All states › Colorado › Del Norte › River Valley Rehabilitation and Healthcare Center
1335 6th St Del Norte, CO 81132 · Rio Grande County
CMS certification number 065424 · See this home on Medicare Care Compare
Is River Valley Rehabilitation and Healthcare Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for River Valley Rehabilitation and Healthcare Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Colorado average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.91 hours per resident per day at River Valley Rehabilitation and Healthcare Center, below the Colorado median of 3.47 (US median: 3.72). About 0.65 of those hours are from registered nurses. On weekends it falls to 2.53 hours, 13% below its all-week average. 43.8% of nursing staff left within a year (Colorado median 46.6%). 2 administrators left in the past year.
About this nursing home
Paying for care at River Valley Rehabilitation and Healthcare Center: Medicare and Medicaid
River Valley Rehabilitation and Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Colorado's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 19, 2024 and found 6 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 29 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 29 citations at River Valley Rehabilitation and Healthcare Center across 4 inspection dates, 6 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 13, 2023. The most common areas cited were quality of life and care (6) and nursing and physician services (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, July 13, 2023). 3 citations were under CMS's abuse, neglect and exploitation rules.
April 2, 2025 · 1 citation · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
December 19, 2024 · 11 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide care by qualified persons according to each resident's written plan of care.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DObserve each nurse aide's job performance and give regular training.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DProvide and implement an infection prevention and control program.
July 13, 2023 · 14 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
EObserve each nurse aide's job performance and give regular training.
EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide activities to meet all resident's needs.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
January 24, 2020 · 3 citations
FEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DEnsure services provided by the nursing facility meet professional standards of quality.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Questions to ask on a tour of River Valley Rehabilitation and Healthcare Center
- Inspectors cited the home at the actual-harm level on July 13, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 19, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
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Location
Hospitals near River Valley Rehabilitation and Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.8 mi
Rio Grande Hospital Del NorteEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 45 min for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Centennial Healthcare nursing homes in Colorado
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- The Valley Rehabilitation and Healthcare Center · Mancos · 4 stars
- Trinidad Rehabilitation and Healthcare Center · Trinidad · 3 stars
- Pine Ridge Rehabilitation and Healthcare Center · Pagosa Springs · 3 stars
- Rio Grande Rehabilitation and Healthcare Center · La Jara · 2 stars
- Vista Grande Rehabilitation and Healthcare Center · Cortez · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Centennial Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.