3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 17th out of 215 homes in Colorado for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 3m per day | ▲ 26% State avg: 50m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 23m per day | ▼ 44% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 23m per day | ▲ 7% State avg: 2h 13m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 9m per day | ▼ 4% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 12% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 46m per day | ▲ 27% State avg: 36m per day · National avg: 29m per day |
Columbine West Health and Rehab Facility is administered by Julie Ann Sleath.
Key information about the people who lead and staff this community.
In Colorado, the Department of Public Health and Environment, Health Facilities Division is the regulatory body that performs unannounced surveys and publishes facility inspection findings.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Colorado state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | CO Average | vs. CO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 37 | 30 | This facility has 23% more total deficiencies than a typical Colorado nursing home (37 vs. CO avg 30).↑ 23% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 4.6 | 3.8 | This facility has 21% more deficiencies per year than a typical Colorado nursing home (4.6 vs. CO avg 3.8).↑ 21% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Colorado average 4.8
Last Health inspection on Feb 2025
Colorado average 24.8
Colorado average 5.2
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.
150% worse than Colorado averageColorado average: 0.4
52% better than Colorado averageColorado average: 2.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
59% more staff per resident than Colorado average
6% worse than Colorado average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
33 total: 30 full-time employees and 3 contractors.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
19 total: 13 full-time employees and 6 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
136 total: 106 full-time employees and 30 contractors.
136
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
703 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 106 | 30 | 136 | 18,970 | 92 | 100% | 7.7 |
| Registered Nurse | 30 | 3 | 33 | 6,769 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 13 | 6 | 19 | 2,505 | 91 | 99% | 8.5 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 1,397 | 68 | 74% | 8.5 |
| Other Dietary Services Staff | 10 | 0 | 10 | 1,054 | 80 | 87% | 6.8 |
| Dental Services Staff | 6 | 0 | 6 | 998 | 72 | 78% | 7.5 |
| Mental Health Service Worker | 3 | 0 | 3 | 831 | 43 | 47% | 7.2 |
| RN Director of Nursing | 4 | 0 | 4 | 685 | 64 | 70% | 7.8 |
| Dietitian | 2 | 0 | 2 | 641 | 42 | 46% | 8 |
| Nurse Practitioner | 3 | 0 | 3 | 629 | 66 | 72% | 8.3 |
| Medication Aide/Technician | 3 | 0 | 3 | 619 | 46 | 50% | 8.3 |
| Occupational Therapy Aide | 2 | 0 | 2 | 616 | 42 | 46% | 8 |
| Respiratory Therapy Technician | 7 | 2 | 9 | 612 | 55 | 60% | 6.5 |
| Administrator | 3 | 0 | 3 | 490 | 59 | 64% | 8.1 |
| Physical Therapy Assistant | 7 | 2 | 9 | 468 | 62 | 67% | 5.4 |
| Nurse Aide in Training | 2 | 0 | 2 | 293 | 22 | 24% | 7.5 |
| Qualified Social Worker | 5 | 1 | 6 | 277 | 45 | 49% | 5.9 |
| Speech Language Pathologist | 7 | 1 | 8 | 198 | 51 | 55% | 3.9 |
| Physical Therapy Aide | 3 | 0 | 3 | 154 | 40 | 43% | 3.8 |
Includes penalties issued in 2024-2025
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)
32% lower than Colorado averageColorado average: $40K
10% fewer fines than Colorado averageColorado average: 2.2
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Apr 11, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.6%
15% better than Colorado averageColorado average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
22.5%
32% worse than Colorado averageColorado average: 17.0%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Colorado averageColorado average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
0.7%
81% better than Colorado averageColorado average: 3.9%
Percent of long-stay residents with a urinary tract infection
2.4%
67% worse than Colorado averageColorado average: 1.4%
Percent of long-stay residents who lose too much weight
4.7%
11% better than Colorado averageColorado average: 5.2%
Percent of long-stay residents who have depressive symptoms
3.8%
48% better than Colorado averageColorado average: 7.2%
Percent of long-stay residents who received an antipsychotic medication
13.0%
31% better than Colorado averageColorado average: 18.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.4%
In line with Colorado averageColorado average: 93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with Colorado averageColorado average: 94.7%
Number of hospitalizations per 1,000 long-stay resident days.
1.68
29% worse than Colorado averageColorado average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.18
29% better than Colorado averageColorado average: 1.67
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.8%
7% better than Colorado averageColorado average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
10% better than Colorado averageColorado average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.3%
6% better than Colorado averageColorado average: 75.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.0%
8% worse than Colorado averageColorado average: 20.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.3%
66% better than Colorado averageColorado average: 12.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Colorado averageColorado average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.6%
24% worse than Colorado averageColorado average: 53.7%
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.
23% of new residents, usually for short-term rehab.
63% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
90Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Columbine West Health and Rehab Facility from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #51 / 221Payroll — State benchmarkedThis home is ranked 51st out of 221 homes in Colorado. Shows total annual staff payroll benchmarked to the Colorado average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #18 / 221Payroll % — State benchmarkedThis home is ranked 18th out of 221 homes in Colorado. Shows payroll as a percentage of revenue versus the Colorado average. Well-run Colorado facilities typically land around 59–66% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (63% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.0 miles from city center
Estimated distance in miles from Fort Collins's city center to Columbine West Health and Rehab Facility's address, calculated via Google Maps.
