Every Medicare-certified nursing home in Colorado, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
Riverdale Post Acute runs 105 beds in Brighton under corporate ownership, and its last inspection in March 2025 turned up 38 deficiencies, one at the harm level and six tied to abuse. That's a lot of unresolved history on the books for a single building. Nurse staffing sits at 3.13 hours per resident day, roughly 19% under the national average, and weekends dip about 7% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is 37%, better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The quality measure score looks strong, but inspect the numbers behind it against that inspection record before deciding.
Adara Living runs 210 certified beds in Broomfield under corporate for-profit ownership, and its staffing sits at 3.66 nurse hours per resident day, about 5% under the national average of 3.86, with weekends roughly 8% thinner than weekdays. Turnover is the bigger signal: 64.4% of staff leave annually against a national norm near 45.8%, which means the people caring for residents are often new to the building. The current inspection record carries 39 deficiencies, four serious enough to involve harm or jeopardy and four tied to abuse, plus two fines totaling $48,954. CMS rated its health inspection one star out of five; the quality measures scored five. That gap is worth asking about directly, strong reported outcomes sitting on top of a weak inspection history and constant staff churn.
Colorado State Veterans Nursing Home - Rifle runs five stars' worth of nurse staffing, 4.12 hours per resident day, roughly 7% above the national average, but the state-run home has real problems elsewhere. Twenty-one deficiencies sit on its current record, four of them at the harm or jeopardy level, four tied to abuse, and the health inspection score came back 1 out of 5 from the last visit in November 2024. Staff turnover lands at 48.7%, a few points above the national figure, and the weekend crew runs about 15% thinner than weekdays, which matters if your family tends to visit on Saturdays and Sundays. One fine of $32,975 is on file. Strong bedside coverage alone doesn't offset that inspection history.
City Scape Rehabilitation & Care Center is a for-profit partnership in Denver with 60 certified beds, and the numbers tell a mixed story. The quality measure rating comes in at 5 out of 5, but that sits alongside a 1 out of 5 on health inspections, 36 deficiencies on the current record, including 6 at the harm or jeopardy level and 3 tied to abuse, plus two fines totaling $59,543 and a July 2024 inspection. Nurse staffing runs about 6% below the national average at 3.63 hours per resident day, weekend coverage drops roughly 20% below its own weekday level, and annual turnover sits at 53.3% against a national 45.8%. Good quality scores don't offset thin weekend staffing and a long inspection record.
Bruce McCandless Co State Veterans Nursing Home runs on a state government license with 105 certified beds, and the staffing numbers are its one real strength, 3.77 nurse hours per resident day, close to the national average of 3.86, and a four-out-of-five CMS staffing rating. The problem is what happens when staff leave: turnover sits at 60% against a national 45.8%, and weekend coverage drops about 14% below weekday levels. On the record side, 20 deficiencies include four at harm or jeopardy level and two tied to abuse, with one fine of $81,520 and a 1-out-of-5 inspection rating from a January 2026 visit.
Trinidad Rehabilitation and Healthcare Center runs on thin nursing coverage, 3.27 hours per resident day against a national average of 3.86, and weekends dip about 8% below what the home already staffs on weekdays. The results split sharply. Its quality measures score is perfect, but inspections tell a different story: 40 deficiencies on the current record, including four tied to abuse, with a two-out-of-five inspection rating and the most recent visit in June 2024. Turnover, at 33.8%, is actually better than the 45.8% national figure, so the problem looks less like retention than how many hands are scheduled. Under a for-profit LLC, that's worth asking about directly before you decide.
Rio Grande Rehabilitation runs 60 beds in La Jara under for-profit LLC ownership, and its staffing sits at 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends running another 8% below its own weekday levels. Turnover at 42.9% is slightly better than the national 45.8%, so the issue isn't retention so much as how many hands are actually on the floor each shift. The inspection record is the harder problem: 39 deficiencies, including 3 at harm or jeopardy level and 8 tied to abuse, plus two fines totaling $54,946. The most recent inspection came in April 2026. A 4/5 quality measure score exists alongside all this, but quality measures are self-reported while inspections are not.
Pikes Peak Post Acute runs 210 certified beds under corporate for-profit ownership, and the numbers that stand out most aren't the quality scores, it's the workforce churn. Annual turnover hits 60.9%, well above the 45.8% national average, and nurse staffing sits at 3.61 hours per resident day, about 7% under the national figure. Weekend coverage dips another 9% below the home's own weekday levels.
The inspection record is heavier: 47 deficiencies, including 3 at the harm or jeopardy level and 6 tied to abuse, with two fines totaling $89,318. The most recent inspection was January 30, 2025, so the picture is current. Turnover that high plus a thin weekend floor is the combination families should ask about directly.
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.
Spanish Peaks runs on a strong staffing engine, 4.68 nurse hours per resident day, about a fifth more than the national average, and it earns top marks from CMS on that measure. The catch is what inspections found: 24 deficiencies on the current record, including one serious enough to cause harm and three tied to abuse, which explains the two-star health inspection rating. Weekend coverage also dips roughly 14% below weekday levels, so care isn't perfectly even across the week. Staff turnover, at 44.3%, is slightly better than the national average, and the last inspection was in December 2024. Government hospital-district ownership means public accountability, but the inspection record is the real story here.
