Elder Care Record

Colorado › Larimer County › Fort Collins

Poudre Canyon Rehabilitation and Nursing, LLC

1000 S Lemay Ave, Fort Collins, CO 80524

CCN 065166 · For-profit, limited liability company · 83 certified beds

CMS abuse icon
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.

Poudre Canyon Rehabilitation and Nursing, LLC, in Fort Collins, Colorado, is certified for 83 beds under for-profit, limited liability company ownership.

CMS gives it 1 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.

Inspectors recorded 36 health deficiencies across the three most recent survey cycles (11, 11, 14 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 43.4 per 100 beds, more than the state median of 25.0.

CMS lists 2 penalties in the period covered: fines totalling $48K.

Reported nurse staffing is 2.6 hours per resident per day (0.5 RN), below the Colorado median of 3.5; nursing staff turnover is 60.5%.

CMS flags that the facility carries the CMS abuse icon.

36health deficiencies, 3 survey cycles5 at actual harm or worse
$48Kfines listed by CMS2 penalties in period
2.6nurse hours per resident per daystate median 3.5
84%occupancy (residents ÷ beds)70 residents a day

Compared with county, state and nation

MeasureThis facilityLarimer Co. medianColorado medianUS average
Overall star rating1333.0
Health citations, 3 cycles36162228.7
Citations per 100 beds43.417.825.026.8
Total nurse hours per resident day2.63.53.53.9
RN hours per resident day0.50.70.70.7
Nursing staff turnover60.5%47.0%46.7%45.8%
Fines listed$48,308$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)11
Cycle 211
Cycle 314

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Jan 2025, 13 Jul 2023.

Severity mix: K ×1 G ×4 D ×17 E ×10 F ×3 C ×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)
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
15 May 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation16 May 2025
15 May 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation16 May 2025
15 May 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation16 May 2025
15 May 2025F0610Respond appropriately to all alleged violations.DComplaint investigation16 May 2025
22 Jan 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation19 Feb 2025
22 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation6 Feb 2025
22 Jan 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey15 Feb 2025
22 Jan 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey14 Feb 2025
22 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Feb 2025
22 Jan 2025F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DComplaint investigation23 Jan 2025
22 Jan 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey19 Feb 2025
22 Jan 2025F0760Ensure that residents are free from significant medication errors.DStandard survey19 Feb 2025
22 Jan 2025F0761Ensure 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.DStandard survey6 Feb 2025
22 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey6 Feb 2025
22 Jan 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey19 Feb 2025
13 Jul 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 Jul 2023
13 Jul 2023F0574The resident has the right to receive notices in a format and a language he or she understands.EStandard survey14 Jul 2023
13 Jul 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey14 Jul 2023
13 Jul 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey14 Jul 2023
13 Jul 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 survey14 Jul 2023
13 Jul 2023F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey29 Sep 2023
13 Jul 2023F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey14 Jul 2023
16 Jun 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GStandard survey16 Jul 2022
16 Jun 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey16 Jul 2022
16 Jun 2022F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FStandard survey16 Jul 2022
16 Jun 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey16 Jul 2022
16 Jun 2022F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey16 Jul 2022
16 Jun 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey16 Jul 2022
16 Jun 2022F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey16 Jul 2022
16 Jun 2022F0880Provide and implement an infection prevention and control program.EStandard survey16 Jul 2022
16 Jun 2022F0585Honor 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.DStandard survey16 Jul 2022
16 Jun 2022F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey16 Jul 2022
16 Jun 2022F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey16 Jul 2022
16 Jun 2022F0685Assist a resident in gaining access to vision and hearing services.DStandard survey16 Jul 2022
16 Jun 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey16 Jul 2022
16 Jun 2022F0791Provide or obtain dental services for each resident.DStandard survey16 Jul 2022

Penalties

DateTypeAmountDetail
15 May 2025Fine$10,358
22 Jan 2025Fine$37,950

Staffing

Total nursing2.65 h
Nurse aides1.63 h
LPN0.54 h
RN0.48 h
Weekend total2.51 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 60.5%, RNs 52.9%; — 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 Stay13.6%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.0%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.6%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay28.5%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. CMS groups this facility with 19 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Poudre Canyon Rehabilitation And Nursing Llc.

OrganisationRole in the CMS recordInterestSince
Pickd LLCDirect ownership interestNOT APPLICABLE09/01/2024
Cottonwood Healthcare LLCOperational/managerial controlNOT APPLICABLE09/01/2024

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
Berthoud Care and RehabilitationBerthoud764421621.1—2 Jun 2026
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

All 13 facilities in Larimer County

Questions and answers

How many deficiencies has Poudre Canyon Rehabilitation and Nursing, LLC been cited for?

36 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Poudre Canyon Rehabilitation and Nursing, LLC been fined?

Yes. CMS lists fines totalling $48K in the period covered.

How does staffing at Poudre Canyon Rehabilitation and Nursing, LLC compare?

Reported total nurse staffing is 2.6 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Poudre Canyon Rehabilitation and Nursing, LLC?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pickd LLC and Cottonwood Healthcare LLC. Individual owners and managers are not listed on this site.

When was Poudre Canyon Rehabilitation and Nursing, LLC last inspected?

The most recent survey or investigation in the CMS record is dated 15 May 2025; the most recent standard health survey was 22 Jan 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.