All states › Colorado › Paonia › Paonia Care and Rehabilitation Center
1625 Meadowbrook Blvd Paonia, CO 81428 · Delta County
CMS certification number 065251 · See this home on Medicare Care Compare
Is Paonia Care and Rehabilitation 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 Paonia Care and Rehabilitation Center as of October 2026.
CMS rates it 1 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 3.49 hours per resident per day at Paonia Care and Rehabilitation Center, about the same as the Colorado median of 3.47 (US median: 3.72). About 0.88 of those hours are from registered nurses. On weekends it falls to 3.04 hours, 13% below its all-week average. 66.7% 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. 2 administrators left in the past year.
About this nursing home
Paying for care at Paonia Care and Rehabilitation Center: Medicare and Medicaid
Paonia Care and Rehabilitation 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 August 7, 2025 and found 11 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 46 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 46 citations at Paonia Care and Rehabilitation Center across 5 inspection dates, 7 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 1, 2024. The most common areas cited were quality of life and care (13) and freedom from abuse, neglect, and exploitation (8). The most serious was cited under the CMS rule to "ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs" (tag F0805, level K, March 1, 2024). 8 citations were under CMS's abuse, neglect and exploitation rules.
July 14, 2026 · 2 citations · includes complaint inspection
GEnsure that residents are free from significant medication errors.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
August 7, 2025 · 11 citations, includes actual harm
GProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DProvide and implement an infection prevention and control program.
DImplement a program that monitors antibiotic use.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate 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.
March 24, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
March 1, 2024 · 23 citations, includes immediate jeopardy · includes complaint inspection
KEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
GProvide enough food/fluids to maintain a resident's health.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EHonor the resident's right to manage his or her financial affairs.
ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
EHonor 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.
EProvide activities to meet all resident's needs.
EEnsure the activities program is directed by a qualified professional.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure medication error rates are not 5 percent or greater.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DPlan the resident's discharge to meet the resident's goals and needs.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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.
CThe resident has the right to receive notices in a format and a language he or she understands.
November 3, 2022 · 9 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide enough food/fluids to maintain a resident's health.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DRespond appropriately to all alleged violations.
DProvide or get specialized rehabilitative services as required for a resident.
Questions to ask on a tour of Paonia Care and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on March 1, 2024 under the rule on nutrition and dietary. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 7, 2025. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 66.7% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- 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
2 penalties in the last three years, including $32,619 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 7, 2025 | Fine | $12,438 |
| Mar 1, 2024 | Fine | $20,181 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
Add this rating badge to your websiteFree. Shows Paonia Care and Rehabilitation Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Nearby nursing homes
More nursing homes near Paonia Care and Rehabilitation Center › All nursing homes in Paonia ›
Compare Paonia Care and Rehabilitation Center with the 3 closest homes side by side ›
Other Madison Creek Partners nursing homes in Colorado
- The Gardens · Colorado Springs · 5 stars
- Pioneer Health Care Center · Rocky Ford · 4 stars
- Silver Heights Skilled Nursing and Rehabilitation · Castle Rock · 4 stars
- Lakewood Villa · Lakewood · 3 stars
- Pueblo Heights Nursing and Rehabilitation · Pueblo · 2 stars
- Sundance Skilled Nursing and Rehabilitation · Colorado Springs · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Madison Creek Partners 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.