Cottonwood Rehabilitation and Healthcare Center
450 Prospector Ave, Durango, CO 81301 · La Plata County · 40 certified beds · avg 37 residents/day · certified since Mar 25, 2014
Part of chain: CENTENNIAL HEALTHCARE (8 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 12, 2023 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 10, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 12, 2023 · F-0758
The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Why it matters: Unneeded psychiatric medications can leave residents overly sedated and raise the risk of falls and other serious harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 10, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 7, 2022 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 8, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 21, 2024 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Jul 12, 2023 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jul 12, 2023 | ▲ G · Actual harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jul 12, 2023 | E · Potential for harm, repeated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Jul 12, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 7, 2022 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 7, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 1 | G ▲ |
| 2023 | 4 | 2 | G ▲ |
| 2024 | 2 | 0 | F |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Colorado avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.26 | 3.89 | 3.95 | bottom 19% in Colorado; bottom 24% in the U.S. |
| Registered Nurse hours | 1.26 | 0.86 | 0.69 | top 13% in Colorado; top 8% in the U.S. |
| Weekend total nurse staffing | 2.94 | 3.44 | 3.50 | bottom 24% in Colorado; bottom 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.07 | 0.61 | 0.48 | top 6% in Colorado; top 5% in the U.S. |
| Total nursing staff turnover (%) | 42.1 | 47.1 | 45.8 | top 33% in Colorado; top 42% in the U.S. |
| RN turnover (%) | 30.8 | 44.6 | 42.9 | top 22% in Colorado; top 30% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.67, RN 1.42, weekend 3.31. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Centennial MN Tr I | Organization | 5% or Greater Indirect Ownership Interest | 18% | 09/01/2022 |
| Centennial Ms Trust I | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2022 |
| Bradley, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/12/2022 |
| Bradley, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 08/27/2025 |
| Capital Finance LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2022 |
| Capital Finance LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
| Centennial Ms Trust I | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2022 |
| Centennial Yf Trust I | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2022 |
| Gottlieb, Refoel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2022 |
| Gottlieb, Refoel | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
| Gottlieb, Refoel | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2022 |
| Gotts Consulting Colorado LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
| Turpen, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Turpen, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 08/27/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who is your infection preventionist, and what training do they have?"
- "What mental health services do you provide on-site, and who delivers them?"
- "How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Durango Health and Rehabilitation | 3.4 mi | Durango, CO | ★☆☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 065411.