Columbine West Health and Rehab LLC

940 Worthington Cir · Fort Collins, CO · 80526 · 9702212273

100 certified beds For profit - Corporation Chain: Columbine Health Systems Part of a CCRC

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 48
Serious harm & abuse 20% 58
Staffing 20% 53
Federal penalties 15% 58
Trend 10% 78
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: not rated Quality measures: 5 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)2 · $26,891

Inspection citations (17 in the current record)

  • Immediate jeopardy · J February 27, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 21, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 27, 2025 · found via complaint

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected March 19, 2025 · Quality of Life and Care

  • Potential for harm · F February 27, 2025 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected March 7, 2025 · Administration

  • Potential for harm · E August 6, 2024 · found via 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.

    Corrected August 25, 2024 · Resident Rights

  • Actual harm · G April 11, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 3, 2024 · Quality of Life and Care

  • Potential for harm · E April 11, 2024

    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.

    Corrected May 3, 2024 · Resident Rights

  • Potential for harm · D April 11, 2024

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 11, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 11, 2024

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected May 3, 2024 · Quality of Life and Care

  • Potential for harm · D April 11, 2024

    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.

    Corrected May 3, 2024 · Pharmacy Service

  • Potential for harm · E April 11, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 3, 2024 · Nutrition and Dietary

  • Potential for harm · E April 11, 2024

    Provide and implement an infection prevention and control program.

    Corrected May 3, 2024 · Infection Control

  • Potential for harm · D December 19, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 5, 2020 · Quality of Life and Care

  • Potential for harm · F December 19, 2019

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 13, 2020 · Nutrition and Dietary

  • Potential for harm · D November 1, 2018

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 5, 2018 · Resident Rights

  • Potential for harm · D November 1, 2018

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 7, 2018 · Quality of Life and Care

  • Potential for harm · F November 1, 2018

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 9, 2019 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
February 27, 2025Fine$16,653
April 11, 2024Fine$10,238

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065245 · certified since December 20, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.