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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 15th out of 177 homes in Colorado. 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 5m per day | ▲ 30% 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.
| 29m per day | ▼ 29% 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 22m 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 49m per day | ▲ 16% 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.
| 6m per day | ▲ 20% 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.
| 47m per day | ▲ 31% State avg: 36m per day · National avg: 29m per day |
Lower than the Colorado average: 76.5%Columbine West Health and Rehab Facility is administrated by Julie Ann Sleath.
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, citation, 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.
| 20 | 30 | This facility has 33% fewer total deficiencies than a typical Colorado nursing home (20 vs. CO avg 30).↓ 33% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 2.5 | 3.8 | This facility has 34% fewer deficiencies per year than a typical Colorado nursing home (2.5 vs. CO avg 3.8).↓ 34% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
This facility’s inspection record is problematic due to repeated failures in protecting residents from abuse, providing adequate dementia care, and maintaining quality assurance, culminating in an immediate jeopardy finding on February 27, 2025. Inspectors cited three deficiencies then, including failure to prevent resident-to-resident sexual abuse, inadequate staff education, and poor monitoring of interventions, alongside earlier findings of multiple care and safety issues in April 2024. The record shows worsening conditions with serious compliance gaps in abuse prevention, care planning, infection control, and environmental safety.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsColorado 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.
57% better 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #42 / 182Payroll — State benchmarkedThis home is ranked 42nd out of 182 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
— 0.37 miles to nearest hospital (US Veterans Center/ VetCenter)
Add your location
Columbine West Health and Rehab Facility is located in Fort Collins, Colorado.
Here are the financial assistance programs available to residents in Colorado.
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
| Centre Avenue Health and Rehab Facility |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Collins (Centre Avenue) | 90 | 88.9% | +16% | 4.33 | +21% | +12% | $8.0k | 5 | 2.5 | 2 | 82 | A+ | 73 | - | $16.8M | $10.2M | 60.6% | 65377 | ||||
| Lemy Avenue Health and Rehab Facility |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Collins (South Lemay Avenue) | 130 | 93.3% | +22% | 4.72 | +1% | +22% | $7.4k | 7 | 1.4 | 1 | 120 | A+ | 48 | - | $21.0M | $12.3M | 58.7% | 65142 | ||||
| Good Samaritan Society – Fort Collins Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Collins (West Trilby Road) | 64 | 62.4% | -18% | 3.96 | +58% | +3% | $0 | 5 | 2.5 | - | 56 | A+ | 16 | Roger Bermingham | $9.5M | $5.4M | 56.9% | 65227 | ||||
| Columbine West Health and Rehab Facility |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Collins (Prospect/Shields) | 100 | 89.4% | +17% | 5.25 | -9% | +36% | $26.9k | 17 | 3.4 | 2 | 89 | A+ | 72 | - | $12.6M | $8.5M | 67.5% | 65245 | ||||
| Rehabilitation and Nursing Center of the Rockies |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Collins | 106 | 67.3% | -12% | 3.00 | -64% | -22% | $0 | 22 | 3.1 | 2 | 89 | A+ | 53 | Todd Truax | $15.8M | $3.2M | 20% | 65192 |
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 14%.
Julie Ann Sleath is the administrator of Columbine West Health and Rehab Facility.
Columbine West Health and Rehab Facility has 100 beds.
Yes — there are 14 photos of Columbine West Health and Rehab Facility in the photo gallery on this page.
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