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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D34 | E18 | F26 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 6, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 30, 2026 | Fire safety | Fire Safety Standard | 16 | Potential harm | 3 | Open → |
| Apr 30, 2026 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Feb 9, 2026 | Health | Health Complaint | 7 | Immediate jeopardy | — | Open → |
| Sep 4, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 8, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| May 13, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 2, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 2, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Dec 19, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Dec 19, 2019 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Dec 19, 2019 | Health | Health Standard | 15 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 9, 2026 | Civil money penalty (fine) | $20,833 | — | 065221|Fine|137122 |
| Jul 8, 2025 | Civil money penalty (fine) | $9,110 | — | 065221|Fine|135847 |
| Dec 19, 2023 | Civil money penalty (fine) | $8,347 | — | 065221|Fine|115820 |
| Nov 6, 2023 | Civil money penalty (fine) | $3,176 | — | 065221|Fine|115590 |
| Oct 17, 2023 | Civil money penalty (fine) | $7,409 | — | 065221|Fine|115540 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D34 | E18 | F26 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 6, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 28, 2026 | Complaint |
| Aug 6, 2026 | 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 Aug 28, 2026 |
“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 |
|---|---|---|---|---|---|
| Charly Bello Family Limited Partnership | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Maze Family Limited Partnership | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| 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 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Charly Bello Family Limited Partnership | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Maze Family Limited Partnership | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| David Mahrt | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Katie Myers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided |
| 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 |
|---|---|---|---|---|---|---|
| Poudre Canyon Rehabilitation and Nursing, LLC 1000 S Lemay Ave, Fort Collins, CO 80524 CCN 065166SFF CandidateAbuse icon | 1.2 km | 83 | Jul 28, 2026 | 791 IJ5 harm | $48k | |
| Storybrook Care & Rehabilitation 1005 E Elizabeth St, Fort Collins, CO 80524 CCN 065257 | 1.2 km | 60 | Jun 25, 2026 | 581 IJ5 harm | $63k | |
| Rehabilitation and Nursing Center of the Rockies 1020 Patton St, Fort Collins, CO 80524 CCN 065192 | 1.4 km | 106 | Sep 23, 2025 | 331 IJ1 harm1 open | $22k | |
| Columbine West Health and Rehab LLC 940 Worthington Cir, Fort Collins, CO 80526 CCN 065245 | 2.6 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 | 2.7 km | 90 | May 21, 2026 | 202 harm1 open | — | |
| Lemay Avenue Health and Rehab LLC 4824 S Lemay Ave, Fort Collins, CO 80525 CCN 065142 | 4.8 km | 130 | Jun 1, 2026 | 191 harm | $55k | |
| Good Samaritan Society -- Fort Collins Village 508 W Trilby Rd, Fort Collins, CO 80525 CCN 065227 | 8 km | 64 | Dec 4, 2025 | 22 | — | |
| Columbine Commons Health and Rehab LLC 1475 Main St, Windsor, CO 80550 CCN 065410 | 14.4 km | 60 | Apr 17, 2025 | 331 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065221 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065221 | 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
| Aug 6, 2026 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 28, 2026 | Complaint |
| Apr 30, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified |
| Apr 30, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 26, 2026 |
| Apr 30, 2026 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 26, 2026 |
| Apr 30, 2026 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 26, 2026 |
| Apr 30, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 26, 2026 |
| Apr 30, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 26, 2026 |
| Apr 30, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 26, 2026 |
| Apr 30, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 26, 2026 |
| Apr 30, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified |
| Apr 30, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 26, 2026 |
| Apr 30, 2026 | 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 | No plan of correction |
| Apr 30, 2026 | K-0531 | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 26, 2026 |
| Apr 30, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 26, 2026 |
| Apr 30, 2026 | K-0751 | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 26, 2026 |
| Apr 30, 2026 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 26, 2026 |
| Apr 30, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 26, 2026 |
| Apr 30, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 5, 2026 |
| Apr 30, 2026 | 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 Jun 5, 2026 |
| Apr 30, 2026 | 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 Jun 5, 2026 |
| Apr 30, 2026 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jun 5, 2026 |
| Apr 30, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 5, 2026 |
| Apr 30, 2026 | 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 Jun 5, 2026 |
| Apr 30, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 5, 2026 |
| Apr 30, 2026 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 5, 2026 |
| Apr 30, 2026 | 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 Jun 5, 2026 |
| Apr 30, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 5, 2026 |
| Apr 30, 2026 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jun 5, 2026 |
