Starfile

Starfile / Colorado

BERTHOUD CARE AND REHABILITATION

855 FRANKLIN AVE, BERTHOUD, CO 80513 · CCN 065265

Ratings

Overall
★★★★★ 5
Health inspection
★★★★★ 5
Quality measures
★★★★☆ 4
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Corporation
Certified beds
76
Avg residents/day
67.6
Phone
9705322683

Inspection history vs Colorado & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityColorado avgNational avgvs state
12024-06-1128.79.5-6.7 better
22023-02-1678.79.8-1.7 better
32021-11-0977.59.3-0.5 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Environmental1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2944.6%
RN staffing (reported)0.6757.1%
Total nurse staffing (adjusted)3.55

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (16)

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-11 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  2. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-06-11 · Health · corrected 2024-07-10

    Potential for more than minimal harm

  3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-02-16 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  4. DF0679Provide activities to meet all resident's needs.2023-02-16 · Health · corrected 2023-03-24

    Potential for more than minimal harm

  5. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-02-16 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  6. DF0742Provide 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.2023-02-16 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  7. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-02-16 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  8. DF0808Ensure 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.2023-02-16 · Health · corrected 2023-03-25

    Potential for more than minimal harm

  9. FF0880Provide and implement an infection prevention and control program.2023-02-16 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  10. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-11-09 · Health · corrected 2021-12-08

    Potential for more than minimal harm

  11. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2021-11-09 · Health · corrected 2021-08-23

    Potential for more than minimal harm

  12. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-11-09 · Health · corrected 2021-12-08

    Potential for more than minimal harm

  13. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-11-09 · Health · corrected 2021-12-08

    Potential for more than minimal harm

  14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-11-09 · Health · corrected 2021-12-08

    Potential for more than minimal harm

  15. EF0880Provide and implement an infection prevention and control program.2021-11-09 · Health · corrected 2021-12-08

    Potential for more than minimal harm

  16. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-11-09 · Health · corrected 2021-12-08

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
ENDURA HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-04-01
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2014-06-19
ISOMED INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-04-01
FRASER, MALCOLMIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-01
GRAHAM, JOSEPHIndividualOPERATIONAL/MANAGERIAL CONTROL2021-04-01
JORGENSEN, DAVIDIndividualCORPORATE DIRECTOR2020-12-15
BURNAM, SOONIndividualCORPORATE OFFICER2020-12-15
GRAHAM, JOSEPHIndividualCORPORATE OFFICER2024-02-01
KEETCH, CHADIndividualCORPORATE OFFICER2011-03-01
SATO, AMIIndividualCORPORATE OFFICER2024-09-20

Other facilities in BERTHOUD

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.