B

PINE RIDGE REHABILITATION AND HEALTHCARE CENTER

119 BASTILLE DR, PAGOSA SPRINGS, CO 81147
Score: 78 / 100

Pine Ridge Rehabilitation And Healthcare Center earns a solid B grade from CMS data, with a score of 78/100. Performing above average across most metrics, this Pagosa Springs facility ranks in the 79th percentile among Colorado nursing homes.

Staffing levels are a potential concern at Pine Ridge Rehabilitation And Healthcare Center, with 2.39 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 18 deficiencies at Pine Ridge Rehabilitation And Healthcare Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure services provided by the nursing facility meet professional standards of quality..

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.39 3.8 Below Average
Registered Nurses (RN) 0.57 0.7 Below Average
Licensed Practical Nurses (LPN) 0.42 0.7 Below Average
Certified Nursing Assistants (CNA) 1.39 2.4 Below Average
Weekend Total Nursing 2.01 3.8 Below Average
Weekend RN Hours 0.41 0.7 Below Average

🔍 Inspection & Deficiency History

18
Total Deficiencies
Jan 9, 2024
Most Recent Inspection
🟠 17 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0658 Severity E
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jan 9, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jan 9, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0758 Severity D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Jan 9, 2024 · Pharmacy Service Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Jan 9, 2024 · Pharmacy Service Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Sep 14, 2022 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.8% 4.5% Better
Falls with major injury 7.3% 3.0% Worse
On antipsychotic medication 23.9% 14.5% Worse
Urinary tract infections 0.6% 2.5% Better
ADL decline (daily activities) 6.8% 14.0% Better
Excessive weight loss 0.6% 7.5% Better
New/worsened incontinence 12.0% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $3,145

How This Grade Was Calculated

This facility's grade of B is based on a score of 78 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
60
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 9, 2024
Deficiencies (Cycle 1)
4