Valley Rehabilitation And Healthcare Center, The
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.
Inspection Findings
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:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.