Nursing homes › Colorado › Paonia Care and Rehabilitation Center
1625 Meadowbrook Blvd, Paonia, CO 81428 · (970) 527-4837 · 60 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 209 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Madison Creek Partners, a group operating 13 facilities in 2 states. Group record: average rating 3.2/5, 1 abuse citation icon, 0 facilities on the Special Focus list, $119,464 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.00 (Colorado median: 3.49). RN hours: 1.03. Weekend total: 2.73. Nursing staff turnover: 62%.
In the downloaded CMS dataset: 44 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-07 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Health | corrected 2025-09-02 |
| 2025-08-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Health | corrected 2025-09-02 |
| 2025-08-07 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-09-02 |
| 2025-08-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-09-02 |
| 2025-08-07 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-09-02 |
| 2025-08-07 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-09-02 |
| 2025-08-07 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2025-09-02 |
| 2025-08-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-09-02 |
| 2025-08-07 | Implement a program that monitors antibiotic use. | D | Health | corrected 2025-09-02 |
| 2025-08-07 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-09-02 |
| 2025-08-07 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2025-09-02 |
| 2025-03-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-04-29 |
| 2024-03-01 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Health | corrected 2024-03-01 |
| 2024-03-01 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2024-03-28 |
| 2024-03-01 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Health | corrected 2024-03-28 |
| 2024-03-01 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Health | corrected 2024-03-28 |
| 2024-03-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-03-28 |
| 2024-03-01 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2024-03-30 |
| 2024-03-01 | Honor the resident's right to manage his or her financial affairs. | E | Health | corrected 2024-03-28 |
| 2024-03-01 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Health | corrected 2024-03-28 |
| 2024-03-01 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Health | corrected 2024-03-28 |
| 2024-03-01 | Provide activities to meet all resident's needs. | E | complaint | corrected 2024-03-28 |
| 2024-03-01 | Ensure the activities program is directed by a qualified professional. | E | Health | corrected 2024-03-28 |
| 2024-03-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-03-28 |
| 2024-03-01 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-03-28 |
| 2024-03-01 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2024-03-28 |
| 2024-03-01 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-03-28 |
| 2024-03-01 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-03-28 |
| 2024-03-01 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Health | corrected 2024-03-28 |
| 2024-03-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-03-28 |
| 2024-03-01 | Plan the resident's discharge to meet the resident's goals and needs. | D | Health | corrected 2024-03-28 |
| 2024-03-01 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2024-03-28 |
| 2024-03-01 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-03-28 |
| 2024-03-01 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2024-03-28 |
| 2024-03-01 | The resident has the right to receive notices in a format and a language he or she understands. | C | Health | corrected 2024-03-28 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-07 | Fine | $12,438 |
| 2024-03-01 | Fine | $20,181 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CHIEF JOSEPH TRAIL, LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/02/2026 |
| TIPPET, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| WHITE CANYON, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| CLEGG, MICHAEL | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| CLEGG, MICHAEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/26/2023 |
| IKERD, JOHN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/02/2026 |
| MADISON CREEK PARTNERS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2016 |
| CHRISTENSEN, COVEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2016 |
| CLEGG, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/26/2023 |
| HOPKINS, AMBER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2021 |
| IKERD, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/25/2022 |
| MEILNER, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2016 |
How to cite this page: CareRecords, “Paonia Care and Rehabilitation Center — compliance, penalty and ownership record” (CCN 065251), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/paonia-care-and-rehabilitation-center-paonia-co/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065251. Corrections: data@carerecords.org.