Riverbend Health and Rehabilitation Center
821 Duffield Ct, Loveland, CO 80537 · Larimer County · 100 certified beds · avg 82 residents/day · certified since Jul 1, 1982
Abuse citation flag (CMS)
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 (18)
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 30, 2026 | 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 30, 2026 | E · Potential for harm, repeated | 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. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Apr 30, 2026 | 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 30, 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. |
| Apr 30, 2026 | 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. |
| Jun 27, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 27, 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. |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 9, 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 9, 2023 | 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. |
| Feb 9, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Feb 9, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Feb 9, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 9, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Feb 9, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 9, 2023 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 3 | 0 | E |
| 2026 | 7 | 0 | 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) | 3.08 | 3.89 | 3.95 | bottom 15% in Colorado; bottom 16% in the U.S. |
| Registered Nurse hours | 0.63 | 0.86 | 0.69 | bottom 29% in Colorado; top 44% in the U.S. |
| Weekend total nurse staffing | 2.79 | 3.44 | 3.50 | bottom 16% in Colorado; bottom 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.61 | 0.48 | bottom 7% in Colorado; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 43.8 | 47.1 | 45.8 | top 40% in Colorado; top 47% in the U.S. |
| RN turnover (%) | 55.6 | 44.6 | 42.9 | bottom 27% in Colorado; bottom 28% 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 3.08, RN 0.63, weekend 2.79. 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: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 05/24/2024 |
| Chohan, Jameel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2024 |
| Chohan, Jameel | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Deckman, Courtney | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2024 |
| Deckman, Courtney | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Deckman, Courtney | Individual | ADP of the SNF | NOT APPLICABLE | 03/06/2025 |
| Graham, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 05/24/2024 |
| Jorgensen, David | Individual | Corporate Director | NOT APPLICABLE | 05/24/2024 |
| Jorgensen, David | Individual | Corporate Officer | NOT APPLICABLE | 05/24/2024 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
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?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "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 |
|---|---|---|---|---|---|
| North Shore Health & Rehab Facility | 1.6 mi | Loveland, CO | ★★★★☆ | 4/5 | |
| Green House Homes at Mirasol, the | 1.8 mi | Loveland, CO | ★★★★★ | 4/5 | |
| Good Samaritan - Loveland Village | 2.1 mi | Loveland, CO | ★★★☆☆ | 2/5 | abuse |
| Berthoud Care and Rehabilitation | 6.3 mi | Berthoud, CO | ★★★★☆ | 4/5 | |
| Good Samaritan Society -- Fort Collins Village | 6.5 mi | Fort Collins, CO | ★★★★☆ | 4/5 | |
| Lemay Avenue Health and Rehab LLC | 8.4 mi | Fort Collins, CO | ★★★★☆ | 4/5 | |
| Columbine Commons Health and Rehab LLC | 10.0 mi | Windsor, CO | ★★★★★ | 5/5 | |
| Centre Avenue Health and Rehab LLC | 10.8 mi | Fort Collins, CO | ★★★★★ | 5/5 | |
| Columbine West Health and Rehab LLC | 10.8 mi | Fort Collins, CO | ★★★☆☆ | 3/5 | |
| Pelican Pointe Health and Rehabilitation Center | 11.2 mi | Windsor, CO | ★☆☆☆☆ | 1/5 | |
| Creekside Village Rehabilitation and Nursing LLC | 11.4 mi | Fort Collins, CO | ★☆☆☆☆ | 1/5 | abuseSFF |
| Poudre Canyon Rehabilitation and Nursing, LLC | 12.1 mi | Fort Collins, CO | ★☆☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 065165.