Durango Health And Rehabilitation
DURANGO HEALTH AND REHABILITATION in DURANGO, CO — inspection on March 31, 2026.
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.
Inspection Findings
According to the
MDS assessment revealed the resident was severely cognitively impaired with a BIMS score of 0 out of 15. He required maximum assistance with ADLs.
The MDS assessment indicated the resident did not have behaviors directed towards others. 2.
Record review Resident #4's behavior care plan, dated 1/14/25, revealed the resident was at risk for the potential to demonstrate verbally abusive behaviors.
The care plan documented he had the potential for psychosocial issues due to an incident of receiving unprovoked agitation with physical abuse from another resident.
Pertinent interventions included monitoring the resident for signs and symptoms of aggression as well as signs and symptoms of fear or psychosocial trauma, documenting behavior and attempted interventions and reporting physical contact from another resident. Resident #4's antipsychotic medication care plan, dated 7/2/25, revealed the resident was at risk for aggressive behaviors.
Pertinent interventions included monitoring for aggressive behaviors, such as throwing medications, cursing at others, and non-redirectable agitation and if agitation was observed, intervening immediately to prevent an increase in behaviors.III.
Staff interviews Registered nurse (RN) #1 was interviewed on 3/30/26 9:10 a.m. RN #1 said there was one staff member on the unit for seven residents.
She said at times it was hard, as she tried to complete personal care with the residents and keep an eye on them too.
She said she had seen residents get into each other's space and fights did occur.
Certified nurse aide (CNA) #1 was interviewed on 3/31/26 at 9:15 a.m. CNA #1 said she was the only staff member who worked on the unit for seven residents.
She said it was very hard at times, especially when the residents had moods,' which was pretty often.
She said when the residents' behaviors increased, it was harder.
She said the cares were easy to complete, except for Resident #3, who urinated all over the place. CNA #1 said she followed him around all day with the mop bucket.
She said she left him alone often and let him do his thing because he was known to hit staff and get aggressive.
She said he was not aggressive toward other residents, but he did get in their space often.
She said Resident #4 did not like it when others got in his space.
She said she had seen Resident #3 and Resident #4 get into a fist fight on 11/26/25.
The director of nursing (DON) was interviewed on 3/31/26 at 12:45 p.m.
The DON said she was involved with abuse investigations.
She said the incident between Resident #3 and Resident #4 on 11/26/25 was substantiated because of the injury for Resident #3.
She said the facility monitored and redirected residents away from each other as part of the interventions for safety.
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 DURANGO, 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 DURANGO HEALTH AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.