Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cottonwood Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
The facility failed to follow its alcohol policy by serving alcoholic beverages during a weekly happy hour without physician orders for two residents. One resident with multiple sclerosis, hypertension, osteoarthritis, and depression, who was cognitively intact and required extensive ADL assistance, reported drinking alcohol at happy hour, had signed a form allowing alcohol if the MD agreed, but had no corresponding order or care plan focus for alcohol use. Another resident with chronic respiratory failure, hypertension, mild dementia, depression, and a documented history of alcohol abuse in remission also reported weekly alcohol use at happy hour, had consented to alcohol on admission forms, and had a psychosocial care plan noting alcohol dependency history, yet had no MD order authorizing alcohol. Staff, including the AD and SSD, confirmed that residents were offered up to two alcoholic drinks based on preference, that no list of authorized residents was maintained, and that alcohol consumption was not tracked, despite policies requiring MD orders and pharmacist review for alcohol administration.
The facility failed to employ a qualified infection preventionist (IP) with specialized training, as required by their policy. The DON, who also served as the IP, could not provide a certificate of completion for the necessary training and was unaware of the requirement for the IP to work at least half-time. This deficiency had the potential to affect all residents in the facility.
A resident with severe cognitive impairment and multiple diagnoses, including dementia and depression, exhibited distressing behaviors over several months. Despite being on psychotropic medications, the facility failed to coordinate timely behavioral health services or consultations with a psychologist or psychiatrist. Staff interviews confirmed the resident's behaviors were disturbing to others, and no mental health services were offered until much later.
Failure to Obtain Physician Orders for Alcohol Consumption During Happy Hour
Penalty
Summary
The deficiency involves the facility’s failure to follow its own policies requiring a physician’s order before residents consume alcoholic beverages. The Alcoholic Beverages Policy states that a physician’s order must be obtained prior to administering alcohol, and that the nurse supervisor must consult the pharmacist for potential medication interactions and inform the physician of any concerns. The Physician Orders Related to Activities policy further requires that activity-related physician orders, including those for alcohol consumption, be obtained and reviewed. Despite these policies, surveyors found that residents were being served alcoholic beverages during a weekly happy hour without corresponding physician orders in their clinical records. Resident #2, an older adult with multiple sclerosis, hypertension, osteoarthritis, and depression, was cognitively intact and required maximum assistance with ADLs. He reported that he attended happy hour and drank alcoholic beverages on occasion when offered, and believed residents had the right to choose alcoholic or non-alcoholic drinks. His confidentiality, privacy, and activities form documented that he consented to being served alcoholic beverages during happy hour if the physician agreed, with a maximum of two drinks per physician order. However, his comprehensive care plan contained no focus on alcohol consumption, and his March 2026 computerized physician orders did not include any order authorizing alcohol use. Resident #3, an older adult with chronic respiratory failure, hypertension, mild dementia with anxiety disorder, and depression, was moderately cognitively impaired and required substantial to maximum assistance with ADLs. She stated she attended happy hour weekly, enjoyed socializing, and preferred alcoholic beverages. Her confidentiality, privacy, and activities form also indicated consent to receive alcoholic beverages during happy hour if the physician agreed, with a maximum of two drinks per physician order. Her psychosocial care plan documented a history of alcohol abuse and dependency in remission, and identified risk for impaired psychiatric mood related to depression, alcohol dependency history, and anxiety. Despite this history, her March 2026 physician orders did not contain any order permitting alcohol consumption. Staff interviews confirmed that residents were routinely offered alcoholic drinks at happy hour based on preference, that the activities director did not maintain a list of who could or could not have alcohol, and that the facility relied on resident choice rather than documented physician orders, contrary to facility policy and the medical director’s expectation that he be notified when such orders were needed.
Facility Lacks Qualified Infection Preventionist
Penalty
Summary
The facility failed to employ a qualified infection preventionist (IP) who had completed specialized training in infection prevention and control, which had the potential to affect all residents residing in the facility at the time of the survey. The facility's policy required the IP to be professionally trained in nursing, medical technology, microbiology, epidemiology, or a related field, and to work on-site at least part-time. However, the Director of Nursing (DON), who was also functioning as the IP, was unable to provide a certificate of completion for the required infection control training. During interviews, the DON stated that she had completed the necessary education in 2024 to obtain the infection control certificate but could not locate the certificate. Additionally, the DON admitted to collecting infection statistics but not analyzing the data to ensure the effectiveness of the infection control program. The DON was also unaware of the requirement for the facility to have a qualified IP working at least half-time, indicating a lack of compliance with the facility's infection prevention and control program requirements.
Failure to Provide Behavioral Health Services
Penalty
Summary
The facility failed to provide necessary behavioral health care and services to Resident #14, who was admitted with multiple diagnoses including Arnold Chiari Syndrome with hydrocephalus, anxiety disorder, depression, insomnia, and severe unspecified dementia with mood disturbance. The resident exhibited severe cognitive impairment and behavioral symptoms such as verbal aggression, auditory hallucinations, and withdrawal from activities. Despite being prescribed multiple psychotropic medications, including antianxiety, antidepressant, and antipsychotic drugs, the facility did not coordinate timely behavioral health services or consultations with a psychologist or psychiatrist. Throughout the period from April to November 2024, Resident #14 displayed numerous distressing behaviors, including yelling, cursing, and making false accusations against staff and other residents. The facility's records indicate that interventions were limited to medication administration and non-pharmacological approaches like redirection and offering a quiet environment. However, there was no documentation of efforts to assess the underlying causes or triggers of the resident's behaviors, nor was there evidence of a behavioral health consultation being offered until November 21, 2024, despite ongoing behavioral issues. Interviews with staff, including registered nurses and the Director of Nursing, revealed that Resident #14's behaviors were disturbing to other residents and had been escalating. The staff acknowledged that the resident had not received any psychological or psychiatric health care consultation or services. The facility's inaction in providing timely behavioral health services and failure to assess the resident's distressing behaviors contributed to the deficiency in maintaining the resident's highest practicable physical, mental, and psychosocial well-being.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Durango
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Durango Health And Rehabilitation | 3.4 mi | — | 2 | 0 |
| Valley Rehabilitation And Healthcare Center, The | 25.3 mi | — | 3 | 0 |
| Aztec Healthcare | 35.6 mi | — | 5 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.