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Complaint Investigation

Vista Grande Rehabilitation And Healthcare Center

March 6, 2025 · Cortez, CO · 680 E Hospital Dr
Citations 1
CMS Rating 2/5
Beds 101
Provider ID 065153
Healthcare Facility
Vista Grande Rehabilitation And Healthcare Center
Cortez, CO  ·  View full profile →
Inspection Summary

VISTA GRANDE REHABILITATION AND HEALTHCARE CENTER in CORTEZ, CO — inspection on March 6, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF610
Minimal harm or not believe the bruise was caused at the facility. She said the bruise could have occurred at the hospital or Few The NHA said she did not believe Resident #1 could have fallen at the facility to break her hip because she affected

According to the summary, Resident #1 was incontinent of bowel, which was unusual for her, and she was soaking wet with sweat.

The CNAs began to turn her on her side and she started to scream and scratch at them.

The resident was diaphoretic (sweating) and licensed practical nurse (LPN) #1 was notified. LPN #1 assessed the resident and she hollered out when her hips were palpated (touched).

The resident was hypoxic (low oxygen).

The staff finished cleaning her up and the paramedics were called to transport the resident to the hospital.

The summary identified the facility was notified that Resident #1 had right and left hip fractures.

The hospital contacted registered nurse (RN) #1 on 12/29/24 and notified the RN of a bruise/hematoma on her left proximal thigh.

The summary indicated the facility staff was asked about the bruise and none of the staff saw a bruise.

The skin assessments on 12/5/24, 12/12/24, 12/19/24 and 12/26/24 did not identify a bruise.

The 12/29/24 hospital #1 emergency department physician note documented Resident #1 was in significant pain and a computed tomography (CT) scan identified bilateral hip fractures and an orthopedic-surgeon was contacted.

The resident had a large left-sided proximal thigh hematoma with a suspicion of compartment syndrome (build up of pressure in the body).

According to the note, Resident #1 would be transferred to hospital #2 for higher level care.

065153

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 065153 B.

Wing 03/06/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Vista Grande Rehabilitation and Healthcare Center 680 E Hospital Dr Cortez, CO 81321

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CORTEZ, CO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from VISTA GRANDE REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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