire safety findings
- 23
- Inspections on file
- 7
- Last inspection
- 2025-08-07
*CMS
*CMS
*CMS
*CMS
Citations
44 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0603Seriousactual harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- 0605Generalpotential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0699Generalpotential for harm
Provide care or services that was trauma informed and/or culturally competent.
- 0740Generalpotential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0881Generalpotential for harm
Implement a program that monitors antibiotic use.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0887Generalpotential for harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0806Generalpotential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0801Generalpotential for harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- 0803Generalpotential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0805Seriousimmediate jeopardy
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0567Generalpotential for harm
Honor the resident's right to manage his or her financial affairs.
- 0569Generalpotential for harm
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- 0574Generalno actual harm
The resident has the right to receive notices in a format and a language he or she understands.
- 0584Generalpotential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 0626Generalpotential for harm
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0660Generalpotential for harm
Plan the resident's discharge to meet the resident's goals and needs.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0680Generalpotential for harm
Ensure the activities program is directed by a qualified professional.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0692Seriousactual harm
Provide enough food/fluids to maintain a resident's health.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0692Seriousactual harm
Provide enough food/fluids to maintain a resident's health.
- 0744Generalpotential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- 0825Generalpotential for harm
Provide or get specialized rehabilitative services as required for a resident.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0604Generalpotential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection11 deficiencies
- View inspection reportInspectionFire Safety13 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety5 deficiencies
- View inspection reportInspection23 deficiencies
- View inspection reportInspection9 deficiencies
- View inspection reportInspectionFire Safety5 deficiencies
Ownership
Madison Creek Partners
13nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Paonia Care and Rehabilitation Center?
- Paonia Care and Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Paonia, CO, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 065251.
- What is the CMS rating for Paonia Care and Rehabilitation Center?
- Paonia Care and Rehabilitation Center has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Paonia Care and Rehabilitation Center have?
- Paonia Care and Rehabilitation Center is certified for 60 beds. It serves an average of 50.9 residents per day.
- How many citations does Paonia Care and Rehabilitation Center have?
- Paonia Care and Rehabilitation Center has 44 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Paonia Care and Rehabilitation Center last inspected?
- Paonia Care and Rehabilitation Center was last inspected on August 7, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/065251-paonia-care-and-rehabilitation-center