CCN 065251 · Delta County, Colorado
Paonia Care and Rehabilitation Center
1625 Meadowbrook Blvd, Paonia, CO 81428
Paonia Care and Rehabilitation Center is a 60-bed for-profit nursing home in Paonia, Colorado, first certified for Medicare or Medicaid in 1989. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 51.5 residents a day, about 86% of its certified beds. It has an active FHA-insured Section 232 loan: $4.3 million originally, at 3.56%, with $3.9 million outstanding as of September 30, 2026 and maturity in June 2055.
Facility facts
- Certified beds
- 60
- Average residents per day
- 51.5 (85.8% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Meadowbrook Blvd. Operations, LLC
- Certified since
- Mar 1, 1989
- Chain or affiliated group
- Madison Creek Partners (13 facilities, chain average 3.2 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Colorado median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 26 at 1, 52 at 2, 41 at 3, 39 at 4, 50 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.00 | 3.48 | 3.68 |
| RN hours per resident per day | 1.03 | 0.74 | 0.58 |
| Weekend nurse hours per resident per day | 2.73 | ||
| Nursing staff turnover | 62.5% | 46.6% | 44.9% |
| Occupancy (residents / beds) | 85.8% | 83.8% | 85.7% |
| Fines reported by CMS | 2 totaling $32,619 | ||
| Health deficiencies, latest standard survey | 13 (Aug 7, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Paonia Care and Rehabilitation Center does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Chief Joseph Trail, LLCOrganization | Direct Ownership Interest | 100% | 03/02/2026 |
| Tippet, LLCOrganization | Indirect Ownership Interest | n/a | 03/02/2026 |
| White Canyon, LLCOrganization | Indirect Ownership Interest | n/a | 03/02/2026 |
| Clegg, MichaelIndividual | Indirect Ownership Interest | n/a | 03/02/2026 |
| Madison Creek Partners LLCOrganization | Operational / Managerial Control | n/a | 07/01/2016 |
| Christensen, CoveyIndividual | Operational / Managerial Control | n/a | 07/01/2016 |
| Clegg, MichaelIndividual | Operational / Managerial Control | n/a | 06/26/2023 |
| Hopkins, AmberIndividual | Operational / Managerial Control | n/a | 12/01/2021 |
| Ikerd, JohnIndividual | Operational / Managerial Control | n/a | 04/25/2022 |
| Meilner, TimothyIndividual | Operational / Managerial Control | n/a | 07/01/2016 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| May 8, 2020 | 223(f) refinance or purchaseHUD project name: Paonia Care & Rehabilitation Center, 56 beds. Lender at endorsement: Walker and Dunlop LLC | $4,328,000 | Active: 3.56%, $3,892,074 balanceMatures Jun 1, 2055. Servicer: Walker and Dunlop LLC | 10122140 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.