Lilisity

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

Medicare and Medicaid certified
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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.

3 out of 5Overall CMS rating
3 out of 5Health inspections
4 out of 5Staffing
45 bedsCertified beds
  • 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.

Overall rating3/5
Health inspections3/5
Staffing4/5
Quality measures4/5
Long-stay quality2/5
Short-stay quality5/5

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.

MetricThis facilityColorado avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.883.703.89above avg
RN staffing (hrs/resident/day)0.890.830.68above avg
Aide staffing (hrs/resident/day)2.002.202.34below avg
Nursing staff turnover56.4%48.6%46.4%above avg
Deficiencies cited, last inspection11.08.89.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.88Total nurse hrs/resident/day
0.89RN hrs/resident/day
0.99LPN hrs/resident/day
2.00Aide hrs/resident/day
3.25Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff56.4%
Registered nurses55.6%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Nov 7, 2024Most recent inspection
11Deficiencies found
60Health inspection score
2Fines
  • 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 →

Report a wrong fact

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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026See above
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026See above
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould 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.