Nursing home
Horizons Care Center
11411 Highway 65, Eckert, CO 81418 · Map
Non profit - Corporation · Part of Volunteers Of America Senior Living (4 facilities) · 45 certified beds
Horizons Care Center is a Medicare-certified nursing home in Eckert, Colorado. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.88 hours per resident per day, above the Colorado average of 3.70. Its most recent inspection on Nov 7, 2024 cited 11 deficiencies.
- 2 fines totaling $34,174In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Horizons Care Center compares
This facility vs. the Colorado and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Colorado avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.88 | 3.70 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.89 | 0.83 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.00 | 2.20 | 2.34 | below avg |
| Nursing staff turnover | 56.4% | 48.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 8.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 6, 2026 inspection was corrected by January 31, 2026
Penalties in CMS records: 2 fines totaling $34,174, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Horizons Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 6, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Nov 7, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Provide care by qualified persons according to each resident's written plan of care.
Resident Assessment and Care Planning Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Nov 7, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 5, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 11411 Highway 65
Eckert, CO 81418 - CMS certification #
- 065258
- Ownership
- Non profit - Corporation
- Certified beds
- 45
- Avg residents/day
- 34.2
- Provider type
- Medicare and Medicaid
- First certified
- 1989-07-01
- Chain
- Volunteers Of America Senior Living (4 facilities)
- Setting
- Rural
Part of Volunteers Of America Senior Living
Volunteers Of America Senior Living operates 4 nursing facilities across the United States. View all Volunteers Of America Senior Living facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Horizons Care Center using Google Maps.
Other public records
- Workplace safety 2 OSHA workplace safety inspections since 2017, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Sep 30, 2014.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Apr 5, 2022: monitoring inspection, partial (health). Case closed Sep 15, 2022. No violations cited. OSHA record. OSHA recorded the employer as Volunteers of America National Services. Matched by street address; the name OSHA recorded differs from the community's.
- Aug 28, 2017: referral inspection, partial (health). Case closed Feb 1, 2018. No violations cited. OSHA record. OSHA recorded the employer as Horizons Health Care and Retirement Community.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Delta County Memorial Hospital, Delta. 6.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Willow Tree Care Center, Delta. 8.2 miles away, straight line.
- Nearest home health agency office
- Delta Health Home Health, Delta. 6.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hartman Brothers. 24.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 81418 as rural (rural area).
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 81418.
- Nearest geriatric medicine practice
- Salida Hospital District, Salida. 102.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Orchard City, CO, risk to homes is greater than 21% of communities in Colorado and 53% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire relatively high, tornado very low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Horizons Care Center a good nursing home?
CMS gives Horizons Care Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Horizons Care Center staffed?
Horizons Care Center reports 3.88 total nurse hours per resident per day, compared with the Colorado average of 3.70.
Has Horizons Care Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Horizons Care Center have?
Horizons Care Center is certified for 45 beds.