PAONIA CARE AND REHABILITATION CENTER

CMS abuse icon · CCN 065251 · MEADOWBROOK BLVD. OPERATIONS, LLC · For profit - Limited Liability company · MADISON CREEK PARTNERS chain · 60 certified beds · Delta · CO


PAONIA CARE AND REHABILITATION CENTER is a 60-bed nursing home in PAONIA, Colorado. CMS has certified it for Medicare and Medicaid since 1989-03-01. It averages 51.5 residents a day.

What harm was found in the violations cited at PAONIA CARE AND REHABILITATION CENTER?

CMS lists 44 health-inspection deficiencies for PAONIA CARE AND REHABILITATION CENTER since 2022-11-03, 35 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-08-07.

Survey dateTagDeficiencySeverity
2025-08-07F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).G
2025-08-07F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2025-08-07F0605, F0677, F0695, F0699, F0740, F0880, F0881, F0883, F0887Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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.D
2025-03-24F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-03-01F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.K
2024-03-01F0692Provide enough food/fluids to maintain a resident's health.G
2024-03-01F0801, F0803, F0812, F0867Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2024-03-01F0567, F0569, F0584, F0679, F0680, F0689, F0759, F0804, F0880Honor the resident's right to manage his or her financial affairs. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / 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. / Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.E
2024-03-01F0552, F0626, F0656, F0660, F0676, F0760, F0806Ensure that residents are fully informed and understand their health status, care and treatments. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Plan the resident's discharge to meet the resident's goals and needs. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2024-03-01F0574The resident has the right to receive notices in a format and a language he or she understands.C
2022-11-03F0689, F0692Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.G
2022-11-03F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2022-11-03F0600, F0609, F0744Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.E
2022-11-03F0604, F0610, F0825Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Respond appropriately to all alleged violations. / Provide or get specialized rehabilitative services as required for a resident.D

Why was PAONIA CARE AND REHABILITATION CENTER fined 2 times?

DateTypeAmount
2025-08-07Fine$12,438
2024-03-01Fine$20,181

How is PAONIA CARE AND REHABILITATION CENTER staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day2.998393.72368
Total nursing staff turnover (%)62.547.1
Average number of residents per day51.574.8

Who owns PAONIA CARE AND REHABILITATION CENTER, and what chain is it in?

PAONIA CARE AND REHABILITATION CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name MEADOWBROOK BLVD. OPERATIONS, LLC and belongs to the MADISON CREEK PARTNERS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCHIEF JOSEPH TRAIL, LLCsince 03/02/2026
5% OR GREATER INDIRECT OWNERSHIP INTERESTTIPPET, LLC, WHITE CANYON, LLC, CLEGG, MICHAELsince 03/02/2026
MANAGING CONTROL - GOVERNING BODYCLEGG, MICHAEL, IKERD, JOHNsince 03/02/2026
OPERATIONAL/MANAGERIAL CONTROLMADISON CREEK PARTNERS LLC, CHRISTENSEN, COVEY, CLEGG, MICHAEL, HOPKINS, AMBER, IKERD, JOHN, MEILNER, TIMOTHYsince 04/25/2022
ADP OF THE SNFMADISON CREEK PARTNERS LLC, CHRISTENSEN, COVEY, CLEGG, MICHAEL, HOPKINS, AMBER, IKERD, JOHN, MEILNER, TIMOTHYsince 03/26/2026

Were you or a family member harmed at PAONIA CARE AND REHABILITATION CENTER?