Creekside Village Rehabilitation and Nursing LLCCMS ratings, inspections and fines
- Address
- 1000 E Stuart St, Fort Collins, CO 80525
- CCN
- 065221
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Chain
- Chain name not shown
- Residents per day
- 74
- CMS flags
- Special Focus Facility candidate
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
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 Creekside Village Rehabilitation and Nursing LLC an overall rating of 1 of 5 stars. The last standard survey was on 30 Apr 2026. The latest survey cycle has 20 health citations. The median for nursing homes in Colorado is 8. CMS lists 5 fines with a total of $48,875 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 | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 2.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 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) | 30 Apr 2026 | 20 | 8 |
| Cycle 2 | 2 Apr 2024 | 14 | 8 |
| Cycle 3 | No date | 19 | 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): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 5 Jun 2026 |
| 30 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 5 Jun 2026 |
| 30 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Jun 2026 |
| 30 Apr 2026 | F0727 | 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. | F | Standard survey | 5 Jun 2026 |
| 30 Apr 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 5 Jun 2026 |
| 30 Apr 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 | 5 Jun 2026 |
| 30 Apr 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 5 Jun 2026 |
| 30 Apr 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 5 Jun 2026 |
| 30 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Jun 2026 |
| 30 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Jun 2026 |
| 30 Apr 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 5 Jun 2026 |
| 9 Feb 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 28 Feb 2026 |
| 9 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Feb 2026 |
| 9 Feb 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint investigation | 28 Feb 2026 |
| 9 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 28 Feb 2026 |
| 9 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 28 Feb 2026 |
| 9 Feb 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Complaint investigation | 28 Feb 2026 |
| 9 Feb 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 28 Feb 2026 |
| 4 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Sep 2025 |
| 4 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 30 Sep 2025 |
Survey cycle 2: 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Jul 2025 |
| 8 Jul 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 23 Jun 2025 |
| 13 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 2 Jun 2025 |
| 13 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 2 Jun 2025 |
| 13 May 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 2 Jun 2025 |
| 25 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 17 Mar 2025 |
| 24 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 Oct 2024 |
| 2 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Apr 2024 |
| 2 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 26 Apr 2024 |
| 2 Apr 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 26 Apr 2024 |
| 2 Apr 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 26 Apr 2024 |
| 2 Apr 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 26 Apr 2024 |
| 2 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Apr 2024 |
| 2 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 26 Apr 2024 |
Survey cycle 3: 19 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 |
|---|---|---|---|---|---|
| 17 Jul 2024 | F0555 | Honor the resident's right to choose his or her attending physician. | F | Complaint investigation | 12 Aug 2024 |
| 19 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 1 Dec 2023 |
| 19 Dec 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 29 Jan 2024 |
| 26 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 25 Oct 2023 |
| 19 Dec 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 7 Feb 2020 |
| 19 Dec 2019 | F0610 | Respond appropriately to all alleged violations. | G | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | 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 | 23 Jan 2020 |
| 19 Dec 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | 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 | 23 Jan 2020 |
| 19 Dec 2019 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Jan 2020 |
| 19 Dec 2019 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 23 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 |
|---|---|---|---|
| 9 Feb 2026 | Fine | $20,833 | |
| 8 Jul 2025 | Fine | $9,110 | |
| 19 Dec 2023 | Fine | $8,347 | |
| 6 Nov 2023 | Fine | $3,176 | |
| 17 Oct 2023 | Fine | $7,409 |
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 | 3.47 | 3.50 | 3.72 |
| Registered nurses (RN) | 0.72 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.50 | 0.68 | |
| Nurse aides | 2.24 | 2.22 | |
| All nurse staff, weekends | 3.05 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 74.4%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 3
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 | 20.8% | 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 | 1.8% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.2% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.4% | 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
- Creekside Village Rehabilitation and Nursing, LLC
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cottonwood Healthcare LLC | Operational/managerial control | 1 Sep 2024 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
Other homes in Larimer County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| 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 | |
| Columbine West Health and Rehab LLC | Fort Collins | 3 of 5 | 2 | $26,891 | 16 Jun 2026 | |
| Centre Avenue Health and Rehab LLC | Fort Collins | 5 of 5 | 1 | $0 | 3 Oct 2024 | |
| 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 Creekside Village Rehabilitation and Nursing LLC (CCN 065221). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/creekside-village-rehabilitation-and-nursing-llc-fort-collins-co-065221/
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 Creekside Village Rehabilitation and Nursing LLC last inspected?
- The latest inspection with a citation in the CMS record was on 30 Apr 2026. It was a standard survey. It gave 11 citations. The standard survey before the last one was on 2 Apr 2024.
- Who operates Creekside Village Rehabilitation and Nursing LLC?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names Cottonwood Healthcare LLC for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Creekside Village Rehabilitation and Nursing LLC?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. 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.