Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D26 | E2 | F3 |
| Minimal | A· | B· | C· |
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 | |
|---|---|---|---|---|---|---|
| Sep 23, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 26, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | 1 | Open → |
| Jun 26, 2025 | Health | Health Standard | 11 | Immediate jeopardy | — | Open → |
| Oct 23, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 1, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 12, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 12, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Nov 21, 2019 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Nov 21, 2019 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 26, 2025 | Civil money penalty (fine) | $21,721 | — | 065192|Fine|135827 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D26 | E2 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 23, 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 30, 2025 | Complaint |
| Sep 23, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2025 | Complaint |
“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.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Jameel Chohan | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2023 |
| Todd Truax | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2023 |
| Todd Truax | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2023 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 1, 2023 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2023 |
| Joseph Graham | Individual | Corporate officer / director |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| City Park Healthcare and Rehabilitation Center 1667 Saint Paul St, Denver, CO 80206 CCN 065009Abuse icon | 125 | Jan 15, 2026 | 491 harm | $8,278 | |
| Englewood Post Acute and Rehabilitation 3575 S Washington St, Englewood, CO 80113 CCN 065077 |
Coordinates as published by CMS.
| Facility | Distance | 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 | 0.8 km | 83 | Jul 28, 2026 | 791 IJ5 harm | $48k | |
| Storybrook Care & Rehabilitation 1005 E Elizabeth St, Fort Collins, CO 80524 CCN 065257 | 0.8 km | 60 | Jun 25, 2026 | 581 IJ5 harm | $63k | |
| Creekside Village Rehabilitation and Nursing LLC 1000 E Stuart St, Fort Collins, CO 80525 CCN 065221SFF CandidateAbuse icon | 1.4 km | 120 | Aug 6, 2026 | 863 IJ5 harm3 open | $49k | |
| Columbine West Health and Rehab LLC 940 Worthington Cir, Fort Collins, CO 80526 CCN 065245 | 3.9 km | 100 | Jun 16, 2026 | 231 IJ1 harm5 open | $27k | |
| Centre Avenue Health and Rehab LLC 815 Centre Ave, Fort Collins, CO 80526 CCN 065377 | 3.9 km | 90 | May 21, 2026 | 202 harm1 open | — | |
| Lemay Avenue Health and Rehab LLC 4824 S Lemay Ave, Fort Collins, CO 80525 CCN 065142 | 6 km | 130 | Jun 1, 2026 | 191 harm | $55k | |
| Good Samaritan Society -- Fort Collins Village 508 W Trilby Rd, Fort Collins, CO 80525 CCN 065227 | 9.4 km | 64 | Dec 4, 2025 | 22 | — | |
| Columbine Commons Health and Rehab LLC 1475 Main St, Windsor, CO 80550 CCN 065410 | 14.6 km | 60 | Apr 17, 2025 | 331 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065192 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065192 | 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
| Jun 26, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jul 20, 2025 |
| Jun 26, 2025 | 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 | G · Actual harm Isolated | Corrected Jul 20, 2025 |
| Jun 26, 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 Dec 31, 2025 |
| Jun 26, 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 Dec 1, 2025 |
| Jun 26, 2025 | F-0555 | Honor the resident's right to choose his or her attending physician. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 26, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 26, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 26, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 26, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 26, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 26, 2025 | F-0742 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 26, 2025 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 26, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Oct 23, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 21, 2024 | Complaint |
| Oct 23, 2024 | 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 Nov 21, 2024 | Complaint |
| May 1, 2024 | 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 May 29, 2024 | Complaint |
| May 1, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2024 | Complaint |
| Dec 12, 2023 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Waiver granted Mar 9, 2024 |
| Dec 12, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 9, 2024 |
| Dec 12, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 9, 2024 |
| Dec 12, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 10, 2024 |
| Dec 12, 2023 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 26, 2024 |
| Nov 21, 2019 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 30, 2019 |
| Nov 21, 2019 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 6, 2020 |
| Nov 21, 2019 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 30, 2019 |
| Nov 21, 2019 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 30, 2019 |
| Nov 21, 2019 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 30, 2019 |
| Nov 21, 2019 | K-0915 | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 30, 2019 |
| Nov 21, 2019 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 30, 2019 |
| Nov 21, 2019 | 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 Dec 16, 2019 |
| Nov 21, 2019 | 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 Dec 16, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.02 (case-mix index 1.42).
| CORPORATE OFFICER |
| not provided |
| Feb 1, 2024 |
| David Jorgensen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2023 |
| Ami Sato | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 9, 2024 |
| Mason Health Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2023 |
| Standard Bearer Healthcare Op LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2023 |
| The Ensign Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2023 |
| Jameel Chohan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2025 |
| Todd Truax | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2025 |
| 82 |
| Nov 7, 2024 |
343 harm |
| — |
| Mapleton Post Acute 115 Ingalls St, Lakewood, CO 80226 CCN 065097 | 90 | Jun 17, 2025 | 611 harm | — |
| Rock Canyon Respiratory and Rehabilitation Center 2515 Pitman Pl, Pueblo, CO 81004 CCN 065100Abuse icon | 151 | Aug 6, 2026 | 381 IJ3 harm1 open | $67k |
| The Villas at Sunny Acres 2501 E 104th Ave, Thornton, CO 80233 CCN 065108Abuse icon | 160 | Apr 8, 2026 | 394 harm | $20k |
| Medallion Post Acute Rehabilitation 1719 E Bijou St, Colorado Springs, CO 80909 CCN 065113 | 60 | Jun 16, 2026 | 502 IJ3 harm1 open | $87k |
| Holly Heights Care and Rehabilitation 6000 E Iliff Ave, Denver, CO 80222 CCN 065124 | 133 | Jan 21, 2026 | 451 IJ1 harm3 open | $9,249 |
| Hampden Hills Post Acute 14699 E Hampden Ave, Aurora, CO 80014 CCN 065146 | 218 | Jul 9, 2026 | 45 | — |