Elder Care Record

Colorado › Larimer County › Berthoud

Berthoud Care and Rehabilitation

855 Franklin Ave, Berthoud, CO 80513

CCN 065265 · For-profit, limited liability company · 76 certified beds · chain The Ensign Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 76 beds, Berthoud Care and Rehabilitation serves Berthoud in Larimer County, Colorado and has taken Medicare and Medicaid residents since 1989.

CMS gives it 4 of 5 stars overall, above the Colorado median of 3; the health inspection rating is 4, staffing 2 and quality measures 3.

Inspectors recorded 16 health deficiencies across the three most recent survey cycles (7, 2, 7 by cycle, most recent first), none at the actual-harm level. That is 21.1 per 100 beds, about the same as the state median of 25.0.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.3 hours per resident per day (0.7 RN), close to the Colorado median of 3.5.

16health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.3nurse hours per resident per daystate median 3.5
89%occupancy (residents ÷ beds)67 residents a day

Compared with county, state and nation

MeasureThis facilityLarimer Co. medianColorado medianUS average
Overall star rating4333.0
Health citations, 3 cycles16162228.7
Citations per 100 beds21.117.825.026.8
Total nurse hours per resident day3.33.53.53.9
RN hours per resident day0.70.70.70.7
Nursing staff turnover—47.0%46.7%45.8%
Fines listed$0$7,544$10,033—

County and state figures are medians across facilities (13 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 22
Cycle 37

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Jun 2026, 11 Jun 2024.

Severity mix: D ×9 E ×5 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
2 Jun 2026F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey13 May 2026
2 Jun 2026F0679Provide activities to meet all resident's needs.EStandard survey29 Jun 2026
2 Jun 2026F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey29 Jun 2026
2 Jun 2026F0880Provide and implement an infection prevention and control program.EStandard survey29 Jun 2026
2 Jun 2026F0583Keep residents' personal and medical records private and confidential.DStandard survey29 Jun 2026
2 Jun 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation20 May 2026
2 Jun 2026F0791Provide or obtain dental services for each resident.DStandard survey29 Jun 2026
11 Jun 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey10 Jul 2024
11 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey10 Jul 2024
16 Feb 2023F0880Provide and implement an infection prevention and control program.FStandard survey17 Mar 2023
16 Feb 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey17 Mar 2023
16 Feb 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey17 Mar 2023
16 Feb 2023F0679Provide activities to meet all resident's needs.DStandard survey24 Mar 2023
16 Feb 2023F0742Provide 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.DStandard survey17 Mar 2023
16 Feb 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey17 Mar 2023
16 Feb 2023F0808Ensure 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.DStandard survey25 Mar 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.33 h
Nurse aides1.96 h
LPN0.69 h
RN0.68 h
Weekend total2.85 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityColorado medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay20.0%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.4%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.8%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay22.5%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.3%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.3%18.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Franklin Avenue Healthcare Inc.. Chain: The Ensign Group (342 facilities).

OrganisationRole in the CMS recordInterestSince
Isomed IncOperational/managerial controlNOT APPLICABLE04/01/2021
Ensign Services IncAdp of the snfNOT APPLICABLE12/15/2020
Smv Berthoud LLCAdp of the snfNOT APPLICABLE04/01/2021

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Larimer County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Centre Avenue Health and Rehab LLCFort Collins9055266.7—21 May 2026
Green House Homes At Mirasol, TheLoveland905441617.8$8K12 Mar 2025
Good Samaritan Society -- Fort Collins VillageFort Collins64444914.1—4 Dec 2025
Lemay Avenue Health and Rehab LLCFort Collins130443118.5—1 Jun 2026
North Shore Health & Rehab FacilityLoveland1204431915.8—22 Apr 2026
Columbine West Health and Rehab LLCFort Collins10033—1616.0$27K16 Jun 2026
Good Samaritan - Loveland Villageabuse iconLoveland1043241615.4$51K2 Apr 2026
Rehabilitation and Nursing Center of the RockiesFort Collins1063222119.8$22K23 Sep 2025

All 13 facilities in Larimer County

Questions and answers

How many deficiencies has Berthoud Care and Rehabilitation been cited for?

16 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Berthoud Care and Rehabilitation been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Berthoud Care and Rehabilitation compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Berthoud Care and Rehabilitation?

It is part of the The Ensign Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Isomed Inc. Individual owners and managers are not listed on this site.

When was Berthoud Care and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 2 Jun 2026; the most recent standard health survey was 2 Jun 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.