Colorado › Weld County › Windsor
Columbine Commons Health and Rehab LLC
1475 Main St, Windsor, CO 80550
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.
Columbine Commons Health and Rehab LLC is a For-profit, limited liability company nursing home in Windsor, Colorado, certified for 60 beds and caring for about 58 residents a day.
CMS gives it 5 of 5 stars overall, above the Colorado median of 3; the health inspection rating is 5, staffing 3 and quality measures 3.
Inspectors recorded 7 health deficiencies across the three most recent survey cycles (2, 4, 1 by cycle, most recent first), none at the actual-harm level. That is 11.7 per 100 beds, fewer than the state median of 25.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.0 hours per resident per day (0.9 RN), close to the Colorado median of 3.5; nursing staff turnover is 92.0%.
Compared with county, state and nation
| Measure | This facility | Weld Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 7 | 15 | 22 | 28.7 |
| Citations per 100 beds | 11.7 | 15.0 | 25.0 | 26.8 |
| Total nurse hours per resident day | 4.0 | 3.8 | 3.5 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 92.0% | 61.1% | 46.7% | 45.8% |
| Fines listed | $0 | $12,285 | $10,033 | — |
County and state figures are medians across facilities (8 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Apr 2025, 12 Oct 2023.
Severity mix: D ×5 E ×1 F ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 May 2025 |
| 17 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 May 2025 |
| 12 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Oct 2023 |
| 12 Oct 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 20 Oct 2023 |
| 12 Oct 2023 | F0761 | 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. | D | Standard survey | 25 Oct 2023 |
| 12 Oct 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 25 Oct 2023 |
| 14 Jul 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 31 Aug 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 92.0%, RNs 96.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.0% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 8.0% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.9% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.4% | 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: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
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 Weld County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Grace Pointe Cont Care Sr Campus, Skilled Nursing | Greeley | 53 | 5 | 4 | 5 | 11 | 20.8 | — | 26 Feb 2026 |
| Life Care Center of Greeley | Greeley | 124 | 5 | 4 | 4 | 6 | 4.8 | $12K | 16 Jul 2024 |
| Broadview Health and Rehabilitation Center | Greeley | 100 | 4 | 4 | 1 | 15 | 15.0 | — | 24 Feb 2025 |
| Fairacres Manor, Inc. | Greeley | 116 | 4 | 4 | 4 | 17 | 14.7 | — | 6 Jun 2024 |
| Westlake Health and Rehabilitation Center | Greeley | 107 | 4 | 4 | 2 | 12 | 11.2 | $14K | 25 Jun 2025 |
| Center At Centerplace, LLC, The | Greeley | 54 | 2 | 2 | 3 | 22 | 40.7 | $31K | 22 Apr 2026 |
| Pelican Pointe Health and Rehabilitation Center | Windsor | 104 | 1 | 1 | 4 | 43 | 41.3 | $72K | 19 May 2026 |
All 8 facilities in Weld County
Questions and answers
How many deficiencies has Columbine Commons Health and Rehab LLC been cited for?
7 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 Columbine Commons Health and Rehab LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Columbine Commons Health and Rehab LLC compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Columbine Commons Health and Rehab LLC?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Columbine Commons Health and Rehab LLC last inspected?
The most recent survey or investigation in the CMS record is dated 17 Apr 2025; the most recent standard health survey was 17 Apr 2025.
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.