COLUMBINE COMMONS HEALTH AND REHAB LLC
1475 MAIN ST, WINDSOR, CO 80550 · CCN 065410
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 56.8
- Phone
- 9704495540
Inspection history vs Colorado & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-17 | 2 | 8.7 | 9.5 | -6.7 better |
| 2 | 2023-10-12 | 4 | 8.7 | 9.8 | -4.7 better |
| 3 | 2022-07-14 | 1 | 7.5 | 9.3 | -6.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Nutrition and dietary | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.49 | 45.9% |
| RN staffing (reported) | 1.44 | 37.5% |
| Total nurse staffing (adjusted) | 4.72 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- COLUMBINE HEALTH SYSTEMS
- Facilities in chain
- 5
- Chain avg overall
- 4.40 / 5
Inspection citations (7)
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-17 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-10-12 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0761Ensure 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.2023-10-12 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-10-12 · Health · corrected 2023-10-25
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-10-12 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-07-14 · Health · corrected 2022-08-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WILSON, JOHN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-09-25 |
| FANCHER, BARRY | Individual | CORPORATE OFFICER | — | 1999-07-01 |
| FASCIANO-SAGER, LAUREN | Individual | CORPORATE OFFICER | — | 2008-05-12 |
| FANCHER, BARRY | Individual | W-2 MANAGING EMPLOYEE | — | 1999-07-01 |
| FASCIANO-SAGER, LAUREN | Individual | W-2 MANAGING EMPLOYEE | — | 2008-05-12 |
| WILSON, JOHN | Individual | W-2 MANAGING EMPLOYEE | — | 1971-12-06 |
| WITHROW, PALMER | Individual | W-2 MANAGING EMPLOYEE | — | 2013-09-01 |
Other facilities in WINDSOR
| Name | Overall | Beds |
|---|---|---|
| PELICAN POINTE HEALTH AND REHABILITATION CENTER | ★☆☆☆☆ | 104 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.