Status
Active
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Nursing Home
Columbine West Health and Rehab Facility
Overview of Columbine West Health and Rehab Facility
The Sister community of Lemy Avenue, Columbine West Health and Rehab Facility, offers a warm and welcoming atmosphere that ensures a service delivered with compassion and respect. Focusing on skilled nursing, the retirement home creates a vibrant atmosphere for seniors to maintain their independence and individuality. Columbine West creates an environment of compassion and kindness for each senior.
As a member of the Columbine Cares for Seniors community, residential life is all about amenities: housekeeping, physical therapy, memory care, fully-equipped bedrooms with utilities included (piped-in oxygen, private sink, wardrobe), restaurant-style dining, short-term stays available, spiritual programs, specialized activities, educational and social engagements, pet therapy, and fitness classes offered.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
100
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.4%
Residents per day (avg)
89
Occupancy rate
89.4%
Residents per day (avg)
89
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
23% of new residents, usually for short-term rehab.
Typical stay
16 days
Private pay
63% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$12.6M
Operating loss
-$655.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$12,620,120.00
Operating loss
$-655,755.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.3M
100-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 72 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
License details
Ownership & operating entity
Columbine West Health and Rehab Facility is administrated by Sleath, Julie Ann.
Owner:
COLUMBINE WEST HEALTH AND REHAB LLC
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Programs & Activities
Specific Programs
Home Care, Therapy Services, Memory Care, Family Support, Infusion Services, Medical Equipment, Transportation
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
5
Colorado average 4.8
Last Health inspection on Feb 2025
Total health citations
17
Citations per inspection
3.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 17 citations resulted from standard inspections; and 4 of 17 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
150% worse than Colorado averageColorado average: 0.4
Serious Health citations
1
1
52% better than Colorado averageColorado average: 2.1
1 critical citation
1 serious citation
15 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect critical citation
Feb 27, 2025
Corrected
Administration moderate citation
Feb 27, 2025
Corrected
Quality of Care moderate citation
Feb 27, 2025
Corrected
Resident Rights moderate citation
Aug 06, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Fort Collins
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
Centre Avenue Health and Rehab Facility
+12%
+12%
+16%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Fort Collins
90
A+
73
-
88.9%
$16,759,746.00
$6,629,342.00
39.6%
81.50
4.3266
1
5
2
+12%+12%+16%-
Lemy Avenue Health and Rehab Facility
-5%
+22%
+22%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Fort Collins
130
A+
48
-
93.3%
$20,918,712.00
$8,259,461.00
39.5%
120.00
4.7150
1
7
1
-5%+22%+22%-
Good Samaritan Society – Fort Collins Village
+50%
+3%
-18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Fort Collins
92
A+
16
BERMINGHAM, ROGER
62.4%
$8,529,930.00
$3,888,336.00
45.6%
55.70
3.9645
-
5
-
+50%+3%-18%-
Columbine West Health and Rehab Facility
-29%
+36%
+17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Fort Collins (Prospect/Shields)
100
A+
72
-
89.4%
$12,585,186.00
$6,400,310.00
50.9%
88.60
5.2531
2
17
2
-29%+36%+17%-
Creekside Village Health and Rehabilitation Center
+1%
-32%
-24%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Fort Collins (Prospect at Spring Meadows)
120
-
73
-
57.9%
$11,056,451.00
$2,212,155.00
20%
71.30
2.6251
4
40
6
+1%-32%-24%Studio / Semi-Private Rooms
Centre Avenue Health and Rehab Facility
Type of care:
SNF
AL
Community:
Fort Collins
Bed Count:
90
CCN:
65377
Occupancy:
88.9%
Home Revenue:
$16,759,746.00
Payroll Costs:
$6,629,342.00
Payroll %:
39.6%
Avg Residents/Day:
81.50
Overall Rating:
Adj Nurse Hours:
4.3266
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