| Feb 9, 2026 | 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 | J · Immediate jeopardy Isolated | Corrected Feb 28, 2026 | Complaint |
| Feb 9, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Feb 28, 2026 | Complaint |
| Feb 9, 2026 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | J · Immediate jeopardy Isolated | Corrected Feb 28, 2026 | Complaint |
| Feb 9, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 28, 2026 | Complaint |
| Feb 9, 2026 | 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, 2026 | Complaint |
| Feb 9, 2026 | 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 Feb 28, 2026 | Complaint |
| Feb 9, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Feb 28, 2026 | Complaint |
| Sep 4, 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 Sep 30, 2025 | Complaint |
| Sep 4, 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 30, 2025 | Complaint |
| Jul 8, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Past non-compliance Jun 23, 2025 | Complaint |
| Jul 8, 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 Jul 9, 2025 | Complaint |
| May 13, 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 Jun 2, 2025 | Complaint |
| May 13, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 2, 2025 | Complaint |
| May 13, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 2, 2025 | Complaint |
| Feb 25, 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 Mar 17, 2025 | Complaint |
| Sep 24, 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 | D · Potential harm Isolated | Corrected Oct 22, 2024 | Complaint |
| Jul 17, 2024 | F-0555 | Honor the resident's right to choose his or her attending physician. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Aug 12, 2024 | Complaint |
| Apr 2, 2024 | 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 | E · Potential harm Pattern | Corrected May 14, 2024 |
| Apr 2, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Aug 2, 2024 |
| Apr 2, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 1, 2024 |
| Apr 2, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 2, 2024 | 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 | Corrected May 28, 2024 |
| Apr 2, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2024 |
| Apr 2, 2024 | 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 Apr 26, 2024 |
| Apr 2, 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 Apr 26, 2024 | Complaint |
| Apr 2, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 26, 2024 |
| Apr 2, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 26, 2024 |
| Apr 2, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 26, 2024 |
| Apr 2, 2024 | 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 Apr 26, 2024 |
| Apr 2, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 26, 2024 |
| Dec 19, 2023 | 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 | Past non-compliance Dec 1, 2023 | Complaint |
| Dec 19, 2023 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 29, 2024 | Complaint |
| Dec 19, 2019 | 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 | Corrected Feb 7, 2020 |
| Dec 19, 2019 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jan 23, 2020 |
| Dec 19, 2019 | 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 23, 2020 |
| Dec 19, 2019 | K-0222 | 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. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 9, 2020 |
| Dec 19, 2019 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 9, 2020 |
| Dec 19, 2019 | 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 Apr 9, 2020 |
| Dec 19, 2019 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 9, 2020 |
| Dec 19, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 9, 2020 |
| Dec 19, 2019 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 9, 2020 |
| Dec 19, 2019 | 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 Feb 12, 2020 |
| Dec 19, 2019 | 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 Apr 9, 2020 |
| Dec 19, 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 Apr 9, 2020 |
| Dec 19, 2019 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2020 |
| Dec 19, 2019 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2020 |
| Dec 19, 2019 | 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 Jan 23, 2020 |
| Dec 19, 2019 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2020 |
| Dec 19, 2019 | 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 Jan 23, 2020 |
| Dec 19, 2019 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2020 |
| Dec 19, 2019 | 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 Jan 23, 2020 |
| Dec 19, 2019 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jan 23, 2020 |
| Dec 19, 2019 | 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 Jan 23, 2020 |
| Dec 19, 2019 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 23, 2020 |
| Dec 19, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 23, 2020 |
| Dec 19, 2019 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 23, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.25 (case-mix index 1.37).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Sep 1, 2024 |
| Jared Swain | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| 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 |
| Cottonwood Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Cosmo Cecilia | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Sara Roe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Cosmo Cecilia | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 17, 2025 |
| Vikas Reddy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 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 | — |
| Sterling Rehabilitation and Nursing, LLC 1420 S 3rd Ave, Sterling, CO 80751 CCN 065174 | 63 | Aug 20, 2025 | 581 IJ4 harm2 open | $87k |
| Kiowa Hills Rehabilitation and Nursing, LLC 924 W Kiowa St, Colorado Springs, CO 80905 CCN 065175Abuse icon | 83 | Jul 22, 2026 | 961 harm | — |
| 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 | — |