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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D45 | E18 | F22 |
| 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 13, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 27, 2026 | Health | Health Complaint | 7 | Immediate jeopardy | — | Open → |
| Mar 10, 2026 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Dec 15, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Sep 11, 2025 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Sep 11, 2025 | Health | Health Standard | 23 | Actual harm | — | Open → |
| Jul 24, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 29, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 29, 2024 | Health | Health Complaint, Health Standard | 14 | Immediate jeopardy | — | Open → |
| Dec 27, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 14, 2023 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jun 14, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 27, 2026 | Civil money penalty (fine) | $22,900 | — | 065429|Fine|144632 |
| Mar 10, 2026 | Civil money penalty (fine) | $39,878 | — | 065429|Fine|137637 |
| Sep 11, 2025 | Civil money penalty (fine) | $44,008 | — | 065429|Fine|136856 |
| Aug 29, 2024 | Civil money penalty (fine) | $25,318 | — | 065429|Fine|115877 |
| Dec 27, 2023 | Civil money penalty (fine) | $22,640 | — | 065429|Fine|115764 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D45 | E18 | F22 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 13, 2026 | 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 Aug 14, 2026 | Complaint |
| Aug 13, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 14, 2026 | 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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.61 (case-mix index 1.08).
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 |
|---|---|---|---|---|---|
| Katie Myers | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24% | Jun 1, 2025 |
| Jared Swain | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 1, 2025 |
| Holly Swain | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | Jun 1, 2025 |
| David Mahrt | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | Jun 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Katie Myers | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24% | Jun 1, 2025 |
| Jared Swain | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 1, 2025 |
| Holly Swain | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | Jun 1, 2025 |
| David Mahrt | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | Jun 1, 2025 |
| Cottonwood Healthcare LLC | Organization |
| 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 |
|---|---|---|---|---|---|---|
| Katherine and Charles Hover Green Houses 1425 Belmont Dr, Longmont, CO 80503 CCN 065432 | 5.5 km | 48 | Jan 29, 2026 | 292 harm | $35k | |
| Mcintosh Care and Rehabilitation Center 1800 Stroh Pl, Longmont, CO 80501 CCN 065226 | 5.5 km | 110 | Mar 19, 2026 | 352 harm | $9,110 | |
| The Peaks Care Center 1440 Coffman St, Longmont, CO 80501 CCN 065189 | 6.4 km | 84 | Apr 9, 2026 | 311 harm | — | |
| Life Care Center of Longmont 2451 Pratt St, Longmont, CO 80501 CCN 065282 | 7.9 km | 187 | Mar 12, 2026 | 292 harm | $21k | |
| Winding Trails Post Acute 2800 Palo Pkwy, Boulder, CO 80301 CCN 065267 | 14.4 km | 150 | Oct 2, 2025 | 935 IJ7 harm | $91k | |
| Boulder Post Acute 2121 Mesa Dr, Boulder, CO 80304 CCN 065052 | 16.5 km | 162 | Feb 19, 2026 | 531 IJ2 harm3 open | $9,113 | |
| Boulder Canyon Health and Rehabilitation 4685 Baseline Rd, Boulder, CO 80303 CCN 065222Abuse icon | 17.2 km | 140 | Aug 11, 2026 | 191 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065429 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065429 | 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 13, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2026 | Complaint |
| Jul 27, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jul 28, 2026 | Complaint |
| Jul 27, 2026 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2026 | Complaint |
| Jul 27, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2026 | Complaint |
| Jul 27, 2026 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 28, 2026 | Complaint |
| Jul 27, 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 Jul 28, 2026 | Complaint |
| Jul 27, 2026 | 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 Jul 28, 2026 | Complaint |
| Jul 27, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 28, 2026 | Complaint |
| Mar 10, 2026 | 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 | Corrected Mar 16, 2026 | Complaint |
| Mar 10, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Mar 16, 2026 | Complaint |
| Mar 10, 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 Mar 16, 2026 | Complaint |
| Mar 10, 2026 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 16, 2026 | Complaint |
| Dec 15, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 8, 2026 | Complaint |
| Dec 15, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 8, 2026 | Complaint |
| Dec 15, 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 Jan 8, 2026 | Complaint |
| Dec 15, 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 Jan 8, 2026 | Complaint |
| Dec 15, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 8, 2026 | Complaint |
| Sep 11, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 10, 2025 |
| Sep 11, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 10, 2025 |
| Sep 11, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 10, 2025 |
| Sep 11, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 6, 2026 |
| Sep 11, 2025 | 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 Jan 6, 2026 |
| Sep 11, 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 | D · Potential harm Isolated | Corrected Jan 6, 2026 |
| Sep 11, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 6, 2026 |
| Sep 11, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 28, 2026 |
| Sep 11, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 6, 2026 |
| Sep 11, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 6, 2026 |
| Sep 11, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 28, 2026 |
| Sep 11, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 6, 2026 |
| Sep 11, 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 | Corrected Jan 28, 2026 |
| Sep 11, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 28, 2026 |
| Sep 11, 2025 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 6, 2026 |
| Sep 11, 2025 | 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 Jan 6, 2026 |
| Sep 11, 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 Jan 28, 2026 |
| Sep 11, 2025 | 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 Oct 10, 2025 |
| Sep 11, 2025 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 10, 2025 |
| Sep 11, 2025 | 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 | E · Potential harm Pattern | Corrected Oct 10, 2025 |
| Sep 11, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 10, 2025 |
| Sep 11, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 10, 2025 |
| Sep 11, 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 Oct 10, 2025 |
| Sep 11, 2025 | 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 10, 2025 |
| Sep 11, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 10, 2025 |
| Sep 11, 2025 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 10, 2025 |
| Sep 11, 2025 | 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 Oct 10, 2025 |
| Sep 11, 2025 | 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 Oct 10, 2025 |
| Sep 11, 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 | D · Potential harm Isolated | Corrected Oct 10, 2025 |
| Sep 11, 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 Oct 10, 2025 |
| Sep 11, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2025 |
| Sep 11, 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 Oct 10, 2025 |
| Sep 11, 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 | D · Potential harm Isolated | Corrected Oct 10, 2025 |
| Sep 11, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 10, 2025 |
| Sep 11, 2025 | 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 | E · Potential harm Pattern | Corrected Oct 10, 2025 |
| Sep 11, 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 Oct 10, 2025 |
| Sep 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 10, 2025 |
| Sep 11, 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 Oct 10, 2025 |
| Jul 24, 2025 | 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 4, 2025 | Complaint |
| Jul 24, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 4, 2025 | Complaint |
| Aug 29, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Sep 28, 2024 | Complaint |
| Aug 29, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 9, 2024 |
| Aug 29, 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 Oct 22, 2024 |
| Aug 29, 2024 | 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 Sep 28, 2024 |
| Aug 29, 2024 | 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 | Corrected Sep 28, 2024 | Complaint |
| Aug 29, 2024 | 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 Sep 28, 2024 |
| Aug 29, 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 Sep 28, 2024 |
| Aug 29, 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 Sep 28, 2024 | Complaint |
| Aug 29, 2024 | 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 Sep 17, 2024 |
| Aug 29, 2024 | 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 28, 2024 | Complaint |
| Aug 29, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 28, 2024 | Complaint |
| Aug 29, 2024 | 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 28, 2024 |
| Aug 29, 2024 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Sep 28, 2024 |
| Aug 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 28, 2024 | Complaint |
| Aug 29, 2024 | 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 Sep 16, 2024 | Complaint |
| Aug 29, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 28, 2024 |
| Dec 27, 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 | Corrected Jan 22, 2024 | Complaint |
| Jun 14, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 27, 2023 |
| Jun 14, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 14, 2023 |
| Jun 14, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 14, 2023 |
| Jun 14, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 11, 2023 |
| Jun 14, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 23, 2023 |
| Jun 14, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 11, 2023 |
| Jun 14, 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 | Corrected Aug 11, 2023 |
| Jun 14, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 14, 2023 |
| Jun 14, 2023 | 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 | F · Potential harm Widespread | Corrected Aug 11, 2023 |
| Jun 14, 2023 | 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 Aug 11, 2023 |
| Jun 14, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 11, 2023 |
| Jun 14, 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 | E · Potential harm Pattern | Corrected Jul 19, 2023 |
| Jun 14, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 19, 2023 |
| Jun 14, 2023 | 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 | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 14, 2023 | 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 | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 14, 2023 | 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 Jul 20, 2023 |
| Jun 14, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 18, 2023 |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jun 1, 2025 |
| Professional Business Advisors LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2025 |
| Wipfli LLP | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2025 |
| Carolyn Holmes | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2025 |
| Walter Myers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2025 |
| Cottonwood Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 2, 2025 |
| Professional Business Advisors LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 2, 2025 |
| Wipfli LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 2, 2025 |
| Carolyn Holmes | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2025 |
| Walter Myers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 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 | — |
| 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 | — |