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Nursing home

Horizons Care Center

Eckert, Colorado · Delta County

  • 11411 Highway 65, Eckert, CO 81418 · Directions
  • (970) 835‑2600
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: Non-profit – corporation
  • 25 health citations in its last 3 inspection cycles (most serious: level G). See the inspection record

Summary

Horizons Care Center is a Medicare-certified nursing home in Eckert, Colorado, with 45 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2024-11-07, with 11 health deficiencies. Ownership: non-profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
45Certified beds
Health inspections: 3 of 5 starsHealth inspections

Quick answers

Where is Horizons Care Center?
11411 Highway 65, Eckert, CO 81418, in Delta County, Colorado.
What is the phone number of Horizons Care Center?
(970) 835-2600, as listed by Medicare (CMS).
What is the Medicare star rating of Horizons Care Center?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Horizons Care Center been fined?
Medicare lists no fines for Horizons Care Center.
What did inspectors find at Horizons Care Center?
In its last three inspection cycles (January 19, 2022 to January 6, 2026), Medicare lists 25 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 3 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 2 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 5 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 3 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (January 19, 2022 to January 6, 2026), Horizons Care Center had 25 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 2.72 hours per resident per day; the Colorado average is 3.69 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: November 7, 2024 — 11 health citations

Inspections in this cycle: November 7, 2024 (standard health inspection); January 6, 2026 (complaint investigation).

Show 11 citations (levels A to F, no actual harm)
  • F0880 Level F November 7, 2024 · corrected December 6, 2024

    “Provide and implement an infection prevention and control program.”

  • F0812 Level E November 7, 2024 · corrected December 6, 2024

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0609 Level D January 6, 2026 · from a complaint · corrected January 31, 2026

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

  • F0554 Level D November 7, 2024 · corrected December 6, 2024

    “Allow residents to self-administer drugs if determined clinically appropriate.”

  • F0561 Level D November 7, 2024 · corrected December 6, 2024

    “Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”

  • F0584 Level D November 7, 2024 · corrected December 6, 2024

    “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.”

  • F0659 Level D November 7, 2024 · corrected December 6, 2024

    “Provide care by qualified persons according to each resident's written plan of care.”

  • F0677 Level D November 7, 2024 · corrected December 6, 2024

    “Provide care and assistance to perform activities of daily living for any resident who is unable.”

  • F0686 Level D November 7, 2024 · corrected December 6, 2024

    “Provide appropriate pressure ulcer care and prevent new ulcers from developing.”

  • F0695 Level D November 7, 2024 · corrected December 6, 2024

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0842 Level D November 7, 2024 · corrected December 6, 2024

    “Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”

Previous cycle: April 13, 2023 — 8 health citations

Inspections in this cycle: April 13, 2023 (standard health inspection).

  • F0689 Level G April 13, 2023 · corrected May 5, 2023

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 7 less serious citations (levels A to F)
  • F0880 Level F April 13, 2023 · corrected May 5, 2023

    “Provide and implement an infection prevention and control program.”

  • F0658 Level D April 13, 2023 · corrected May 5, 2023

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0677 Level D April 13, 2023 · corrected May 5, 2023

    “Provide care and assistance to perform activities of daily living for any resident who is unable.”

  • F0686 Level D April 13, 2023 · corrected May 5, 2023

    “Provide appropriate pressure ulcer care and prevent new ulcers from developing.”

  • F0690 Level D April 13, 2023 · corrected May 5, 2023

    “Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

  • F0695 Level D April 13, 2023 · corrected May 5, 2023

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0697 Level D April 13, 2023 · corrected May 5, 2023

    “Provide safe, appropriate pain management for a resident who requires such services.”

Earlier cycle: January 19, 2022 — 6 health citations

Inspections in this cycle: January 19, 2022 (standard health inspection).

Show 6 citations (levels A to F, no actual harm)
  • F0561 Level E January 19, 2022 · corrected March 3, 2022

    “Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”

  • F0600 Level E January 19, 2022 · corrected March 3, 2022

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

  • F0610 Level E January 19, 2022 · corrected March 3, 2022

    “Respond appropriately to all alleged violations.”

  • F0609 Level D January 19, 2022 · corrected March 3, 2022

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

  • F0645 Level D January 19, 2022 · corrected March 3, 2022

    “PASARR screening for Mental disorders or Intellectual Disabilities”

  • F0742 Level D January 19, 2022 · corrected March 3, 2022

    “Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (17)
  • K0321 Level F November 7, 2024 · corrected December 12, 2024

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0353 Level F November 7, 2024 · plan of correction accepted (January 3, 2025)

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0761 Level F November 7, 2024 · corrected January 3, 2025

    “To conduct inspection, testing and maintenance of fire doors by qualified individuals.”

  • K0211 Level E November 7, 2024 · corrected December 10, 2024

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0222 Level D November 7, 2024 · corrected December 5, 2024

    “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.”

  • K0291 Level D November 7, 2024 · corrected December 10, 2024

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0293 Level D November 7, 2024 · corrected December 10, 2024

    “Have properly located and lighted "Exit" signs.”

  • K0324 Level D November 7, 2024 · corrected January 3, 2025

    “Provide properly protected cooking facilities.”

  • K0331 Level D November 7, 2024 · corrected January 3, 2025

    “Construct fire resistant interior walls.”

  • K0361 Level D November 7, 2024 · corrected January 3, 2025

    “Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.”

  • K0521 Level D November 7, 2024 · corrected December 10, 2024

    “Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”

  • K0918 Level D November 7, 2024 · corrected January 3, 2025

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0353 Level F April 13, 2023 · corrected May 4, 2023

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0363 Level F April 13, 2023 · corrected May 24, 2023

    “Install corridor and hallway doors that block smoke.”

  • K0918 Level F April 13, 2023 · corrected May 25, 2023

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0300 Level D January 19, 2022 · corrected February 9, 2022

    “Meet other general requirements that are deficient.”

  • K0353 Level D January 19, 2022 · corrected February 9, 2022

    “Inspect, test, and maintain automatic sprinkler systems.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeColoradoNational
Registered nurse (RN) hours per resident per day0.730.810.69
Licensed practical nurse (LPN) hours per resident per day0.680.680.86
Nurse aide hours per resident per day1.302.202.35
Total nurse staff hours per resident per day2.723.693.90
Total nurse staff hours per resident per day on the weekend2.183.263.43
RN hours per resident per day on the weekend0.480.600.48
Nursing staff turnover (per year)63.2%47.0%45.3%
RN turnover (per year)42.9%44.4%42.5%
Administrators who left in the last year0.00.50.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 6 nursing homes: Volunteers of America Senior Living.

Legal business name: Volunteers of America Care Facilities.

Owners and managers Medicare lists (2)
NameRoleShareSince
Volunteers of America National ServicesDirect ownerNOT APPLICABLEJanuary 16, 2015
Volunteers of America National ServicesManagement company (operational or managerial control)NOT APPLICABLEJanuary 16, 2015

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds45
Average residents per day37.4
Takes part inMedicare and Medicaid
OwnershipNon-profit – corporation
Group or chain (affiliated entity)Volunteers of America Senior Living
Legal business nameVolunteers of America Care Facilities
First approved by Medicare/Medicaid1989-07-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address11411 Highway 65, Eckert, CO 81418
CountyDelta County
StateColorado
Phone(970) 835‑2600
CMS Certification Number065258
Name in Medicare recordsHORIZONS CARE CENTER
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13