All states › Colorado › Eckert › Horizons Care Center
11411 Highway 65 Eckert, CO 81418 · Delta County
CMS certification number 065258 · See this home on Medicare Care Compare
Is Horizons Care 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 Horizons Care Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as 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 2.72 hours per resident per day at Horizons Care Center, below the Colorado median of 3.47 (US median: 3.72). About 0.73 of those hours are from registered nurses. On weekends it falls to 2.18 hours, 20% below its all-week average. Ask how weekends are staffed. 63.2% of nursing staff left within a year (Colorado median 46.6%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Horizons Care Center: Medicare and Medicaid
Horizons Care 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 November 7, 2024 and found 10 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 25 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 25 citations at Horizons Care Center across 4 inspection dates, 1 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on April 13, 2023. The most common areas cited were quality of life and care (10) and freedom from abuse, neglect, and exploitation (4). 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, April 13, 2023). 4 citations were under CMS's abuse, neglect and exploitation rules.
January 6, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 7, 2024 · 10 citations
FProvide and implement an infection prevention and control program.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DAllow residents to self-administer drugs if determined clinically appropriate.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DProvide care by qualified persons according to each resident's written plan of care.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 13, 2023 · 8 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide and implement an infection prevention and control program.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
January 19, 2022 · 6 citations
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
ERespond appropriately to all alleged violations.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Questions to ask on a tour of Horizons Care Center
- Inspectors cited the home at the actual-harm level on April 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 January 6, 2026. 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?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 63.2% a year. How many of the staff come from agencies?
- 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 | 3/5 | 3/5 | 2/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 4/5 | 2/5 |
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Location
Hospitals near Horizons Care 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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6.3 mi
Delta County Memorial Hospital DeltaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 23m for patients treated and sent home
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24.3 mi
Montrose Memorial Hospital MontroseEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 26m 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 Volunteers of America Senior Living nursing homes in Colorado
- Valley Manor Care Center · Montrose · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Volunteers of America Senior Living 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.