Nursing homes across Rio Grande County, Colorado, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Colorado Veterans Community Living Ctr At Homelake runs on unusually deep staffing for a 60-bed home, 5.08 nurse hours per resident day, roughly a third more than the national average, with turnover at 23.7% against a national 45.8%. That stability shows: a five-star staffing rating and a five-star health inspection record, with the most recent survey in October 2024. The friction sits elsewhere. Nine deficiencies are on file, including one at the harm level and one tied to abuse, and the quality measure rating lands at two stars, the clinical outcomes side doesn't match the care hours. Weekend coverage also drops about 25% below weekday levels, so ask how that gap gets covered.
Rock Creek Rehabilitation and Healthcare Center in Monte Vista runs 60 certified beds under for-profit corporate ownership, and the federal numbers split in two directions. Quality measures look decent at 4 out of 5 stars, but staffing sits at just 1 star, and that gap matters more day to day than any resident satisfaction score. The inspection history is the harder read: 29 deficiencies on the current record, three of them serious enough to put residents in harm's way, two tied to abuse, and $37,103 in fines across two penalties. The last full inspection was February 2024. If you're weighing this one, ask directly how they're fixing staffing before you ask about anything else.
River Valley Rehabilitation runs lean on nursing staff, 2.79 hours per resident day against a national average of 3.86. That gap matters most on weekends, when coverage drops roughly another 10% below the home's own weekday level, so the stretches with the least supervision are also the ones with the fewest hands on deck. State inspectors cited 29 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Annual turnover sits at 46.8%, a touch above the national figure, meaning familiar faces are not a given here. Ownership is for-profit and individual, and the last full inspection was in December 2024.