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The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
| Lemy Avenue Health and Rehab Facility | NH AL | Fort Collins (South Lemay Avenue) | 130
Facility
130
CO AVG
76
Rank
#66 / 533 |
93.3%
Facility
93.3%
CO AVG
76.5%
Rank
#18 / 221 | +22% | 4.72
Facility
4.72
CO AVG
3.86
Rank
#27 / 215 | -3% | +22% | $7.4k
Facility
$7.4k
CO AVG
$39.2k
Rank
#92 / 221 | 7
Facility
7
CO AVG
24.8
Rank
#13 / 221 | 1.4
Facility
1.4
CO AVG
5.2
Rank
#1 / 221 | 1 | 123 | A+ |
48
Facility
48
CO AVG
51
Rank
#507 / 872 | - | $18.4M
Facility
$18.4M
CO AVG
$11.2M
Rank
#29 / 221 | $9.8M
Facility
$9.8M
CO AVG
$4.9M
Rank
#10 / 221 | 53.1%
Facility
53.1%
CO AVG
46.6%
Rank
#72 / 221 | 65142 | ||||
| Centre Avenue Health and Rehab Facility | NH AL | Fort Collins (Centre Avenue) | 90
Facility
90
CO AVG
76
Rank
#198 / 533 |
35.6%
Facility
35.6%
CO AVG
76.5%
Rank
#199 / 221 | -53% | 4.33
Facility
4.33
CO AVG
3.86
Rank
#45 / 215 | +16% | +12% | $0
Facility
$0
CO AVG
$39.2k
Rank
#1 / 221 | 5
Facility
5
CO AVG
24.8
Rank
#4 / 221 | 2.5
Facility
2.5
CO AVG
5.2
Rank
#20 / 221 | 2 | 32 | A+ |
73
Facility
73
CO AVG
51
Rank
#181 / 872 | - | $13.6M
Facility
$13.6M
CO AVG
$11.2M
Rank
#45 / 221 | $7.7M
Facility
$7.7M
CO AVG
$4.9M
Rank
#27 / 221 | 56.6%
Facility
56.6%
CO AVG
46.6%
Rank
#58 / 221 | 65377 | ||||
| Columbine West Health and Rehab Facility | NH AL | Fort Collins (Prospect/Shields) | 100
Facility
100
CO AVG
76
Rank
#161 / 533 | - | - | 5.25
Facility
5.25
CO AVG
3.86
Rank
#17 / 215 | -13% | +36% | $26.9k
Facility
$26.9k
CO AVG
$39.2k
Rank
#152 / 221 | 17
Facility
17
CO AVG
24.8
Rank
#68 / 221 | 3.4
Facility
3.4
CO AVG
5.2
Rank
#51 / 221 | 2 | 14 | A+ |
72
Facility
72
CO AVG
51
Rank
#193 / 872 | - | $11.6M
Facility
$11.6M
CO AVG
$11.2M
Rank
#92 / 221 | $7.6M
Facility
$7.6M
CO AVG
$4.9M
Rank
#51 / 221 | 65.3%
Facility
65.3%
CO AVG
46.6%
Rank
#18 / 221 | 65245 | ||||
| Creekside Village Health and Rehabilitation Center | NH AL | Fort Collins (Prospect At Spring Meadows) | 120
Facility
120
CO AVG
76
Rank
#79 / 533 |
57.9%
Facility
57.9%
CO AVG
76.5%
Rank
#174 / 221 | -24% | 2.63
Facility
2.63
CO AVG
3.86
Rank
#205 / 215 | +10% | -32% | $48.9k
Facility
$48.9k
CO AVG
$39.2k
Rank
#187 / 221 | 40
Facility
40
CO AVG
24.8
Rank
#189 / 221 | 3.3
Facility
3.3
CO AVG
5.2
Rank
#46 / 221 | 6 | 76 | - |
73
Facility
73
CO AVG
51
Rank
#181 / 872 | - | $8.9M
Facility
$8.9M
CO AVG
$11.2M
Rank
#126 / 221 | $2.5M
Facility
$2.5M
CO AVG
$4.9M
Rank
#63 / 221 | 28.4%
Facility
28.4%
CO AVG
46.6%
Rank
#14 / 221 | 65221 | ||||
| The Center at Rock Creek | - | NH AL | Fort Collins | 70
Facility
70
CO AVG
76
Rank
#269 / 533 |
58.4%
Facility
58.4%
CO AVG
76.5%
Rank
#173 / 221 | -24% | - | - | - | - | - | - | - | - | - | - | - | - |
42
Facility
42
CO AVG
51
Rank
#559 / 872 | - | $8.8M
Facility
$8.8M
CO AVG
$11.2M
Rank
#62 / 221 | $5.7M
Facility
$5.7M
CO AVG
$4.9M
Rank
#120 / 221 | 65.3%
Facility
65.3%
CO AVG
46.6%
Rank
#204 / 221 | 65423 |
Columbine West Health and Rehab Facility is located in Fort Collins, Colorado.
Here are the financial assistance programs available to residents in Colorado.
Columbine West Health and Rehab Facility is in the Prospect/Shields neighborhood of Fort Collins.
The legal owner and operator of Columbine West Health and Rehab Facility is Columbine West Health And Rehab Llc.
Columbine West Health and Rehab Facility has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Columbine West Health and Rehab Facility's occupancy is 89.4%.
Columbine West Health and Rehab Facility is registered as a for-profit in CO.
Julie Ann Sleath is the administrator of Columbine West Health and Rehab Facility.
Columbine West Health and Rehab Facility has 100 beds.
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