Berthoud Care and Rehabilitation — nursing home in Berthoud, CO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 76 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 63.6 CMS, MDS-derived
CMS Certification Number: 065265
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 1, 1989
Ownership type: For profit - Limited Liability company
Operator (legal business name): Franklin Avenue Healthcare Inc
CMS chain: The Ensign Group 347 facilities
Phone: (970) 532-2683
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jun 2, 2026

Citations

35

16 health · 19 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D10	E11	F14
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 065265
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 76
First approved: Oct 1, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Colorado.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 2, 2026	Fire safety	Fire Safety Standard	5	Potential harm	4	Open →
Jun 2, 2026	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →
Jun 11, 2024	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Jun 11, 2024	Health	Health Standard	2	Potential harm	—	Open →
Feb 16, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Feb 16, 2023	Health	Health Standard	7	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D10	E11	F14
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 2, 2026	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Plan of correction, not yet verified Jun 16, 2027
Jun 2, 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	Plan of correction, not yet verified Dec 26, 2026
Jun 2, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Plan of correction, not yet verified Dec 16, 2026
Jun 2, 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	Plan of correction, not yet verified Jun 16, 2027
Jun 2, 2026	K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 29, 2026
Jun 2, 2026	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 29, 2026
Jun 2, 2026	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance May 20, 2026	Complaint
Jun 2, 2026	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 29, 2026
Jun 2, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 29, 2026
Jun 2, 2026	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 29, 2026
Jun 2, 2026	F-0851	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Past non-compliance May 13, 2026
Jun 2, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 29, 2026
Jun 11, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 15, 2024
Jun 11, 2024	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	E · Potential harm Pattern	Corrected Aug 15, 2024
Jun 11, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 10, 2024
Jun 11, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 15, 2024
Jun 11, 2024	K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 15, 2024
Jun 11, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 10, 2024
Jun 11, 2024	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 15, 2024
Jun 11, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 15, 2024
Jun 11, 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 Aug 15, 2024
Jun 11, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 15, 2024
Jun 11, 2024	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 Aug 15, 2024
Jun 11, 2024	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 Jul 10, 2024
Jun 11, 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	E · Potential harm Pattern	Corrected Jul 10, 2024
Feb 16, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 4, 2023
Feb 16, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 4, 2023
Feb 16, 2023	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 Mar 16, 2023
Feb 16, 2023	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 Mar 17, 2023
Feb 16, 2023	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 24, 2023
Feb 16, 2023	F-0726	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Mar 17, 2023
Feb 16, 2023	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 Mar 17, 2023
Feb 16, 2023	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 17, 2023
Feb 16, 2023	F-0808	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 25, 2023
Feb 16, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Mar 17, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 3.1

Quality measuresstate 4.2

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.30

State avg 3.69US avg 3.90

Registered nurse (RN)0.78

State avg 0.81US avg 0.69

Licensed practical nurse0.63

State avg 0.68US avg 0.86

Nurse aide1.89

State avg 2.20US avg 2.35

Weekend total nurse2.78

State avg 3.26US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.31 (case-mix index 1.39).

Staff turnover

Total nursing staff turnoverNot reported

State avg 47.0%US avg 45.3%

Registered nurse turnoverNot reported

State avg 44.4%US avg 42.5%

Administrators who leftNot reported

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 2, 2026
Cycle 1 health score: 52
Total weighted score: 42

Operating entity

Franklin Avenue Healthcare Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

15

Organizations

3

Individuals

12

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Barry Port	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Jul 8, 2025
Malcolm Fraser	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2021
Joseph Graham	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2021
Isomed Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2021
Malcolm Fraser	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2021
Joseph Graham	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2021
David Jorgensen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 15, 2020
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 15, 2020
Joseph Graham	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2024
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Ami Sato	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 20, 2024
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 15, 2020
Smv Berthoud LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2021
Malcolm Fraser	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 19, 2025
Joseph Graham	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 19, 2025

Same chain in Colorado

All 346 in chain →

Facility	Beds	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	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	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 855 Franklin Ave, Berthoud, CO 80513
ZIP: 80513
County: Larimer County FIPS 08069
State: Colorado
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Good Samaritan - Loveland Village 2101 S Garfield Ave, Loveland, CO 80537 CCN 065139Abuse icon	6.9 km	104	Apr 2, 2026	271 IJ4 harm	$46k
The Green House Homes at Mirasol 490 Mirasol Dr, Loveland, CO 80537 CCN 065412	9 km	90	Mar 12, 2025	30	$7,544
Riverbend Health and Rehabilitation Center 821 Duffield Ct, Loveland, CO 80537 CCN 065165Abuse icon	10.1 km	100	Apr 30, 2026	432 open	—
Life Care Center of Longmont 2451 Pratt St, Longmont, CO 80501 CCN 065282	12 km	187	Mar 12, 2026	292 harm	$21k
North Shore Health & Rehab Facility 1365 W 29th St, Loveland, CO 80538 CCN 065129	12.5 km	134	Jul 9, 2026	491 harm4 open	—
Good Samaritan Society -- Fort Collins Village 508 W Trilby Rd, Fort Collins, CO 80525 CCN 065227	20.6 km	64	Dec 4, 2025	22	—
Columbine Commons Health and Rehab LLC 1475 Main St, Windsor, CO 80550 CCN 065410	23.3 km	60	Apr 17, 2025	331 open	—
Pelican Pointe Health and Rehabilitation Center 710 3rd St, Windsor, CO 80550 CCN 065278	24.3 km	104	Jul 21, 2026	611 IJ3 harm	$79k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	065265	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	065265	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

Record-level source links for CCN 065265

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction