Westlake Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 1637 29th Ave Pl, Greeley, CO 80634
- CCN
- 065212
- Ownership type
- For-profit, corporation
- Certified beds
- 107
- Chain
- The Ensign Group
- Residents per day
- 90
- CMS flags
- No standard survey in more than 2 years
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 Westlake Health and Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 11 Apr 2024. The latest survey cycle has 6 health citations. The median for nursing homes in Colorado is 8. CMS lists 1 fine of $14,069 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 | Weld County median | Colorado median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 2.0 | 2.8 |
| Staffing rating | 2 | 4.0 | 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: 8 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) | 11 Apr 2024 | 6 | 8 |
| Cycle 2 | 15 Dec 2022 | 6 | 8 |
| Cycle 3 | No date | 0 | 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 | G0 | 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): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Apr 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 May 2024 |
| 11 Apr 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | 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 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 7 Jul 2025 |
| 7 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 21 Mar 2025 |
| 16 Oct 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 1 Nov 2024 |
| 15 Dec 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 27 Jan 2023 |
| 15 Dec 2022 | 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. | E | Standard survey | 27 Jan 2023 |
| 15 Dec 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Jan 2023 |
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 |
|---|---|---|---|
| 7 Apr 2025 | Fine | $14,069 |
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 | 3.01 | 3.50 | 3.72 |
| Registered nurses (RN) | 0.69 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.52 | 0.68 | |
| Nurse aides | 1.80 | 2.22 | |
| All nurse staff, weekends | 2.67 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 72.3%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 61.5%
- 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 | 8.1% | 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 | 1.0% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.4% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.8% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 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, corporation
- Legal business name
- Latham River Healthcare, Inc.
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nursa Inc | Operational/managerial control | 1 Sep 2024 | |
| Onshift Inc | Operational/managerial control | 1 Sep 2024 | |
| Ensign Services Inc | Adp of the snf | 1 Sep 2024 | |
| SMV Greeley Centennial LLC | Adp of the snf | 1 Sep 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Weld County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Broadview Health and Rehabilitation Center | Greeley | 4 of 5 | 3 | $0 | 15 Feb 2024 | |
| Fairacres Manor, Inc. | Greeley | 4 of 5 | 3 | $0 | 6 Jun 2024 | |
| Center at Centerplace, LLC, The | Greeley | 2 of 5 | 10 | $31,360 | 22 Apr 2026 | |
| Life Care Center of Greeley | Greeley | 5 of 5 | 4 | $12,285 | 16 Jul 2024 | |
| Grace Pointe Cont Care Sr Campus, Skilled Nursing | Greeley | 5 of 5 | 3 | $0 | 26 Feb 2026 | |
| Pelican Pointe Health and Rehabilitation Center | Windsor | 1 of 5 | 9 | $71,640 | 15 Jan 2026 | |
| Columbine Commons Health and Rehab LLC | Windsor | 5 of 5 | 2 | $0 | 17 Apr 2025 |
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 Westlake Health and Rehabilitation Center (CCN 065212). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/westlake-health-and-rehabilitation-center-greeley-co-065212/
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 Westlake Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 25 Jun 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 15 Dec 2022. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Westlake Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Ensign Group. The CMS ownership file names Nursa Inc and Onshift Inc for operational or managerial control. This site does not show the names of persons.
- Is Westlake Health and Rehabilitation Center 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.