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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D30 | E7 | F15 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 20, 2025 | Fire safety | Fire Safety Standard | 11 | Potential harm | 2 | Open → |
| Aug 20, 2025 | Health | Health Standard | 16 | Actual harm | — | Open → |
| Apr 7, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Feb 3, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 31, 2024 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Apr 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 28, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 28, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jun 29, 2022 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Jun 29, 2022 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 20, 2025 | Civil money penalty (fine) | $45,768 | — | 065174|Fine|135897 |
| Apr 7, 2025 | Civil money penalty (fine) | $16,149 | — | 065174|Fine|115939 |
| Dec 31, 2024 | Civil money penalty (fine) | $25,298 | — | 065174|Fine|115916 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D30 | E7 | F15 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 20, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 19, 2025 | |
| Aug 20, 2025 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 19, 2025 | |
| Aug 20, 2025 | K-0211 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
22 facilities in 3 states. CMS chain ID 803.
Chain average overall rating (CMS): 1.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| David Mahrt | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Katie Myers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Walter Myers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Holly Swain | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Jared Swain | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| David Mahrt | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Katie Myers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Walter Myers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Holly Swain | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Jared Swain | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Poudre Canyon Rehabilitation and Nursing, LLC 1000 S Lemay Ave, Fort Collins, CO 80524 CCN 065166SFF CandidateAbuse icon | 83 | Jul 28, 2026 | 791 IJ5 harm |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Devonshire Care Center 1330 Sidney Ave, Sterling, CO 80751 CCN 065150 | 3.4 km | 84 | Mar 26, 2026 | 574 harm | $9,980 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065174 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065174 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Oct 16, 2025 |
| Aug 20, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 16, 2025 |
| Aug 20, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 16, 2025 |
| Aug 20, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 16, 2025 |
| Aug 20, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified Oct 16, 2025 |
| Aug 20, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 16, 2025 |
| Aug 20, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 16, 2025 |
| Aug 20, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified Oct 16, 2025 |
| Aug 20, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 16, 2025 |
| Aug 20, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 16, 2025 |
| Aug 20, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 12, 2025 |
| Aug 20, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 19, 2025 |
| Aug 20, 2025 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Sep 19, 2025 |
| Apr 7, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Feb 28, 2025 | Complaint |
| Apr 7, 2025 | F-0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 8, 2025 | Complaint |
| Feb 3, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 28, 2025 | Complaint |
| Feb 3, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2025 | Complaint |
| Dec 31, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 27, 2025 | Complaint |
| Dec 31, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 27, 2025 | Complaint |
| Dec 31, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 27, 2025 | Complaint |
| Dec 31, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 27, 2025 | Complaint |
| Apr 23, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2024 | Complaint |
| Sep 28, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 24, 2023 |
| Sep 28, 2023 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 29, 2023 |
| Sep 28, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 11, 2023 |
| Sep 28, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 11, 2023 |
| Sep 28, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 11, 2023 |
| Jun 29, 2022 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Past non-compliance Sep 7, 2021 |
| Jun 29, 2022 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 9, 2022 |
| Jun 29, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 26, 2022 |
| Jun 29, 2022 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 10, 2022 |
| Jun 29, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 1, 2022 |
| Jun 29, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 18, 2022 |
| Jun 29, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Aug 11, 2022 |
| Jun 29, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 28, 2022 |
| Jun 29, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2022 |
| Jun 29, 2022 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Oct 20, 2022 |
| Jun 29, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 28, 2022 |
| Jun 29, 2022 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 24, 2022 |
| Jun 29, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 20, 2022 |
| Jun 29, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 1, 2022 |
| Jun 29, 2022 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 29, 2022 |
| Jun 29, 2022 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 29, 2022 |
| Jun 29, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 29, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.56 (case-mix index 1.36).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Sep 1, 2024 |
| Cottonwood Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Walter Myers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Clint Nelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Jeannae Dergance | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 18, 2025 |
| Clint Nelson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 18, 2025 |
| $48k |
| Falcon Heights Rehabilitation and Nursing LLC 1795 Monterey Rd, Colorado Springs, CO 80910 CCN 065168Abuse icon | 107 | Jul 23, 2026 | 652 harm16 open | $6,146 |
| South Platte Rehabilitation and Nursing LLC 2200 Edison St, Brush, CO 80723 CCN 065170 | 78 | Oct 15, 2025 | 471 IJ2 harm | $37k |
| Fountain View Rehabilitation and Nursing LLC 2438 E Fountain Blvd, Colorado Springs, CO 80910 CCN 065172 | 118 | Jan 28, 2026 | 25 | — |
| Kiowa Hills Rehabilitation and Nursing, LLC 924 W Kiowa St, Colorado Springs, CO 80905 CCN 065175Abuse icon | 83 | Jul 22, 2026 | 961 harm | — |
| Creekside Village Rehabilitation and Nursing LLC 1000 E Stuart St, Fort Collins, CO 80525 CCN 065221SFF CandidateAbuse icon | 120 | Aug 6, 2026 | 863 IJ5 harm3 open | $49k |
| Colonial Rehabilitation and Nursing, LLC 1340 E Fillmore St, Colorado Springs, CO 80907 CCN 065225Abuse icon | 80 | Mar 9, 2026 | 533 harm | — |
| Forest Ridge Health and Rehab LLC 16006 W US Highway 24, Woodland Park, CO 80863 CCN 065418Abuse icon | 80 | Feb 26, 2026 | 241 harm | — |