Hillcrest Care Center
360 Canyon Ridge Dr, Wray, CO 80758 · Yuma County · 45 certified beds · avg 41 residents/day · certified since Jan 1, 1994
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 · Mar 30, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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 27, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 16, 2021 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jan 24, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 |
|---|---|---|
| Oct 3, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Oct 3, 2024 | 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. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 16, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
| Mar 30, 2023 | ▲ G · Actual 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. |
| Mar 30, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 30, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 30, 2023 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Mar 30, 2023 | E · Potential for harm, repeated | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 30, 2023 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Dec 16, 2021 | ▲ G · Actual 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. |
| Dec 16, 2021 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Dec 16, 2021 | E · Potential for harm, repeated | 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. |
| Dec 16, 2021 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 16, 2021 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. |
| Dec 16, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 6 | 1 | G ▲ |
| 2023 | 8 | 1 | G ▲ |
| 2024 | 6 | 0 | E |
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)
2 fines totaling $9,174.
| Date | Type | Amount / length |
|---|---|---|
| Sep 5, 2023 | Fine | $4,587 |
| Aug 21, 2023 | Fine | $4,587 |
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) | 4.30 | 3.89 | 3.95 | top 25% in Colorado; top 29% in the U.S. |
| Registered Nurse hours | 0.74 | 0.86 | 0.69 | bottom 43% in Colorado; top 32% in the U.S. |
| Weekend total nurse staffing | 3.89 | 3.44 | 3.50 | top 23% in Colorado; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.61 | 0.48 | bottom 38% in Colorado; top 37% in the U.S. |
| Total nursing staff turnover (%) | 55.0 | 47.1 | 45.8 | bottom 26% in Colorado; bottom 25% in the U.S. |
| RN turnover (%) | 37.5 | 44.6 | 42.9 | top 34% in Colorado; top 42% 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 3.49, RN 0.60, weekend 3.16. 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
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Wray Community Long Term Care, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2014 |
| Wray Community Long Term Care, INC. | Organization | 5% or Greater Indirect Ownership Interest | 100% | 07/01/2014 |
| Bryant, Kimberly | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/03/2024 |
| Bryant, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/03/2024 |
| Bryant, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 02/06/2025 |
| Hendrix, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/30/2019 |
| Hendrix, James | Individual | Corporate Director | NOT APPLICABLE | 07/30/2019 |
| Hendrix, James | Individual | Trustee of the SNF | NOT APPLICABLE | 07/30/2019 |
| Kriley, Thomas | Individual | Corporate Director | NOT APPLICABLE | 02/06/2025 |
| Kriley, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 02/06/2025 |
| Soehner, Craig | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/08/2018 |
| Soehner, Craig | Individual | Corporate Director | NOT APPLICABLE | 05/08/2018 |
| Soehner, Craig | Individual | Trustee of the SNF | NOT APPLICABLE | 05/08/2018 |
| Wingfield, Jeffrey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/05/2020 |
| Wingfield, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 05/05/2020 |
| Wingfield, Jeffrey | Individual | Trustee of the SNF | NOT APPLICABLE | 05/05/2020 |
| Wray Community Long Term Care, INC. | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "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 |
|---|---|---|---|---|---|
| Cheyenne County Village INC | 29.9 mi | St Francis, KS | ★★☆☆☆ | 2/5 | |
| Sarah Ann Hester Memorial Home | 36.0 mi | Benkelman, NE | ★★☆☆☆ | 3/5 | |
| Regent Park Care Center | 36.4 mi | Holyoke, CO | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 065316.