POUDRE CANYON REHABILITATION AND NURSING, LLC
1000 S LEMAY AVE, FORT COLLINS, CO 80524 · CCN 065166
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 83
- Avg residents/day
- 73.0
- Phone
- 9704827925
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 | 2025-01-22 | 15 | 8.7 | 9.5 | +6.3 worse |
| 2 | 2023-07-13 | 7 | 8.7 | 9.8 | -1.7 better |
| 3 | 2022-06-16 | 15 | 7.5 | 9.3 | +7.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.72 | 77.5% |
| RN staffing (reported) | 0.56 | 75.0% |
| Total nurse staffing (adjusted) | 2.82 | — |
Fines & penalties
- Total fines
- $45,688
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS
- Facilities in chain
- 18
- Chain avg overall
- 1.60 / 5
Inspection citations (37)1 immediate jeopardy5 actual harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-15 · Health · corrected 2025-05-16
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-15 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-05-15 · Health · corrected 2025-05-16
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2025-05-15 · Health · corrected 2025-05-16
Actual harm
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-22 · Health · corrected 2025-02-19
Immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-22 · Health · corrected 2025-02-19
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-22 · Health · corrected 2025-02-06
Actual harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-01-22 · Health · corrected 2025-01-23
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-01-22 · Health · corrected 2025-02-19
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-01-22 · Health · corrected 2025-02-19
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.2025-01-22 · Health · corrected 2025-02-06
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-22 · Health · corrected 2025-02-15
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-01-22 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-22 · Health · corrected 2025-02-06
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-01-22 · Health · corrected 2025-02-19
Potential for more than minimal harm
- EF0574The resident has the right to receive notices in a format and a language he or she understands.2023-07-13 · Health · corrected 2023-07-14
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-07-13 · Health · corrected 2023-07-14
Potential for minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-13 · Health · corrected 2023-06-05
Actual harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-07-13 · Health · corrected 2023-07-14
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-07-13 · Health · corrected 2023-07-14
Potential for more than minimal harm
- 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.2023-07-13 · Health · corrected 2023-07-14
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.2023-07-13 · Health · corrected 2023-07-14
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-07-13 · Health · corrected 2023-09-29
Potential for more than minimal harm
- GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-06-16 · Health · corrected 2022-07-16
Actual harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-16 · Health · corrected 2022-07-16
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-06-16 · Health · corrected 2022-07-16
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.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-06-16 · Health · corrected 2022-07-16
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MAZE FAMILY LIMITED PARTNERSHIP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-09-01 |
| CHARLY BELLO FAMILY LIMITED PARTNERSHIP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | 2024-09-01 |
| MYERS, WALTER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2024-09-01 |
| MYERS, KATIE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24% | 2024-09-01 |
| SWAIN, JARED | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2024-09-01 |
| SWAIN, HOLLY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 19% | 2024-09-01 |
| PICKD LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2024-09-01 |
| MYERS, WALTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| COTTONWOOD HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| BADER, CARLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| MAHRT, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
Other facilities in FORT COLLINS
| Name | Overall | Beds |
|---|---|---|
| GOOD SAMARITAN SOCIETY -- FORT COLLINS VILLAGE | ★★★★★ | 64 |
| LEMAY AVENUE HEALTH AND REHAB LLC | ★★★★★ | 130 |
| CENTRE AVE HEALTH AND REHABILITATION LLC | ★★★★★ | 90 |
| COLUMBINE WEST HEALTH AND REHAB LLC | ★★★☆☆ | 100 |
| REHABILITATION AND NURSING CENTER OF THE ROCKIES | ★★★☆☆ | 106 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.