5
Severe Citations:
2
RN share vs State Avg:
+12%
+12%
Staffing vs State Avg:
+12%
+12%
Occupancy vs State Avg:
+16%
+16%
Lemy Avenue Health and Rehab Facility
Type of care:
SNF
AL
Community:
Fort Collins
Bed Count:
130
CCN:
65142
Occupancy:
93.3%
Home Revenue:
$20,918,712.00
Payroll Costs:
$8,259,461.00
Payroll %:
39.5%
Avg Residents/Day:
120.00
Overall Rating:
Adj Nurse Hours:
4.7150
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
7
Severe Citations:
1
RN share vs State Avg:
-5%
-5%
Staffing vs State Avg:
+22%
+22%
Occupancy vs State Avg:
+22%
+22%
Good Samaritan Society – Fort Collins Village
Type of care:
SNF
AL
Community:
Fort Collins
Bed Count:
92
Operator:
BERMINGHAM, ROGER
CCN:
65227
Occupancy:
62.4%
Home Revenue:
$8,529,930.00
Payroll Costs:
$3,888,336.00
Payroll %:
45.6%
Avg Residents/Day:
55.70
Overall Rating:
Adj Nurse Hours:
3.9645
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
5
RN share vs State Avg:
+50%
+50%
Staffing vs State Avg:
+3%
+3%
Occupancy vs State Avg:
-18%
-18%
Columbine West Health and Rehab Facility
Type of care:
SNF
AL
Community:
Fort Collins (Prospect/Shields)
Bed Count:
100
CCN:
65245
Occupancy:
89.4%
Home Revenue:
$12,585,186.00
Payroll Costs:
$6,400,310.00
Payroll %:
50.9%
Avg Residents/Day:
88.60
Overall Rating:
Adj Nurse Hours:
5.2531
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-29%
-29%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+17%
+17%
Creekside Village Health and Rehabilitation Center
Type of care:
AL
SNF
Community:
Fort Collins (Prospect at Spring Meadows)
Bed Count:
120
CCN:
65221
Occupancy:
57.9%
Home Revenue:
$11,056,451.00
Payroll Costs:
$2,212,155.00
Payroll %:
20%
Avg Residents/Day:
71.30
Overall Rating:
Adj Nurse Hours:
2.6251
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
40
Severe Citations:
6
RN share vs State Avg:
+1%
+1%
Staffing vs State Avg:
-32%
-32%
Occupancy vs State Avg:
-24%
-24%
Bed Options:
Studio / Semi-Private Rooms
Places of interest near Columbine West Health and Rehab Facility
2.0 miles from city center — 0.37 miles to nearest hospital (US Veterans Center/ VetCenter)
940 Worthington Cir, Fort Collins, CO 80526
Calculate Travel Distance to Columbine West Health and Rehab Facility
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
208
Total Staff
175
Employees
33
Contractors
44,920
Total Hours (Quarter)
60
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 20 | 9.4 | No |
| Licensed Practical Nurse | 8 | 8.8 | No |
| Certified Nursing Assistant | 99 | 8.5 | Yes |
Staff by Category
Administration ⓘ
2 staff
8hs shift avg
Nursing Staff ⓘ
131 staff
8.7hs shift avg
Physicians & Practitioners ⓘ
8 staff
8.1hs shift avg
Therapy Services ⓘ
46 staff
5.7hs shift avg
Activities & Recreation ⓘ
1 staff
0.6hs shift avg
Social Services ⓘ
7 staff
6.1hs shift avg
Dietary Services ⓘ
6 staff
7.1hs shift avg
Other Services ⓘ
7 staff
7.7hs shift avg
Contractor Analysis
3.1%
of total hours from contractors
1,411 contractor hours this quarter
Certified Nursing Assistant: 31
Medical Director: 1
Qualified Activities Professional: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 68 | 31 | 99 | 21,942 | 91 | 100% | 8.5 |
| Registered Nurse | 20 | 0 | 20 | 6,872 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 8 | 0 | 8 | 3,704 | 91 | 100% | 8.8 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,611 | 73 | 80% | 8.2 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,348 | 64 | 70% | 7.5 |
| Occupational Therapy Aide | 4 | 0 | 4 | 1,290 | 90 | 99% | 7.9 |
| Dental Services Staff | 4 | 0 | 4 | 1,070 | 76 | 84% | 8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,053 | 89 | 98% | 6.5 |
| Respiratory Therapy Technician | 16 | 0 | 16 | 838 | 84 | 92% | 5.5 |
| Dietitian | 2 | 0 | 2 | 834 | 66 | 73% | 8 |
| Medication Aide/Technician | 2 | 0 | 2 | 714 | 53 | 58% | 8.4 |
| Physical Therapy Assistant | 12 | 0 | 12 | 569 | 81 | 89% | 5.5 |
| Qualified Social Worker | 7 | 0 | 7 | 485 | 65 | 71% | 6.1 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Physical Therapy Aide | 6 | 0 | 6 | 310 | 73 | 80% | 4.1 |
| Speech Language Pathologist | 7 | 0 | 7 | 236 | 64 | 70% | 3.7 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 48 | 16 | 18% | 3 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 16 | 1 | 1% | 7.9 |
