1/5
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.
1/5
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.
Serving residents needing long-term nursing care and rehabilitation support, Sedgwick County Memorial Nursing Home is a county-owned, 32-bed nursing facility in Julesburg, Colorado. Administered by John Gardner, it accepts Medicaid, providing skilled nursing and assisted living in one setting.
Staffed with registered nurses, licensed practical nurses, and nursing aides supporting residents throughout each day, Sedgwick County Memorial Nursing Home is structured around 24-hour nursing coverage. Nurse aides provide the most direct daily assistance, averaging 4 hours 36 minutes per resident day, while registered nurses contribute approximately 31 minutes per resident daily, and licensed practical nurses add 1 hour 41 minutes per resident each day. This staffing blend supports both routine personal care and clinical oversight. To give families some choice in housing style, resident accommodations include private and semi-private rooms. The home features an activities department and offers restorative nursing care tailored to help residents maintain function and independence. On-site services include rehabilitation and specialty clinics, reducing the need for external appointments. To meet individual health and cultural needs, Sedgwick County Memorial Nursing Home also provides special dietary accommodations. The Julesburg location is in a moderately walkable neighborhood, with a Walk Score of 51, so some errands and amenities are within walking distance, with most trips requiring driving. The area benefits from being near health services and community resources typical of a small Colorado town.
Facility state inspections have marked areas of focus, including infection control, quality of life and care, and pharmacy services. Such citations mirror typical operational areas that nursing homes work to address and improve over time.
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.
Staffing hours
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.
Hours per resident per day vs Colorado averages
Total nursing care
This home is ranked 17th out of 203 homes we track 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.
5h 21m
38% above state avg
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.
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.
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.
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.
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.
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.
3 of 6 metrics below state avg
Sedgwick County Memorial Nursing Home is administered by John Gardner.
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.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
2.78
114% worse than Colorado averageColorado average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
6.09
265% worse than Colorado averageColorado average: 1.67
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
0.0 miles from city center
Estimated distance in miles from Julesburg's city center to Sedgwick County Memorial Nursing Home's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the CO Dept. of Public Health & Environment (CDPHE), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Colorado average is: 63.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Columbine Commons | NH | Windsor | 60
Facility
60
CO AVG
74
Rank
#293 / 516 |
96.2%
Facility
96.2%
CO AVG
73.3%
Rank
#10 / 140 | +31% | 3.92
Facility
3.92
CO AVG
3.86
Rank
#65 / 203 | +44% | +2% | $0
Facility
$0
CO AVG
$39.2k
Rank
#1 / 211 | 7
Facility
7
CO AVG
24.8
Rank
#11 / 205 | 2.3
