Horizons Care Center
11411 Highway 65, Eckert, CO 81418 · Delta County · 45 certified beds · avg 31 residents/day · certified since Jul 1, 1989
Part of chain: VOLUNTEERS OF AMERICA SENIOR LIVING (6 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Sep 5, 2023 · F-0689 · triggered by a complaint
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: Oct 6, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 13, 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: May 5, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (26)
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 |
|---|---|---|
| Jan 6, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 7, 2024 | 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. |
| Nov 7, 2024 | 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. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Nov 7, 2024 | 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. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Sep 5, 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. · from a complaint |
| Apr 13, 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. |
| Apr 13, 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. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 13, 2023 | 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. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jan 19, 2022 | E · Potential for harm, repeated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jan 19, 2022 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jan 19, 2022 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jan 19, 2022 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jan 19, 2022 | 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. |
| Jan 19, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | E |
| 2023 | 9 | 2 | G ▲ |
| 2024 | 10 | 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)
1 fine totaling $11,180, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 5, 2023 | Fine | $11,180 |
| Sep 5, 2023 | Payment Denial | 2 days from Oct 4, 2023 |
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) | 4.84 | 3.89 | 3.95 | top 12% in Colorado; top 16% in the U.S. |
| Registered Nurse hours | 1.29 | 0.86 | 0.69 | top 11% in Colorado; top 8% in the U.S. |
| Weekend total nurse staffing | 4.05 | 3.44 | 3.50 | top 16% in Colorado; top 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.58 | 0.61 | 0.48 | top 41% in Colorado; top 25% in the U.S. |
| Total nursing staff turnover (%) | 53.7 | 47.1 | 45.8 | bottom 31% in Colorado; bottom 28% in the U.S. |
| RN turnover (%) | 42.9 | 44.6 | 42.9 | top 43% in Colorado; bottom 49% 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 3.97, RN 1.05, weekend 3.32. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Volunteers of America National Services | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/16/2015 |
| Beaty, Dejernette | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2025 |
| Bloom, Shawn | Individual | Corporate Director | NOT APPLICABLE | 03/23/2010 |
| Budzynski, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 04/02/2012 |
| Budzynski, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 04/02/2012 |
| Chakravarty, Debashish | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2025 |
| Erickson, Karen | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Funk, Dory | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2013 |
| Funk, Dory | Individual | ADP of the SNF | NOT APPLICABLE | 07/31/2025 |
| Hackett, Karen | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Hackett, Karen | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2025 |
| Jackson, Carmen | Individual | Corporate Director | NOT APPLICABLE | 07/01/2025 |
| Jones, Ronda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/27/2023 |
| Jones, Ronda | Individual | ADP of the SNF | NOT APPLICABLE | 10/27/2023 |
| King, Michael | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2010 |
| Mullen, Beth | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Mullen, Beth | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2025 |
| Nisivoccia, David | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2024 |
| Nutz, Faith | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2018 |
| Nutz, Faith | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2018 |
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?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you make sure every shift actually follows each resident's care plan?"
- "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 |
|---|---|---|---|---|---|
| Willow Tree Care Center | 8.2 mi | Delta, CO | ★★☆☆☆ | 2/5 | abuse |
| Colorow Care Center | 14.5 mi | Olathe, CO | ★★★☆☆ | 2/5 | abuse |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 065258.