Columbine Commons Health and Rehab LLC

Name: Columbine Commons Health and Rehab LLC
Address: 1475 MAIN ST, Windsor, CO, 80550, US
Telephone: 9704495540

1475 Main St, Windsor, CO 80550 · Weld County · 60 certified beds · avg 58 residents/day · certified since Feb 13, 2014

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.92

Nurse hours/resident/day (adjusted)

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

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

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 (7)

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
Apr 17, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 17, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 12, 2023	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.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Jul 14, 2022	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Worst severity that year
2022	1	D
2023	4	E
2025	2	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)	3.92	3.89	3.95	top 39% in Colorado; top 43% in the U.S.
Registered Nurse hours	0.88	0.86	0.69	top 38% in Colorado; top 22% in the U.S.
Weekend total nurse staffing	3.57	3.44	3.50	top 35% in Colorado; top 39% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.77	0.61	0.48	top 24% in Colorado; top 13% in the U.S.
Total nursing staff turnover (%)	92.0	47.1	45.8	bottom 2% in Colorado; bottom 1% in the U.S.
RN turnover (%)	96.3	44.6	42.9	bottom 2% in Colorado; bottom 1% in the U.S.

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 4.02, RN 0.90, weekend 3.66. Staffing rating: 3/5.

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: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Pelican Pointe Health and Rehabilitation Center	1.6 mi	Windsor, CO	★☆☆☆☆	1/5
Lemay Avenue Health and Rehab LLC	7.4 mi	Fort Collins, CO	★★★★☆	4/5
Good Samaritan Society -- Fort Collins Village	8.5 mi	Fort Collins, CO	★★★★☆	4/5
Grace Pointe Cont Care Sr Campus, Skilled Nursing	8.9 mi	Greeley, CO	★★★★★	4/5
Creekside Village Rehabilitation and Nursing LLC	9.0 mi	Fort Collins, CO	★☆☆☆☆	1/5	abuseSFF
Rehabilitation and Nursing Center of the Rockies	9.1 mi	Fort Collins, CO	★★★☆☆	2/5
Green House Homes at Mirasol, the	9.4 mi	Loveland, CO	★★★★★	4/5
Poudre Canyon Rehabilitation and Nursing, LLC	9.5 mi	Fort Collins, CO	★☆☆☆☆	1/5	abuse
Storybrook Care & Rehabilitation	9.5 mi	Fort Collins, CO	★☆☆☆☆	1/5
North Shore Health & Rehab Facility	9.8 mi	Loveland, CO	★★★★☆	4/5
Centre Avenue Health and Rehab LLC	9.9 mi	Fort Collins, CO	★★★★★	5/5
Columbine West Health and Rehab LLC	10.0 mi	Fort Collins, CO	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Windsor →

Facility data as of CMS processing date 2026-08-01. CCN 065410.

The Care File

Visit checklist — Columbine Commons Health and Rehab LLC

1475 Main St, Windsor, CO 80550 · 9704495540

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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 065410 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)