nursing home in Fort Collins, CO
Columbine West Health and Rehab LLC
940 Worthington Cir, Fort Collins, CO 80526 · (970) 221-2273
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Columbine West Health and Rehab LLC at a glance
Columbine West Health and Rehab LLC is a 100-bed for-profit nursing home in Fort Collins, Colorado (Larimer County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Colorado average of 3.2.
Residents receive about 3.7 hours of nursing care per day (0.9 of them from registered nurses), close to the state average of 3.7 hours.
Its most recent standard health inspection (June 16, 2026) found 2 health citations. The Colorado average is 8.7.
Federal regulators fined it 2 times in the past three years, totaling $26,891.
Nursing staff turnover is 95.7% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 20, 1988
- Resident/family council
- Resident
- County
- Larimer County
- CMS Certification Number
- 065245
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 4.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.74 hrs | 3.72 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.93 hrs | 0.82 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.34 hrs | 2.21 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.27 hrs | 3.29 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 95.7% | 47.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 96.6% | 44.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 49.8 | 74 | 80.6 | Better |
Penalties
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $26,891 | $22,802 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 94 | 107 | |
| Average residents per day | 92 | 75 | 86 | |
| Occupancy | 92.3% | 80.7% | 80.9% |
Long-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.2% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.3% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.9% | 20% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 1.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 23.5% | 13.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21.8% | 13.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.5% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 9% | 8.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.2% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 28.6% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.9% | 94.7% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 93.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.1% | 1.6% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 80.3% | 75.6% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.1% | 76.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 16, 2026 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected October 1, 2026 |
| June 16, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 1, 2026 |
| June 16, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected October 1, 2026 |
| June 16, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected October 1, 2026 |
| June 16, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected October 1, 2026 |
| June 16, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 17, 2026 |
| June 16, 2026 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected June 29, 2026 |
| February 27, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected March 21, 2025 |
| February 27, 2025 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected March 7, 2025 |
| February 27, 2025 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected March 19, 2025 |
| August 6, 2024 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 25, 2024 |
| April 11, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 16, 2024 |
| April 11, 2024 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected May 21, 2024 |
| April 11, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected May 3, 2024 |
| April 11, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 3, 2024 |
| April 11, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 3, 2024 |
| April 11, 2024 Standard | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Tag F0575 | E Potential harm, pattern | Corrected May 3, 2024 |
| April 11, 2024 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 11, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 11, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 11, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 3, 2024 |
| December 19, 2019 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 13, 2020 |
| December 19, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 5, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $26,891 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 27, 2025 | Fine | $16,653 |
| April 11, 2024 | Fine | $10,238 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Columbine West Health and Rehab LLC
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- Special Focus candidate
- Abuse citation
★★★★★1Much below averagePoudre Canyon Rehabilitation and Nursing, LLC
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★★★★★1Much below averageStorybrook Care & Rehabilitation
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Frequently asked questions
What is Columbine West Health and Rehab LLC's rating?
Columbine West Health and Rehab LLC has 3 out of 5 stars on the CMS overall star rating. The average for Colorado nursing homes is 3.2 stars.
How many inspection citations did Columbine West Health and Rehab LLC receive?
Its most recent standard health inspection found 2 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Columbine West Health and Rehab LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Columbine West Health and Rehab LLC?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Columbine West Health and Rehab LLC and how do I contact it?
Columbine West Health and Rehab LLC is at 940 Worthington Cir, Fort Collins, CO 80526. Phone: (970) 221-2273.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.