Valley Rehabilitation and Healthcare Center, the
211 E 3rd Ave, Mancos, CO 81328 · Montezuma County · 110 certified beds · avg 55 residents/day · certified since Jan 6, 1993
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: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 · Dec 10, 2025 · 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.
▲ Actual harm, one-off · Feb 27, 2020 · F-0744
The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Why it matters: Poor dementia care can lead to distress, unsafe wandering, or unnecessary sedating medication.
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: Mar 20, 2020 (Deficient, Provider has date of correction)
All citations in the current public record (13)
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 |
|---|---|---|
| Dec 10, 2025 | ▲ 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 |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jun 27, 2024 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Jun 27, 2024 | 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. · from a complaint |
| Jun 27, 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. · from a complaint |
| Feb 27, 2020 | ▲ G · Actual harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Feb 27, 2020 | 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. |
| Feb 27, 2020 | 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. |
| Jan 10, 2019 | F · Potential for harm, facility-wide | 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. |
| Jan 10, 2019 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jan 10, 2019 | 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. |
| Jan 10, 2019 | C · Minimal risk, facility-wide | The facility required residents to give up Medicare or Medicaid benefits or pay privately as a condition of moving in, or failed to tell residents which types of care it does not provide. Both practices are against the rules. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | F |
| 2020 | 3 | 1 | G ▲ |
| 2024 | 3 | 0 | F |
| 2025 | 3 | 1 | G ▲ |
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 $8,278.
| Date | Type | Amount / length |
|---|---|---|
| Dec 10, 2025 | Fine | $8,278 |
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) | 2.53 | 3.89 | 3.95 | bottom 2% in Colorado; bottom 4% in the U.S. |
| Registered Nurse hours | 0.45 | 0.86 | 0.69 | bottom 6% in Colorado; bottom 30% in the U.S. |
| Weekend total nurse staffing | 2.19 | 3.44 | 3.50 | bottom 2% in Colorado; bottom 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.61 | 0.48 | bottom 14% in Colorado; bottom 40% in the U.S. |
| Total nursing staff turnover (%) | 51.0 | 47.1 | 45.8 | bottom 36% in Colorado; bottom 34% in the U.S. |
| RN turnover (%) | 54.5 | 44.6 | 42.9 | bottom 29% in Colorado; bottom 29% 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 2.81, RN 0.50, weekend 2.44. Staffing rating: 1/5.
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Centennial I TBD Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2022 |
| Centennial M Trust II | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Centennial MN Tr I | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2022 |
| 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 |
| Monarco, Ashlee | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/12/2022 |
| Monarco, Ashlee | Individual | ADP of the SNF | NOT APPLICABLE | 07/23/2025 |
| Singer, Meir | Individual | Corporate Officer | 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 | 07/23/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 |
|---|---|---|---|---|---|
| Vista Grande Rehabilitation and Healthcare Center | 20.3 mi | Cortez, CO | ★★☆☆☆ | 2/5 | |
| Durango Health and Rehabilitation | 22.8 mi | Durango, CO | ★☆☆☆☆ | 1/5 | abuse |
| Cottonwood Rehabilitation and Healthcare Center | 25.3 mi | Durango, CO | ★★★★★ | 4/5 | |
| Aztec Healthcare | 38.7 mi | Aztec, NM | ★★☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 065306.