nursing home in Paonia, CO

Paonia Care and Rehabilitation Center

1625 Meadowbrook Blvd, Paonia, CO 81428 · (970) 527-4837

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★4
  • Quality measures★★★★★4
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Paonia Care and Rehabilitation Center at a glance

Paonia Care and Rehabilitation Center is a 60-bed for-profit nursing home in Paonia, Colorado (Delta County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Colorado average of 3.2.

Residents receive about 3 hours of nursing care per day (1 of them from registered nurses), worse than the state average of 3.7 hours.

Its most recent standard health inspection (August 7, 2025) found 13 health citations. The Colorado average is 8.7.

Federal regulators fined it 2 times in the past three years, totaling $32,619.

Nursing staff turnover is 62.5% per year (state average 47.1%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
60
Certified for
Medicare and Medicaid
Chain / affiliated entity
Madison Creek Partners
Medicare-certified since
March 1, 1989
Resident/family council
Resident
County
Delta County
CMS Certification Number
065251

Ratings

MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.2 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)4 / 54.1 / 53.6 / 5Average
Long-stay quality rating (higher is better)4 / 54.1 / 53.8 / 5Average

Staffing

This facility3.00 hrsColorado average3.72 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.00 hrs3.72 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)1.03 hrs0.82 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)1.62 hrs2.21 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.73 hrs3.29 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)62.5%47.1%45.8%Worse
Registered nurse turnover (yearly) (lower is better)58.3%44.6%42.9%Worse
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility13Colorado average9U.S. average9
Health citations in the most recent inspection: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1399Worse
Citations from complaint investigations (latest cycle) (lower is better)223Better
Weighted health inspection score ⓘ (lower is better)1387480.6Worse

Penalties

This facility2Colorado average1U.S. average1
Fines in the past 3 years: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$32,619$22,802$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Certified beds6094107
Average residents per day527586
Occupancy85.8%80.7%80.9%

Long-stay residents

This facility5.2%Colorado average3.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.2%3.4%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)3%3.4%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)32.5%20%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0%1.4%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.6%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)10.5%13.4%13.9%Better
Long-stay residents whose walking worsened (lower is better)11.2%13.3%14.1%Better
Long-stay residents who lose too much weight (lower is better)2.4%4.7%5.2%Better
Long-stay residents with depressive symptoms (lower is better)2.4%8.8%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)20.8%11.5%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)17%21.2%19%Better
Long-stay residents given a flu vaccine (higher is better)97.3%94.7%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%93.5%93.6%Better

Short-stay residents

This facility0%Colorado average1.6%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.6%1.6%Better
Short-stay residents given a pneumonia vaccine (higher is better)97.3%76.4%82%Better

Inspection citations

State inspectors cited this home for 46 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
July 14, 2026
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
G
Actual harm, isolated
Corrected April 30, 2026
July 14, 2026
Complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected August 10, 2026
August 7, 2025
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected November 1, 2025
August 7, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected January 1, 2026
August 7, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected October 9, 2025
August 7, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected October 9, 2025
August 7, 2025
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected September 2, 2025
August 7, 2025
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
F
Potential harm, widespread
Corrected October 9, 2025
August 7, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected October 9, 2025
August 7, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected October 9, 2025
August 7, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected October 9, 2025
August 7, 2025
Fire safety
Construct fire resistant interior walls.
Smoke Deficiencies · Tag K0331
D
Potential harm, isolated
Corrected October 9, 2025
August 7, 2025
Fire safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916
D
Potential harm, isolated
Corrected January 1, 2026
August 7, 2025
Fire safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927
D
Potential harm, isolated
Corrected October 9, 2025
August 7, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected October 9, 2025
August 7, 2025
Standard
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603
G
Actual harm, isolated
Corrected September 2, 2025
August 7, 2025
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
E
Potential harm, pattern
Corrected September 2, 2025
August 7, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected September 2, 2025
August 7, 2025
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
D
Potential harm, isolated
Corrected September 2, 2025
August 7, 2025
Standard
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.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected September 2, 2025
August 7, 2025
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected September 2, 2025
August 7, 2025
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected September 2, 2025
August 7, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected September 2, 2025
August 7, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected September 2, 2025
August 7, 2025
Standard
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Tag F0740
D
Potential harm, isolated
Corrected September 2, 2025
August 7, 2025
Standard
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected September 2, 2025
March 24, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected April 29, 2025
March 1, 2024
Fire safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916
F
Potential harm, widespread
Corrected March 30, 2024
March 1, 2024
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
F
Potential harm, widespread
Corrected March 28, 2024
March 1, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected May 4, 2024
March 1, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected May 4, 2024
March 1, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected March 30, 2024
March 1, 2024
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
K
Immediate jeopardy, pattern
Corrected March 1, 2024
March 1, 2024
Complaint
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
G
Actual harm, isolated
Corrected March 28, 2024
March 1, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 28, 2024
March 1, 2024
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
F
Potential harm, widespread
Corrected March 30, 2024
March 1, 2024
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
F
Potential harm, widespread
Corrected March 28, 2024
March 1, 2024
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0801
F
Potential harm, widespread
Corrected March 28, 2024
March 1, 2024
Standard
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Tag F0680
E
Potential harm, pattern
Corrected March 28, 2024
March 1, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected March 28, 2024
March 1, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected March 28, 2024
March 1, 2024
Standard
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Tag F0567
E
Potential harm, pattern
Corrected March 28, 2024
March 1, 2024
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected March 28, 2024
March 1, 2024
Standard
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · Tag F0569
E
Potential harm, pattern
Corrected March 28, 2024
March 1, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected March 28, 2024
March 1, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected March 28, 2024
March 1, 2024
Complaint
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected March 28, 2024
March 1, 2024
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected March 28, 2024
March 1, 2024
Standard
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies · Tag F0626
D
Potential harm, isolated
Corrected March 28, 2024
March 1, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected March 28, 2024
March 1, 2024
Standard
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · Tag F0660
D
Potential harm, isolated
Corrected March 28, 2024
March 1, 2024
Standard
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Tag F0676
D
Potential harm, isolated
Corrected March 28, 2024
March 1, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected March 28, 2024
March 1, 2024
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected March 28, 2024
March 1, 2024
Standard
The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights Deficiencies · Tag F0574
C
No harm, widespread
Corrected March 28, 2024
November 3, 2022
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected December 9, 2022
November 3, 2022
Fire safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916
F
Potential harm, widespread
Corrected December 9, 2022
November 3, 2022
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected December 9, 2022
November 3, 2022
Fire safety
Install proper backup exit lighting.
Egress Deficiencies · Tag K0281
E
Potential harm, pattern
Corrected December 9, 2022
November 3, 2022
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected December 9, 2022
November 3, 2022
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected January 31, 2023
November 3, 2022
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
G
Actual harm, isolated
Corrected December 13, 2022
November 3, 2022
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
F
Potential harm, widespread
Corrected December 13, 2022
November 3, 2022
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
E
Potential harm, pattern
Corrected December 13, 2022
November 3, 2022
Standard
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Tag F0744
E
Potential harm, pattern
Corrected December 13, 2022
November 3, 2022
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
E
Potential harm, pattern
Corrected December 13, 2022
November 3, 2022
Standard
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Tag F0825
D
Potential harm, isolated
Corrected January 31, 2023
November 3, 2022
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected December 13, 2022
November 3, 2022
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected December 13, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $32,619 in fines.

