Eight patient care areas of the hospital showed cleanliness problems including dirty floors and kitchens.
"I'm just astounded, quite frankly, I'm absolutely astounded," Glenn Haggstrom told The Associated Press in a rare interview.
The sweeping measure touches nearly every aspect of state government spending — including health care, transportation, and taxes.
The rural sustainability bill still has a long way to go in a legislature where byzantine fights over finances have bedeviled compromise for years.
Of all the bills state lawmakers take up every year, the only one they must pass is the budget — and they have to balance it.
Out on Colorado's plains, the Lincoln Community Hospital is the lifeblood of the region — and the only care center in a 75-mile radius.
The ACA has helped keep many rural hospitals afloat. But new ideas for a replacement could have a big impact on rural care — in the very counties that elected Donald Trump.