Berthoud Care and Rehabilitation

Name: Berthoud Care and Rehabilitation
Address: 855 FRANKLIN AVE, Berthoud, CO, 80513, US
Telephone: 9705322683

855 Franklin Ave, Berthoud, CO 80513 · Larimer County · 76 certified beds · avg 67 residents/day · certified since Oct 1, 1989

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.48

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 2, 2026	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Jun 2, 2026	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jun 2, 2026	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 2, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 2, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jun 2, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Jun 2, 2026	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Jun 11, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jun 11, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 16, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 16, 2023	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Feb 16, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 16, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Feb 16, 2023	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
Feb 16, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Feb 16, 2023	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 7).

Year	Citations	Worst severity that year
2023	7	F
2024	2	E
2026	7	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Colorado avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.48	3.89	3.95	bottom 36% in Colorado; bottom 35% in the U.S.
Registered Nurse hours	0.71	0.86	0.69	bottom 39% in Colorado; top 35% in the U.S.
Weekend total nurse staffing	2.97	3.44	3.50	bottom 27% in Colorado; bottom 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.61	0.48	bottom 36% in Colorado; top 38% in the U.S.
Total nursing staff turnover (%)	0.0	47.1	45.8	—
RN turnover (%)	0.0	44.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.33, RN 0.68, weekend 2.85. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	12/15/2020
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	12/15/2020
Fraser, Malcolm	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2021
Fraser, Malcolm	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Fraser, Malcolm	Individual	ADP of the SNF	NOT APPLICABLE	06/19/2025
Graham, Joseph	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2021
Graham, Joseph	Individual	Corporate Officer	NOT APPLICABLE	02/01/2024
Graham, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Graham, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	06/19/2025
Isomed INC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Jorgensen, David	Individual	Corporate Director	NOT APPLICABLE	12/15/2020
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/08/2025
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/20/2024
SMV Berthoud LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Good Samaritan - Loveland Village	4.3 mi	Loveland, CO	★★★☆☆	2/5	abuse
Green House Homes at Mirasol, the	5.6 mi	Loveland, CO	★★★★★	4/5
Riverbend Health and Rehabilitation Center	6.3 mi	Loveland, CO	★★☆☆☆	2/5	abuse
Life Care Center of Longmont	7.5 mi	Longmont, CO	★★★☆☆	2/5
North Shore Health & Rehab Facility	7.8 mi	Loveland, CO	★★★★☆	4/5
Peaks Care Center, the	8.7 mi	Longmont, CO	★★★☆☆	3/5
McIntosh Care and Rehabilitation Center	8.9 mi	Longmont, CO	★★★☆☆	3/5
Katherine and Charles Hover Green Houses	8.9 mi	Longmont, CO	★★★★☆	3/5
Accel at Longmont Health and Rehab, LLC	12.3 mi	Longmont, CO	★☆☆☆☆	1/5	abuseSFF
Good Samaritan Society -- Fort Collins Village	12.8 mi	Fort Collins, CO	★★★★☆	4/5
Columbine Commons Health and Rehab LLC	14.5 mi	Windsor, CO	★★★★★	5/5
Lemay Avenue Health and Rehab LLC	14.7 mi	Fort Collins, CO	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Berthoud →

Facility data as of CMS processing date 2026-08-01. CCN 065265.

The Care File

Visit checklist — Berthoud Care and Rehabilitation

855 Franklin Ave, Berthoud, CO 80513 · 9705322683

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 065265 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)