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D
Poor

PAONIA CARE AND REHABILITATION CENTER

1625 MEADOWBROOK BLVD · PAONIA, CO 81428

9705274837 · For profit - Limited Liability company

60 beds47 residents92 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
A
Very Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PAONIA CARE AND REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 2.9665 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.93 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.24% compared to weekdays. The facility relies heavily on temporary agency staff (41.44% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9665 HPRD — needs 0.51 more hours per resident per day.
⚠️41.44% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
Total Nurse HPRD
2.9665hrs/resident/day▼ 0.93
CMS benchmark: 3.48
RN HPRD
0.7633hrs/resident/day▲ 0.08
Recommended: 0.75
Weekend Drop-off
12.24%
3.0728 weekday → 2.6967 weekend
Agency Staff
41.44%
15.51% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.7063hrs/resident/day
Direct care aides
LPN HPRD
0.497hrs/resident/day
Licensed practical nurses
Consistency
0.5272std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Delta County Average-0.47 HPRD
3.43
02.97 HPRD
vs. Colorado State Average-0.78 HPRD
3.75
02.97 HPRD
vs. National Average-0.93 HPRD
3.90
02.97 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
PAONIA CARE AND REHABILITATION CENTER ★
PAONIA · This facility
—
D
2.96650.7633★★☆☆☆
HORIZONS CARE CENTER
ECKERT
21.7 mi
B
3.89020.8925★★★☆☆
WILLOW TREE CARE CENTER
DELTA
27.7 mi
C
3.44161.1435★☆☆☆☆
COLOROW HEALTH CARE LLC
OLATHE
27.7 mi
B
4.13460.5806★★☆☆☆
HOPE SPRINGS CARE CENTER
MONTROSE
30.7 mi
C
3.31730.8032★★☆☆☆
VALLEY MANOR CARE CENTER
MONTROSE
31.2 mi
B
4.03360.8239★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
44
Total Deficiencies
$39,316
Fines Assessed
Aug 7, 2025Health
11 deficiencies cited· Includes actual harm
▼
Mar 24, 2025Health
1 deficiency cited
▼
Mar 1, 2024Health
23 deficiencies cited· Includes actual harm
▼
Nov 3, 2022Health
9 deficiencies cited· Includes actual harm
▼

Penalty History

Aug 7, 2025Fine
$19,135
Mar 1, 2024Fine
$20,181
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.