DatePenaltyAmount / length
August 7, 2025Fine$12,438
March 1, 2024Fine$20,181

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CHIEF JOSEPH TRAIL, LLC
Organization
5% or greater direct ownership interest100%03/02/2026
CLEGG, MICHAEL
Individual
5% or greater indirect ownership interest—03/02/2026
TIPPET, LLC
Organization
5% or greater indirect ownership interest—03/02/2026
WHITE CANYON, LLC
Organization
5% or greater indirect ownership interest—03/02/2026
CHRISTENSEN, COVEY
Individual
adp of the snfNOT APPLICABLE07/01/2016
CLEGG, MICHAEL
Individual
adp of the snfNOT APPLICABLE06/26/2023
HOPKINS, AMBER
Individual
adp of the snfNOT APPLICABLE12/01/2021
IKERD, JOHN
Individual
adp of the snfNOT APPLICABLE04/25/2022
MADISON CREEK PARTNERS LLC
Organization
adp of the snfNOT APPLICABLE03/26/2026
MEILNER, TIMOTHY
Individual
adp of the snfNOT APPLICABLE07/01/2016
CLEGG, MICHAEL
Individual
managing control - governing bodyNOT APPLICABLE06/26/2023
IKERD, JOHN
Individual
managing control - governing bodyNOT APPLICABLE03/02/2026
CHRISTENSEN, COVEY
Individual
operational/managerial controlNOT APPLICABLE07/01/2016
CLEGG, MICHAEL
Individual
operational/managerial controlNOT APPLICABLE06/26/2023
HOPKINS, AMBER
Individual
operational/managerial controlNOT APPLICABLE12/01/2021
IKERD, JOHN
Individual
operational/managerial controlNOT APPLICABLE04/25/2022
MADISON CREEK PARTNERS LLC
Organization
operational/managerial controlNOT APPLICABLE07/01/2016
MEILNER, TIMOTHY
Individual
operational/managerial controlNOT APPLICABLE07/01/2016

Other nursing homes near Paonia Care and Rehabilitation Center

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    ★★★★★3Average
  2. Willow Tree Care Center

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  4. Hope Springs Care Center

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    ★★★★★2Below average
  5. Valley Manor Care Center

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Frequently asked questions

What is Paonia Care and Rehabilitation Center's rating?

Paonia Care and Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for Colorado nursing homes is 3.2 stars.

How many inspection citations did Paonia Care and Rehabilitation Center receive?

Its most recent standard health inspection found 13 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.

Does Paonia Care and Rehabilitation Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Paonia Care and Rehabilitation Center?

It is for profit - limited liability company and part of Madison Creek Partners. The ownership section on this page lists the owners and managers reported to CMS.

Where is Paonia Care and Rehabilitation Center and how do I contact it?

Paonia Care and Rehabilitation Center is at 1625 Meadowbrook Blvd, Paonia, CO 81428. Phone: (970) 527-4837.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.