Columbine West Health and Rehab LLC
940 Worthington Cir, Fort Collins, CO 80526 · Larimer County · 100 certified beds · avg 0 residents/day · certified since Dec 20, 1988
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Feb 27, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 21, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 11, 2024 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 3, 2024 (Deficient, Provider has date of correction)
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 16, 2026 | E · Potential for harm, repeated | 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. |
| Jun 16, 2026 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Feb 27, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 27, 2025 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint |
| Aug 6, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 11, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Apr 11, 2024 | E · Potential for harm, repeated | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Apr 11, 2024 | E · Potential for harm, repeated | 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 11, 2024 | 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. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Dec 19, 2019 | 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. |
| Dec 19, 2019 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | F |
| 2024 | 9 | 1 | G ▲ |
| 2025 | 3 | 1 | J ▲ |
| 2026 | 2 | 0 | E |
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)
2 fines totaling $26,891.
| Date | Type | Amount / length |
|---|---|---|
| Feb 27, 2025 | Fine | $16,653 |
| Apr 11, 2024 | Fine | $10,238 |
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) | 0.00 | 3.89 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.86 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.44 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.61 | 0.48 | — |
| Total nursing staff turnover (%) | 95.7 | 47.1 | 45.8 | bottom 1% in Colorado; bottom 1% in the U.S. |
| RN turnover (%) | 96.6 | 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 0.00, RN 0.00, weekend 0.00. Staffing rating: —/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: 4/5 · short-stay residents: 2/5
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.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
- "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 |
|---|---|---|---|---|---|
| Centre Avenue Health and Rehab LLC | 0.1 mi | Fort Collins, CO | ★★★★★ | 5/5 | |
| Creekside Village Rehabilitation and Nursing LLC | 1.6 mi | Fort Collins, CO | ★☆☆☆☆ | 1/5 | abuseSFF |
| Poudre Canyon Rehabilitation and Nursing, LLC | 2.0 mi | Fort Collins, CO | ★☆☆☆☆ | 1/5 | abuse |
| Storybrook Care & Rehabilitation | 2.0 mi | Fort Collins, CO | ★☆☆☆☆ | 1/5 | |
| Rehabilitation and Nursing Center of the Rockies | 2.4 mi | Fort Collins, CO | ★★★☆☆ | 2/5 | |
| Lemay Avenue Health and Rehab LLC | 3.0 mi | Fort Collins, CO | ★★★★☆ | 4/5 | |
| Good Samaritan Society -- Fort Collins Village | 4.3 mi | Fort Collins, CO | ★★★★☆ | 4/5 | |
| North Shore Health & Rehab Facility | 9.4 mi | Loveland, CO | ★★★★☆ | 4/5 | |
| Columbine Commons Health and Rehab LLC | 10.0 mi | Windsor, CO | ★★★★★ | 5/5 | |
| Riverbend Health and Rehabilitation Center | 10.8 mi | Loveland, CO | ★★☆☆☆ | 2/5 | abuse |
| Pelican Pointe Health and Rehabilitation Center | 11.6 mi | Windsor, CO | ★☆☆☆☆ | 1/5 | |
| Green House Homes at Mirasol, the | 11.9 mi | Loveland, CO | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 065245.