Nursing home
Paonia Care and Rehabilitation Center
1625 Meadowbrook Blvd, Paonia, CO 81428 · Map
For profit - Limited Liability company · Part of Madison Creek Partners (12 facilities) · 60 certified beds
Paonia Care and Rehabilitation Center is a Medicare-certified nursing home in Paonia, Colorado. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.95 hours per resident per day, below the Colorado average of 3.70. Its most recent inspection on Aug 7, 2025 cited 12 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 2 fines totaling $32,619In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Paonia Care and Rehabilitation 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) | 2.95 | 3.70 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.76 | 0.83 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.70 | 2.20 | 2.34 | below avg |
| Nursing staff turnover | 74.1% | 48.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 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.
Penalties in CMS records: 2 fines totaling $32,619, 2 total penalties.
What inspectors found at Paonia Care and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Aug 7, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Aug 7, 2025 · 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 · Aug 7, 2025 · Full report (PDF) - Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 7, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 24, 2025 · Full report (PDF)
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
- 1625 Meadowbrook Blvd
Paonia, CO 81428 - CMS certification #
- 065251
- Ownership
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 47.0
- Provider type
- Medicare and Medicaid
- First certified
- 1989-03-01
- Chain
- Madison Creek Partners (12 facilities)
- Setting
- Rural
Part of Madison Creek Partners
Madison Creek Partners operates 12 nursing facilities across the United States. View all Madison Creek Partners facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Paonia Care and Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Delta County Memorial Hospital, Delta. 26.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Horizons Care Center, Eckert. 21.7 miles away, straight line.
- Nearest home health agency office
- Delta Health Home Health, Delta. 26.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hartman Brothers. 30.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 81428 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 81428.
- Nearest geriatric medicine practice
- Salida Hospital District, Salida. 82.2 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 Delta County, CO, risk to homes is greater than 59% of communities in Colorado and 80% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding very high, wildfire relatively moderate, 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 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| 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 |
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Frequently asked questions
Is Paonia Care and Rehabilitation Center a good nursing home?
CMS gives Paonia Care and Rehabilitation Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Paonia Care and Rehabilitation Center staffed?
Paonia Care and Rehabilitation Center reports 2.95 total nurse hours per resident per day, compared with the Colorado average of 3.70.
Has Paonia Care and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Paonia Care and Rehabilitation Center have?
Paonia Care and Rehabilitation Center is certified for 60 beds.