nursing home in Berthoud, CO
Berthoud Care and Rehabilitation
855 Franklin Ave, Berthoud, CO 80513 · (970) 532-2683
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Berthoud Care and Rehabilitation at a glance
Berthoud Care and Rehabilitation is a 76-bed for-profit nursing home in Berthoud, Colorado (Larimer County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Colorado average of 3.2.
Residents receive about 3.3 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (June 2, 2026) found 7 health citations. The Colorado average is 8.7.
It has not received a federal fine in the past three years.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 76
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- October 1, 1989
- Resident/family council
- Resident
- County
- Larimer County
- CMS Certification Number
- 065265
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 4.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.33 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.68 hrs | 0.82 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 1.96 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.85 hrs | 3.29 hrs | 3.42 hrs | Worse |
Inspections
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 42 | 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) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,802 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 76 | 94 | 107 | |
| Average residents per day | 67 | 75 | 86 | |
| Occupancy | 88.6% | 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) | 1.4% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.3% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14.3% | 20% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 1.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20% | 13.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.5% | 13.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.1% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 9.4% | 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) | 10.5% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 27% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 84.8% | 94.7% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.5% | 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) | 1.8% | 1.6% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 80.4% | 75.6% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 88.3% | 76.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 2, 2026 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected June 16, 2027 |
| June 2, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected June 16, 2027 |
| June 2, 2026 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 2, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected December 16, 2026 |
| June 2, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected December 26, 2026 |
| June 2, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected May 13, 2026 |
| June 2, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 2, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 2, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 2, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected May 20, 2026 |
| June 2, 2026 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected June 29, 2026 |
| June 2, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected June 29, 2026 |
| June 11, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 10, 2024 |
| June 11, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected August 15, 2024 |
| June 11, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 15, 2024 |
| June 11, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected October 10, 2024 |
| June 11, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected August 15, 2024 |
| June 11, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected August 15, 2024 |
| June 11, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected August 15, 2024 |
| June 11, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | E Potential harm, pattern | Corrected August 15, 2024 |
| June 11, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected August 15, 2024 |
| June 11, 2024 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | E Potential harm, pattern | Corrected August 15, 2024 |
| June 11, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected August 15, 2024 |
| June 11, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected July 10, 2024 |
| June 11, 2024 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 July 10, 2024 |
| February 16, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 4, 2023 |
| February 16, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected April 4, 2023 |
| February 16, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected March 16, 2023 |
| February 16, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 17, 2023 |
| February 16, 2023 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected March 17, 2023 |
| February 16, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected March 24, 2023 |
| February 16, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected March 17, 2023 |
| February 16, 2023 Standard | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected March 25, 2023 |
| February 16, 2023 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Tag F0742 | D Potential harm, isolated | Corrected March 17, 2023 |
| February 16, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 17, 2023 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 12/15/2020 |
| FRASER, MALCOLM Individual | adp of the snf | NOT APPLICABLE | 06/19/2025 |
| GRAHAM, JOSEPH Individual | adp of the snf | NOT APPLICABLE | 06/19/2025 |
| SMV BERTHOUD LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| JORGENSEN, DAVID Individual | corporate director | NOT APPLICABLE | 12/15/2020 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 12/15/2020 |
| GRAHAM, JOSEPH Individual | corporate officer | NOT APPLICABLE | 02/01/2024 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| SATO, AMI Individual | corporate officer | NOT APPLICABLE | 09/20/2024 |
| PORT, BARRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/08/2025 |
| FRASER, MALCOLM Individual | managing control - governing body | NOT APPLICABLE | 04/01/2021 |
| GRAHAM, JOSEPH Individual | managing control - governing body | NOT APPLICABLE | 04/01/2021 |
| FRASER, MALCOLM Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| GRAHAM, JOSEPH Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| ISOMED INC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
Other nursing homes near Berthoud Care and Rehabilitation
Good Samaritan - Loveland Village
2101 S Garfield Ave, Loveland, CO 80537 · 4.3 mi
Non-profit · 104 beds · Part of Good Samaritan Society
- Abuse citation
★★★★★3AverageGreen House Homes at Mirasol, the
490 Mirasol Dr, Loveland, CO 80537 · 5.6 mi
For-profit · 90 beds
- CMS high performer
★★★★★5Much above averageRiverbend Health and Rehabilitation Center
821 Duffield Ct, Loveland, CO 80537 · 6.3 mi
For-profit · 100 beds · Part of The Ensign Group
- Abuse citation
★★★★★2Below averageLife Care Center of Longmont
2451 Pratt St, Longmont, CO 80501 · 7.5 mi
For-profit · 187 beds · Part of Life Care Centers of America
★★★★★3Average- ★★★★★4Above average
Peaks Care Center, the
1440 Coffman St, Longmont, CO 80501 · 8.7 mi
For-profit · 84 beds · Part of Frontline Management
★★★★★3Average
Frequently asked questions
What is Berthoud Care and Rehabilitation's rating?
Berthoud Care and Rehabilitation has 4 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 Berthoud Care and Rehabilitation receive?
Its most recent standard health inspection found 7 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Berthoud Care and Rehabilitation 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 Berthoud Care and Rehabilitation?
It is for profit - limited liability company and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Berthoud Care and Rehabilitation and how do I contact it?
Berthoud Care and Rehabilitation is at 855 Franklin Ave, Berthoud, CO 80513. Phone: (970) 532-2683.
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.