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Nursing homeFAID #1341

Paonia Care and Rehabilitation Center

1625 MEADOWBROOK BLVD, PAONIA, CO, 81428
(970) 527-4837
60 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
60
State license
021199
CMS facility ID
065251
Care type
Nursing home
Facility name
Paonia Care and Rehabilitation Center
Street address
1625 MEADOWBROOK BLVD
City / state / ZIP
Paonia, CO 81428
Phone
(970) 527-4837
State license #
021199

About this facility — Paonia Care and Rehabilitation Center

Paonia Care and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Paonia, Colorado. It is licensed for 60 beds — below the median for skilled nursing facilities in Colorado (90 beds).

It is one of 2 senior care facilities in Paonia and 210 skilled nursing facilities across Colorado. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Paonia Care and Rehabilitation Center 67 times across 8 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $32,619 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Madison Creek Partners
Ownership type
For profit - Limited Liability company

Registered owners & officers

Chief Joseph Trail, Llc
Direct owner — 100% stake — since 2026
Christensen, Covey
Operational control · Additional disclosable party — since 2016
Clegg, Michael
Indirect owner · Governing body · Operational control · Additional disclosable party — since 2023
Hopkins, Amber
Operational control · Additional disclosable party — since 2021
Ikerd, John
Governing body · Operational control · Additional disclosable party — since 2022
Madison Creek Partners Llc
Operational control · Additional disclosable party — since 2016
Meilner, Timothy
Operational control · Additional disclosable party — since 2016
Tippet, Llc
Indirect owner — since 2026
White Canyon, Llc
Indirect owner — since 2026

Regulatory standing

License status
Active
Licensed / certified since
1989-03-01
CMS overall rating
1 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$32,619 total
Last standard inspection
2025-08-07
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$354 per day (≈ $10,760/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 7% Medicare · 20% private/other
Occupancy
57% (fiscal year 2023)
Vs. state median
13% below the CO median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
60
Licensed as
Nursing Facilities
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2025-08-07Health inspection11 citations
F-0600
E · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-02
F-0603
G · Actual harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2025-09-02
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-02
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-02
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-02
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-09-02
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-09-02
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-02
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-09-02
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-02
F-0887
D · No harm found
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.
Corrected 2025-09-02
2025-03-24Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-29
5 earlier / fire-safety inspections (55 citations)
2024-03-01Health inspectionComplaint-triggered23 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-03-28
F-0567
E · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-03-28
F-0569
E · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-03-28
F-0574
C · No harm found
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2024-03-28
F-0584
E · No harm found
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.
Corrected 2024-03-28
F-0626
D · No harm found
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-03-28
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-28
F-0660
D · No harm found
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-03-28
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-03-28
F-0679
E · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2024-03-28
F-0680
E · No harm found
Ensure the activities program is directed by a qualified professional.
Corrected 2024-03-28
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-28
F-0692
G · Actual harmFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-28
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-28
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-03-28
F-0801
F · No harm foundFood safety
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.
Corrected 2024-03-28
F-0803
F · No harm foundFood safety
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.
Corrected 2024-03-28
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-28
F-0805
K · Immediate jeopardyFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-03-01
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-03-28
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-28
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-03-30
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-28
2022-11-03Health inspection9 citations
F-0600
E · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-12-13
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-12-13
F-0609
E · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-12-13
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2022-12-13
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-31
F-0692
G · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-12-13
F-0744
E · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2022-12-13
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-01-31
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-12-13
2025-08-07Fire-safety inspection13 citations
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-09-02
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-09
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-10-09
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-10-09
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-10-09
K-0331
D · No harm found
Construct fire resistant interior walls.
Corrected 2025-10-09
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-09
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-09
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-10-09
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-11-01
K-0916
D · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2026-01-01
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-01
K-0927
D · No harm found
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2025-10-09
2024-03-01Fire-safety inspection5 citations
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2024-03-28
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-04
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-04
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-03-30
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-30
2022-11-03Fire-safety inspection5 citations
K-0222
F · No harm found
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.
Corrected 2022-12-09
K-0281
E · No harm found
Install proper backup exit lighting.
Corrected 2022-12-09
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-09
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2022-12-09
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-09

Federal penalties

2025-08-07Fine$12,438
2024-03-01Fine$20,181
Total fines$32,619
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 065251.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 67 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered