Lemay Avenue Health and Rehab LLC

Name: Lemay Avenue Health and Rehab LLC
Address: 4824 S LEMAY AVE, Fort Collins, CO, 80525, US
Telephone: 8017094358

4824 S Lemay Ave, Fort Collins, CO 80525 · Larimer County · 130 certified beds · avg 125 residents/day · certified since Oct 1, 1977

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.11

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jun 1, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

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: Jul 23, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (11)

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 1, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jun 1, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Jun 1, 2026	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. · from a complaint
Jun 1, 2026	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
Jun 1, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Sep 11, 2025	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.
Feb 19, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Nov 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.
Aug 19, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 19, 2022	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.
Aug 19, 2022	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).

Year	Citations	Serious (G–L)	Worst severity that year
2022	3	0	D
2023	1	0	F
2025	2	0	E
2026	5	1	G ▲

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)	4.11	3.89	3.95	top 32% in Colorado; top 35% in the U.S.
Registered Nurse hours	1.02	0.86	0.69	top 28% in Colorado; top 15% in the U.S.
Weekend total nurse staffing	3.72	3.44	3.50	top 28% in Colorado; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.71	0.61	0.48	top 30% in Colorado; top 15% in the U.S.
Total nursing staff turnover (%)	92.6	47.1	45.8	bottom 2% in Colorado; bottom 1% in the U.S.
RN turnover (%)	95.0	44.6	42.9	bottom 3% 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 4.03, RN 1.00, weekend 3.65. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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 Society -- Fort Collins Village	2.4 mi	Fort Collins, CO	★★★★☆	4/5
Centre Avenue Health and Rehab LLC	2.9 mi	Fort Collins, CO	★★★★★	5/5
Creekside Village Rehabilitation and Nursing LLC	3.0 mi	Fort Collins, CO	★☆☆☆☆	1/5	abuseSFF
Columbine West Health and Rehab LLC	3.0 mi	Fort Collins, CO	★★★☆☆	3/5
Poudre Canyon Rehabilitation and Nursing, LLC	3.7 mi	Fort Collins, CO	★☆☆☆☆	1/5	abuse
Rehabilitation and Nursing Center of the Rockies	3.7 mi	Fort Collins, CO	★★★☆☆	2/5
Storybrook Care & Rehabilitation	3.7 mi	Fort Collins, CO	★☆☆☆☆	1/5
North Shore Health & Rehab Facility	7.1 mi	Loveland, CO	★★★★☆	4/5
Columbine Commons Health and Rehab LLC	7.4 mi	Windsor, CO	★★★★★	5/5
Riverbend Health and Rehabilitation Center	8.4 mi	Loveland, CO	★★☆☆☆	2/5	abuse
Pelican Pointe Health and Rehabilitation Center	9.0 mi	Windsor, CO	★☆☆☆☆	1/5
Green House Homes at Mirasol, the	9.2 mi	Loveland, CO	★★★★★	4/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 065142.

The Care File

Visit checklist — Lemay Avenue Health and Rehab LLC

4824 S Lemay Ave, Fort Collins, CO 80525 · 8017094358

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

Most serious findings on record:

▲ Jun 1, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 065142 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)