COLUMBINE WEST HEALTH AND REHAB LLC
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2025-02-27 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-04-11 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.33
state median 3.24
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.74
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
96%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $26,891 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-02-27 | Fine | $16,653 |
| 2024-04-11 | Fine | $10,238 |
Ownership
Ownership type: For profit - Corporation. Part of the COLUMBINE HEALTH SYSTEMS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- NORTH SHORE HEALTH & REHAB FACILITY (LOVELAND, CO) —
- LEMAY AVENUE HEALTH AND REHAB LLC (FORT COLLINS, CO) —
- CENTRE AVENUE HEALTH AND REHAB LLC (FORT COLLINS, CO) —
- COLUMBINE COMMONS HEALTH AND REHAB LLC (WINDSOR, CO) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-02-27 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-02-27 | F0744 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-27 | F0867 | Administration Deficiencies | F | not recorded |
| 2024-08-06 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-04-11 | F0575 | Resident Rights Deficiencies | E | not recorded |
| 2024-04-11 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-11 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-11 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-04-11 | F0744 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-11 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-04-11 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-04-11 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2019-12-19 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-12-19 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2018-11-01 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2018-11-01 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2018-11-01 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |