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Complaint Investigation

Valley Rehabilitation And Healthcare Center, The

September 11, 2025 · Mancos, CO · 211 E 3rd Ave
Citations 2
CMS Rating 3/5
Beds 110
Provider ID 065306
Healthcare Facility
Valley Rehabilitation And Healthcare Center, The
Mancos, CO  ·  View full profile →
Inspection Summary

VALLEY REHABILITATION AND HEALTHCARE CENTER, THE in MANCOS, CO — inspection on September 11, 2025.

Found 2 citations. 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

FF0573
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of the email sent by the NHA identified that the email was sent to the resident's representative on 9/10/25 at 3:07 p.m.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/11/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Valley Rehabilitation and Healthcare Center, The

211 E 3rd Ave Mancos, CO 81328

SUMMARY STATEMENT OF DEFICIENCIES

time the resident's needs would change.

She said she was continuing to try to learn the facility's care plan process and trying to personalize each resident's care plan.

She said care plans should be updated to continue to meet the resident's needs.

The MDS coordinator said she had started a facility-wide care plan audit to make sure that residents' care plans were updated and included all appropriate interventions.

She said she had not had the opportunity to complete the audit and make the needed changes/interventions.

She said the IDT reviewed the residents' falls during the morning meeting and her goal was to then add new fall prevention interventions to the care plans right away if the interventions could be immediately implemented.

The MDS coordinator said it was important to make sure interventions were on the care plan so the personal-centered interventions could be transferred to the Kardex.

She said the care plan was a form of communication so staff knew the personalized steps to take care of each resident.

The NHA and the DON were interviewed again together on 9/11/25 at 11:25 a.m.

The NHA said moving forward, she would make sure the IDT would stay in the at-risk meeting until all the newly identified fall interventions were updated on the care plans.

The DON said if some of the interventions required permission from the residents' representatives, they would update the care plan with the interventions as soon as the facility obtained the needed permission.

The NHA said the facility had started a Kardex training today (9/11/25) to ensure all the CNAs were familiar with how to access the residents' Kardex and identify the fall prevention interventions for residents at risk for falling.

Facility ID:

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 MANCOS, 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 VALLEY REHABILITATION AND HEALTHCARE CENTER, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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