Skyline Ridge runs on thin staffing: 3.10 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels. Turnover sits at 67.6%, roughly half again the national rate, which means the people caring for your family member are often new or on their way out. The inspection record shows 36 deficiencies, including 3 at the harm or jeopardy level and 8 tied to abuse, with a $21,320 fine. Two stars on health inspections and two on staffing tell you the state has found real problems and coverage stays light. It's worth asking what's changed since September 2024.
Staff turnover at Columbine West runs about double the national rate, 95.7% versus 45.8%. That means the aides and nurses caring for your family member are, more likely than not, new to the building and still learning it. The inspection record backs up that instability: 17 deficiencies on file, including two serious enough to put a resident in harm's way and two tied to abuse. Two fines totaling $26,891 have been levied, and the last full inspection was April 2024. For-profit corporate ownership and 100 beds round out the picture. The quality measure score looks fine on paper, but quality measures are self-reported, and they sit uneasily next to that inspection history.
Highline Post Acute runs 125 beds in Denver under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, about 19% under the national average of 3.86. Weekends dip roughly 7% below its own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover is 43.3%, slightly better than the 45.8% national figure. The inspection record is the harder read: 36 deficiencies, five at harm or jeopardy level, one abuse-related, and $92,284 in fines across four penalties. The last inspection was August 15, 2024. Quality measures score mid-range, but the health inspection side is where the problems concentrate.
High Plains Post Acute runs about 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops another 9% below its own weekday levels. The bigger concern is turnover: 65.7% annually against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. On the last inspection in February 2025, surveyors wrote 33 deficiencies, six serious enough to put residents in harm's way, one involving abuse, with four fines totaling $72,840. The quality measure score looks good on paper, but those numbers come largely from resident assessments, the staffing and inspection record is where the real picture sits.
Vista Ridge runs about 18% below the national average on nurse staffing, and weekends drop another 12% below its own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 64.2% against a national 45.8%, roughly two of every three caregivers left within the year. The inspection record shows 31 deficiencies, including three at the harm level and three tied to abuse, with $41,772 in fines. A December 2025 inspection is recent, and the 3/5 health inspection and quality scores aren't alarming on their own. The staffing number is the one worth pressing on during a tour.
Kiowa Hills Rehabilitation and Nursing is a for-profit, limited liability company running 83 certified beds in Colorado Springs. The staffing numbers tell the main story: 2.75 nurse hours per resident day, roughly 29% under the national average, and weekends run about 12% thinner than weekdays. Turnover sits at 54% against a national 45.8%, so the people who do show up don't tend to stay long. Its record shows 64 deficiencies, including one at the harm or jeopardy level and one tied to abuse, and the last inspection was January 16, 2025. All three CMS star ratings, health inspections, quality measures, staffing, come in at 1 out of 5.
Westlake Health and Rehabilitation Center is a 107-bed for-profit home in Greeley, and the numbers pull in different directions depending on what you weigh most. Its last inspection was in April 2024 and came back strong on health and safety, with 12 deficiencies on record, just one at the harm level, and no abuse citations. Staffing is where the trouble sits: 3.01 nurse hours per resident day runs about 22 percent under the national average, weekends dip another 11 percent below its own weekday level, and turnover hits 72.3 percent against a national 45.8. A decent inspection history can't offset a workforce that thin and that unstable.
Colonial Rehabilitation and Nursing is an 80-bed for-profit home in Colorado Springs, and the numbers tell a fairly consistent story. Nurse staffing runs about 3.08 hours per resident day, roughly a fifth below the national average, and weekends dip below its own weekday levels, which matters most for residents who need help when families are away. The 61.5% annual turnover means most of the people caring for your relative likely won't be there a year from now.
Its inspection record shows 39 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus one fine of $24,453. The last inspection was July 2025, so that record is current, not stale.
South Platte Rehabilitation and Nursing in Brush runs on thinner nurse coverage than most homes, 3.38 hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekdays. That shortfall shows up in the staffing rating, and the 64.7% annual turnover means the aides and nurses at the bedside are often new. Its inspection record carries 18 deficiencies, three serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $49,843. Ownership is a for-profit LLC with 78 certified beds. The last state inspection was October 8, 2024. Quality measures score mid-range, but staffing and safety are where families should focus questions.
Mantey Heights runs about 19% leaner on nurse staffing than the national average, 3.12 hours per resident day against 3.86, and it thins out further on weekends, when coverage drops roughly 8% below its own weekday level. That staffing picture gets harder to defend alongside a 58.3% annual turnover rate, well above the 45.8% national figure, because residents see a rotating cast rather than a consistent crew. The inspection record is the heavier concern: 55 deficiencies on file, seven of them serious enough to put residents in harm's way, plus nine tied to abuse. Three fines totaling $117,284 have followed. Whatever the quality measures show, the people responsible for daily care here are stretched thin and constantly changing.