Poudre Canyon Rehabilitation and Nursing, LLC

1000 S Lemay Ave · Fort Collins, CO · 80524 · 9704827925

83 certified beds For profit - Limited Liability company Chain: The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.

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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 the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

2 abuse-related citations at the actual-harm level

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

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Total nurse staffing below 3.0 hours per resident-day

2.39 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

67% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 30
Serious harm & abuse 20% 0
Staffing 20% 38
Federal penalties 15% 24
Trend 10% 38
Context 5% 75

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.393.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day2.40≈ weekday level
Nursing turnover / year67%median 45%
Fines (3-yr window)3 · $56,046

Inspection citations (37 in the current record)

  • Actual harm · G May 15, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected May 16, 2025 · Pharmacy Service

  • Potential for harm · E May 15, 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 May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 15, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 15, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K January 22, 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 February 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G January 22, 2025 · found via complaint

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

    Corrected February 6, 2025 · Quality of Life and Care

  • Potential for harm · D January 22, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 19, 2025 · Pharmacy Service

  • Potential for harm · D January 22, 2025

    Ensure that residents are free from significant medication errors.

    Corrected February 19, 2025 · Pharmacy Service

  • Potential for harm · D January 22, 2025

    Ensure 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.

    Corrected February 6, 2025 · Pharmacy Service

  • Potential for harm · E January 22, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 15, 2025 · Nutrition and Dietary

  • Potential for harm · E January 22, 2025

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

    Corrected February 14, 2025 · Administration

  • Potential for harm · D January 22, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 6, 2025 · Infection Control

  • Potential for harm · D January 22, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected February 19, 2025 · Environmental

  • Potential for harm · D January 22, 2025 · found via complaint

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

    Corrected February 19, 2025 · Quality of Life and Care

  • Potential for harm · D January 22, 2025 · found via complaint

    Try 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.

    Corrected January 23, 2025 · Quality of Life and Care

  • Actual harm · G July 13, 2023 · found via complaint

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

    Corrected June 5, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 13, 2023

    The resident has the right to receive notices in a format and a language he or she understands.

    Corrected July 14, 2023 · Resident Rights

  • Potential for harm · D July 13, 2023

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected July 14, 2023 · Nutrition and Dietary

  • Potential for harm · D July 13, 2023

    Ensure 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.

    Corrected July 14, 2023 · Nutrition and Dietary

  • Potential for harm · D July 13, 2023

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected September 29, 2023 · Nutrition and Dietary

  • Potential for harm · E July 13, 2023 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 14, 2023 · Pharmacy Service

  • Potential for harm · F July 13, 2023 · found via complaint

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

    Corrected July 14, 2023 · Nutrition and Dietary

  • No harm found · C July 13, 2023

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected July 14, 2023 · Resident Rights

  • Actual harm · G June 16, 2022

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

    Corrected July 16, 2022 · Resident Rights

  • Actual harm · G June 16, 2022

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

    Corrected July 16, 2022 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 15, 2025Fine$10,358
January 22, 2025Fine$37,950
August 2, 2023Payment Denial20 days
July 13, 2023Fine$7,738

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065166 · certified since July 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.