Columbine West Health and Rehab LLCCMS ratings, inspections and fines
- Address
- 940 Worthington Cir, Fort Collins, CO 80526
- CCN
- 065245
- Ownership type
- For-profit, limited liability company
- Certified beds
- 100
- Chain
- None in the CMS record
- Residents per day
- No data
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Columbine West Health and Rehab LLC an overall rating of 3 of 5 stars. The last standard survey was on 16 Jun 2026. The latest survey cycle has 2 health citations. The median for nursing homes in Colorado is 8. CMS lists 2 fines with a total of $26,891 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Larimer County median | Colorado median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 2.0 | 2.8 |
| Staffing rating | No data | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 13 homes in the county, 210 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Colorado median |
|---|---|---|---|
| Cycle 1 (latest) | 16 Jun 2026 | 2 | 8 |
| Cycle 2 | 11 Apr 2024 | 12 | 8 |
| Cycle 3 | No date | 2 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2026 | 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. | E | Standard survey | 17 Jun 2026 |
| 16 Jun 2026 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 29 Jun 2026 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 21 Mar 2025 |
| 27 Feb 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 19 Mar 2025 |
| 27 Feb 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 7 Mar 2025 |
| 6 Aug 2024 | F0584 | 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. | E | Complaint investigation | 25 Aug 2024 |
| 11 Apr 2024 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | E | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 May 2024 |
Survey cycle 3: 2 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Dec 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Feb 2020 |
| 19 Dec 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Jan 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 27 Feb 2025 | Fine | $16,653 | |
| 11 Apr 2024 | Fine | $10,238 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Colorado median | Colorado average (CMS) |
|---|---|---|---|
| All nurse staff | No data | 3.50 | 3.72 |
| Registered nurses (RN) | No data | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | No data | 0.68 | |
| Nurse aides | No data | 2.22 | |
| All nurse staff, weekends | No data | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 95.7%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 96.6%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.5% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.8% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.3% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.9% | 18.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Legal Business Name Not Available
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Larimer County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Centre Avenue Health and Rehab LLC | Fort Collins | 5 of 5 | 1 | $0 | 3 Oct 2024 | |
| Creekside Village Rehabilitation and Nursing LLCSpecial Focus candidate | Fort Collins | 1 of 5 | 20 | $48,875 | 30 Apr 2026 | |
| Poudre Canyon Rehabilitation and Nursing, LLC | Fort Collins | 1 of 5 | 11 | $48,308 | 22 Jan 2025 | |
| Storybrook Care & Rehabilitation | Fort Collins | 1 of 5 | 14 | $36,180 | 19 Sep 2024 | |
| Rehabilitation and Nursing Center of the Rockies | Fort Collins | 3 of 5 | 13 | $21,721 | 26 Jun 2025 | |
| Lemay Avenue Health and Rehab LLC | Fort Collins | 4 of 5 | 6 | $0 | 11 Sep 2025 | |
| Good Samaritan Society -- Fort Collins Village | Fort Collins | 4 of 5 | 4 | $0 | 4 Dec 2025 | |
| North Shore Health & Rehab Facility | Loveland | 4 of 5 | 7 | $0 | 16 May 2024 | |
| Riverbend Health and Rehabilitation Center | Loveland | 2 of 5 | 7 | $0 | 30 Apr 2026 | |
| Green House Homes at Mirasol, The | Loveland | 5 of 5 | 5 | $7,544 | 12 Mar 2025 | |
| Good Samaritan - Loveland Village | Loveland | 3 of 5 | 10 | $51,424 | 29 Jan 2026 | |
| Berthoud Care and Rehabilitation | Berthoud | 4 of 5 | 7 | $0 | 2 Jun 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Columbine West Health and Rehab LLC (CCN 065245). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/columbine-west-health-and-rehab-llc-fort-collins-co-065245/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Columbine West Health and Rehab LLC last inspected?
- The latest inspection with a citation in the CMS record was on 16 Jun 2026. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 11 Apr 2024.
- Who operates Columbine West Health and Rehab LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Columbine West Health and Rehab LLC a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists no home in Colorado as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.