Cottonwood Rehabilitation and Healthcare Center

450 Prospector Ave, Durango, CO 81301 (opens Google Maps) · La Plata County · (970) 516-1404· 40 certified beds · avg 37 residents/day · certified since Mar 25, 2014 · Medicare only — not Medicaid certified

Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →

Part of chain: CENTENNIAL HEALTHCARE (8 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

inspected Nov 21, 2024

Serious findings on record

most recent Jul 12, 2023

Fines, last 3 years

3.26

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 10, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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.

Corrected: Aug 10, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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.

Corrected: Apr 8, 2022 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.

Apr 1, 2026D · Potential for more than minimal harm, isolated
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 F-0684
Nov 21, 2024F · Potential for more than minimal harm, widespread
The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. F-0882
Nov 21, 2024D · Potential for more than minimal harm, isolated
The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. F-0740

View all 9 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Apr 1, 2026	D · Potential for more than minimal harm, isolated	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 · F-0684
Nov 21, 2024	F · Potential for more than minimal harm, widespread	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Nov 21, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740
Jul 12, 2023	▲ G · Actual harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Jul 12, 2023	▲ G · Actual harm, isolated	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. · F-0758
Jul 12, 2023	E · Potential for more than minimal harm, pattern	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660
Jul 12, 2023	E · Potential for more than minimal harm, pattern	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. · F-0761
Apr 7, 2022	▲ G · Actual harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Apr 7, 2022	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2022

2023

2024

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityColorado averageU.S. average

Total nurse staffing (hours per resident per day)

3.26

3.89

3.95

Registered Nurse hours

1.26

0.86

0.69

Weekend total nurse staffing

2.94

3.44

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.67 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Cottonwood Rehabilitation and Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Centennial Healthcare — 8 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Pine Ridge Rehabilitation and Healthcare Center — Pagosa Springs, CO · overall 3/5
Rio Grande Rehabilitation and Healthcare Center — La Jara, CO · overall 1/5abuse
River Valley Rehabilitation and Healthcare Center — Del Norte, CO · overall 2/5abuse
Rock Creek Rehabilitation and Healthcare Center — Monte Vista, CO · overall 1/5abuse
Trinidad Rehabilitation and Healthcare Center — Trinidad, CO · overall 2/5abuse
Valley Rehabilitation and Healthcare Center, the — Mancos, CO · overall 3/5
Vista Grande Rehabilitation and Healthcare Center — Cortez, CO · overall 2/5

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Colorado midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 42% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Durango Health and Rehabilitation	3.4 mi	Durango, CO	★☆☆☆☆	1/5	abuse

Compare this facility with the 1 closest →

All facilities in Durango →

Facility data as of CMS processing date 2026-08-01. CCN 065411.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Cottonwood Rehabilitation and Healthcare Center

450 Prospector Ave, Durango, CO 81301 · (970) 516-1404

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Jul 12, 2023 (F-0692, Actual harm, isolated): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
▲ Jul 12, 2023 (F-0758, Actual harm, isolated): 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.
▲ Apr 7, 2022 (F-0692, Actual harm, isolated): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Questions for the administrator:

☐ "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?"
☐ "Your weekend nurse staffing is reported below the Colorado midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 42% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 065411 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)