Paonia Care and Rehabilitation Center
Nursing Home · Paonia, CO
CMS certification number065251
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1625 Meadowbrook BlvdPaonia, CO 81428
Delta County
- Phone
- (970) 527-4837
- ZIP code
- 81428 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 51.5 (86% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Meadowbrook Blvd. Operations, LLC
- Chain
- Madison Creek Partners (13 facilities, avg 3.2★)
- Medicare certified since
- March 1, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.00 (state 3.72 · U.S. 3.86)
- Registered nurses (RN)
- 1.03 (state 0.82 · U.S. 0.69)
- Licensed practical nurses
- 0.34 (state 0.68 · U.S. 0.86)
- Nurse aides
- 1.62 (state 2.22 · U.S. 2.32)
- Weekend total
- 2.73 (state 3.30 · U.S. 3.42)
- Nursing staff turnover
- 62.5 (state 47.1 · U.S. 45.8)%
- RN turnover
- 58.3 (state 44.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- August 7, 2025
- Health deficiencies (last cycle)
- 11.0 (state 8.6 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 44 health · 23 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-08-07 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
G Actual harm |
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. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-02 |
| 2025-08-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-02 |
| 2025-08-07 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-02 |
| 2025-08-07 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-02 |
| 2025-08-07 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-02 |
| 2025-08-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-02 |
| 2025-08-07 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-02 |
| 2025-08-07 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0805 · Nutrition and Dietary Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2024-03-01 |
| 2024-03-01 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
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. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
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. F0803 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
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. F0867 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-03-30 |
| 2024-03-01 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-01 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-01 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-01 | Ensure the activities program is directed by a qualified professional. F0680 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-01 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-01 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-01 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0626 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-01 | Plan the resident's discharge to meet the resident's goals and needs. F0660 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-01 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0574 · Resident Rights Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-03-28 |
| 2022-11-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-01-31 |
| 2022-11-03 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2022-12-13 |
| 2022-11-03 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-12-13 |
| 2022-11-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-13 |
| 2022-11-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-13 |
| 2022-11-03 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-13 |
| 2022-11-03 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-13 |
| 2022-11-03 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-12-13 |
| 2022-11-03 | Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-01-31 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $32,619 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-07 | Fine | $12,438 |
| 2024-03-01 | Fine | $20,181 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Chief Joseph Trail, LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Clegg, Michael (individual) | 5%+ Indirect Ownership Interest | |
| Tippet, LLC (organization) | 5%+ Indirect Ownership Interest | |
| White Canyon, LLC (organization) | 5%+ Indirect Ownership Interest | |
| Christensen, Covey (individual) | Administrator · NOT APPLICABLE | |
| Clegg, Michael (individual) | Administrator · NOT APPLICABLE | |
| Hopkins, Amber (individual) | Administrator · NOT APPLICABLE | |
| Ikerd, John (individual) | Administrator · NOT APPLICABLE | |
| Madison Creek Partners LLC (organization) | Administrator · NOT APPLICABLE | |
| Meilner, Timothy (individual) | Administrator · NOT APPLICABLE | |
| Clegg, Michael (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Ikerd, John (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Christensen, Covey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Clegg, Michael (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hopkins, Amber (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ikerd, John (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Madison Creek Partners LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Meilner, Timothy (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Paonia Care and Rehabilitation Center?
Paonia Care and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Colorado.
How many beds does Paonia Care and Rehabilitation Center have?
It has 60 certified beds and cares for about 52 residents per day.
Has Paonia Care and Rehabilitation Center been fined?
Yes. CMS lists 2 penalties totaling $32,619 in the last three years.
Who owns Paonia Care and Rehabilitation Center?
It is part of Madison Creek Partners and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Paonia Care and Rehabilitation Center?
(970) 527-4837. The facility is located at 1625 Meadowbrook Blvd, Paonia, CO 81428.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.