| Qualified Activities Professional | 0 | 1 | 1 | 6 | 9 | 10% | 0.6 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
90 residents
Residents by payment source
Medicare
3 residents (3.3%)
Medicaid
38 residents (42.2%)
Private pay or other
49 residents (54.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
8% better than Colorado averageColorado average: 9.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.3
8% worse than Colorado averageColorado average: 18.8
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.6%
Percent of long-stay residents whose need for help with daily activities has increased
13.6%
15% better than Colorado averageColorado average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.5%
Percent of long-stay residents whose ability to move independently worsened
22.5%
32% worse than Colorado averageColorado average: 17.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.9%
7% worse than Colorado averageColorado average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Colorado averageColorado average: 3.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.7%
Percent of long-stay high risk residents with pressure ulcers
0.7%
81% better than Colorado averageColorado average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.4%
Percent of long-stay residents with a urinary tract infection
2.4%
67% worse than Colorado averageColorado average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.7%
Percent of long-stay residents who lose too much weight
4.7%
11% better than Colorado averageColorado average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.8%
Percent of long-stay residents who have depressive symptoms
3.8%
48% better than Colorado averageColorado average: 7.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.0%
Percent of long-stay residents who received an antipsychotic medication
13.0%
31% better than Colorado averageColorado average: 18.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.4%
In line with Colorado averageColorado average: 93.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with Colorado averageColorado average: 94.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.68
Number of hospitalizations per 1,000 long-stay resident days.
1.68
29% worse than Colorado averageColorado average: 1.30
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.18
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.18
29% better than Colorado averageColorado average: 1.67
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.8%
7% better than Colorado averageColorado average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
10% better than Colorado averageColorado average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.3%
6% better than Colorado averageColorado average: 75.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.0%
8% worse than Colorado averageColorado average: 20.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
4.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.3%
66% better than Colorado averageColorado average: 12.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Colorado averageColorado average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
40.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.6%
24% worse than Colorado averageColorado average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
59.2%
Rate of successful return to home or community from a skilled nursing facility.
59.2%
17% better than Colorado averageColorado average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$27K
32% lower than Colorado averageColorado average: $40K
Number of fines
2
10% fewer fines than Colorado averageColorado average: 2.2
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Colorado averageColorado average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$27K
Colorado average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 27, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 27, 2025
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 11, 2024
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Columbine West Health and Rehab Facility based on CMS SNF Cost Reports.
Occupancy Rate
89.4%
↑ 4.4pp vs 2022
Net Income
-$655,755
↑ ~$430K vs 2022
Total Payroll
$8,524,249
↑ ~$314K vs 2022
Profit Margin
-5.2%
↑ 4.5pp vs 2022
Loading trend charts...
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