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Columbine West Health And Rehab Llc

940 Worthington Cir, Fort Collins, CO 80526
9702212273
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Overall CMS Rating

2.0/5

vs State Average: 3.1 stars

1.0/5

Health Inspections

vs State Average: 2.7/5

4.0/5

Staffing Level

vs State Average: 3.1/5

5.0/5

Quality Measures

vs State Average: 4.2/5

2 penalties in last 3 years
Penalties
vs State Average: 1.5 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.7
National Average
2.8
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
Feb 27, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J
Feb 27, 2025 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F
Feb 27, 2025 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D
Aug 6, 2024 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. E
Apr 11, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D
Score
4.0
State Average
3.1
National Average
2.9
1.1 RN Hours / Resident / Day
3.9 Total Nurse Hours / Resident / Day
41.4% RN Turnover Rate
Score
5.0
State Average
4.2
National Average
3.6
5.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
91.2 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST WILSON, JOHN
OPERATIONAL/MANAGERIAL CONTROL COLUMBINE MANAGEMENT SERVICES INC
CORPORATE DIRECTOR FANCHER, BARRY
CORPORATE OFFICER FASCIANO-SAGER, LAUREN
W-2 MANAGING EMPLOYEE FANCHER, BARRY
W-2 MANAGING EMPLOYEE FASCIANO-SAGER, LAUREN
W-2 MANAGING EMPLOYEE WILSON, JOHN
Recent Penalties
Date Type Fine
Feb 27, 2025 Fine $16,653
Apr 11, 2024 Fine $10,238

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