Facility
2.3
CO AVG
5.2
Rank
#10 / 205 | - | 58 | A+ |
75
Facility
75
CO AVG
53
Rank
#156 / 838 | Palmer Withrow | $8.4MFiscal year ending 12/2023
Facility
$8.4MFiscal year ending 12/2023
CO AVG
$9.9M
Rank
#105 / 180 | $6.8MFiscal year ending 12/2023
Facility
$6.8MFiscal year ending 12/2023
CO AVG
$6.1M
Rank
#62 / 180 | 81.7%Fiscal year ending 12/2023
Facility
81.7%Fiscal year ending 12/2023
CO AVG
63.5%
Rank
#9 / 180 | 65410 | ||||
| Lemy Avenue Health and Rehab Facility | NH | Fort Collins | 130
Facility
130
CO AVG
74
Rank
#60 / 516 |
96.5%
Facility
96.5%
CO AVG
73.3%
Rank
#8 / 140 | +32% | 4.11
Facility
4.11
CO AVG
3.86
Rank
#51 / 203 | -3% | +6% | $7.4k
Facility
$7.4k
CO AVG
$39.2k
Rank
#90 / 211 | 7
Facility
7
CO AVG
24.8
Rank
#11 / 205 | 1.4
Facility
1.4
CO AVG
5.2
Rank
#1 / 205 | 1 | 125 | A+ |
48
Facility
48
CO AVG
53
Rank
#498 / 838 | - | $18.4MFiscal year ending 12/2023
Facility
$18.4MFiscal year ending 12/2023
CO AVG
$9.9M
Rank
#13 / 180 | $9.8MFiscal year ending 12/2023
Facility
$9.8MFiscal year ending 12/2023
CO AVG
$6.1M
Rank
#19 / 180 | 53.1%Fiscal year ending 12/2023
Facility
53.1%Fiscal year ending 12/2023
CO AVG
63.5%
Rank
#135 / 180 | 65142 | ||||
| Life Care Center of Colorado Springs | NH SNF | Colorado Springs (Southeast Colorado Springs) | 121
Facility
121
CO AVG
74
Rank
#72 / 516 |
74.7%
Facility
74.7%
CO AVG
73.3%
Rank
#82 / 140 | +2% | 4.23
Facility
4.23
CO AVG
3.86
Rank
#46 / 203 | +5% | +10% | $36.9k
Facility
$36.9k
CO AVG
$39.2k
Rank
#160 / 211 | 15
Facility
15
CO AVG
24.8
Rank
#41 / 205 | 3.8
Facility
3.8
CO AVG
5.2
Rank
#58 / 205 | - | 90 | A+ |
63
Facility
63
CO AVG
53
Rank
#324 / 838 | Vanessa Zabojnik | $10.4MFiscal year ending 12/2023
Facility
$10.4MFiscal year ending 12/2023
CO AVG
$9.9M
Rank
#69 / 180 | $7.5MFiscal year ending 12/2023
Facility
$7.5MFiscal year ending 12/2023
CO AVG
$6.1M
Rank
#47 / 180 | 72.1%Fiscal year ending 12/2023
Facility
72.1%Fiscal year ending 12/2023
CO AVG
63.5%
Rank
#18 / 180 | 65356 | ||||
| Frasier Retirement Community | NH AL IL SNF | Boulder (Frasier Meadows) | 54
Facility
54
CO AVG
74
Rank
#330 / 516 |
86.3%
Facility
86.3%
CO AVG
73.3%
Rank
#44 / 140 | +18% | 5.61
Facility
5.61
CO AVG
3.86
Rank
#12 / 203 | +49% | +45% | $49.2k
Facility
$49.2k
CO AVG
$39.2k
Rank
#178 / 211 | 7
Facility
7
CO AVG
24.8
Rank
#11 / 205 | 2.3
Facility
2.3
CO AVG
5.2
Rank
#10 / 205 | 2 | 47 | A+ |
65
Facility
65
CO AVG
53
Rank
#299 / 838 | Nikki Lewis | $9.0MFiscal year ending 06/2024
Facility
$9.0MFiscal year ending 06/2024
CO AVG
$9.9M
Rank
#86 / 180 | $14.7MFiscal year ending 06/2024
Facility
$14.7MFiscal year ending 06/2024
CO AVG
$6.1M
Rank
#3 / 180 | 163%Fiscal year ending 06/2024
Facility
163%Fiscal year ending 06/2024
CO AVG
63.5%
Rank
#2 / 180 | 65324 | ||||
| Sedgwick County Memorial Nursing Home | NH | Julesburg | 32
Facility
32
CO AVG
74
Rank
#392 / 516 | - | - | 5.35
Facility
5.35
CO AVG
3.86
Rank
#17 / 203 | - | +38% | $0
Facility
$0
CO AVG
$39.2k
Rank
#1 / 211 | - | - | - | 21 | - |
51
Facility
51
CO AVG
53
Rank
#458 / 838 | - | - | - | - | 06A173 |
Sedgwick County Memorial Nursing Home is legally operated by Sedgwick County, and administered by John Gardner.
Sedgwick County Memorial Nursing Home has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
No, Sedgwick County Memorial Nursing Home has a no-pet policy.
Sedgwick County Memorial Nursing Home is a government-operated nursing facility in CO.
John Gardner is the administrator of Sedgwick County Memorial Nursing Home.
Sedgwick County Memorial Nursing Home has 32 beds.
Yes — there are 2 photos of Sedgwick County Memorial Nursing Home in the photo gallery on this page.
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