4/5
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.
4/5
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.
Administered by Matthew Gordon, Westlake Lodge Health and Rehabilitation is a nursing home in Greeley, Colorado, that offers skilled nursing and rehabilitation. The community also accepts Medicare, Medicaid, and private pay, providing coverage options for older adults needing short-term rehabilitation or longer-term nursing care. It has 107 beds in a variety of private and semi-private rooms within a single-story building, with an average length of stay of 152 days, reflecting a stronger focus on longer-term care.
Care services are structured around both rehabilitation and ongoing nursing support for older adults, including short-stay recovery, long-term care, therapy services, discharge planning, and psychosocial, respite, palliative, and hospice support. Furthermore, the care team consists of attending physicians and registered nurses, with an average of about 3 hours and 5 minutes of nursing care per resident each day. Daily living is also supported through restaurant-style dining, housekeeping, laundry, a salon, internet access, pharmaceutical delivery, and shared lounge spaces.
An active resident council also gives older adults a voice in discussions about care quality, activities, and community policies. Its surrounding area is slightly walkable, with a Walk Score of 39, indicating that only a few services are accessible on foot, while most errands require transportation.
Inspection reports generally highlighted concerns related to medication administration accuracy, timely completion of prescribed treatments, and maintenance of mechanical systems and shared areas. Families considering Westlake Lodge are encouraged to ask how medication management and treatment follow-through are monitored on a daily basis.
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 169th out of 211 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.
| 43m per day | ▼ 14% 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.
| 36m per day | ▼ 11% 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.
| 1h 45m per day | ▼ 21% 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.
| 2h 42m per day | ▼ 18% 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.
| 2m per day | ▼ 70% 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.
| 39m per day | ▲ 9% State avg: 36m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
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.
| 30 | 38 | This facility has 21% fewer total deficiencies than a typical Colorado nursing home (30 vs. CO avg 38).↓ 21% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 6 | 7.6 | This facility has 21% fewer deficiencies per year than a typical Colorado nursing home (6 vs. CO avg 7.6).↓ 21% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Colorado average 4.8
Last Health inspection on Jun 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.
9 of 12 citations resulted from standard inspections; and 3 of 12 resulted from complaint investigations.
150% worse than Colorado averageColorado average: 0.4
100% 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.
14% more staff per resident than Colorado average
0% compared with Colorado average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
16 total: 12 full-time employees and 4 contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursAssists with medical care and medications.
23 total: 16 full-time employees and 7 contractors.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
91 total: 56 full-time employees and 35 contractors.
91
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,057 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 56 | 35 | 91 | 13,559 | 92 | 100% | 8.6 |
| Registered Nurse | 12 | 4 | 16 | 4,941 | 92 | 100% | 9.9 |
| Licensed Practical Nurse | 16 | 7 | 23 | 3,150 | 92 | 100% | 9.6 |
| Other Dietary Services Staff | 10 | 0 | 10 | 1,843 | 92 | 100% | 7.9 |
| RN Director of Nursing | 3 | 1 | 4 | 1,681 | 67 | 73% | 8.7 |
| Dental Services Staff | 4 | 0 | 4 | 1,600 | 70 | 76% | 8.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 819 | 69 | 75% | 6.4 |
| Qualified Social Worker | 5 | 0 | 5 | 790 | 71 | 77% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 594 | 66 | 72% | 9 |
| Physical Therapy Aide | 4 | 0 | 4 | 560 | 63 | 68% | 6.7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 540 | 68 | 74% | 7.4 |
| Physical Therapy Assistant | 2 | 0 | 2 | 533 | 71 | 77% | 7.2 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 498 | 65 | 71% | 7.7 |
| Medication Aide/Technician | 4 | 0 | 4 | 407 | 37 | 40% | 9.2 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 202 | 45 | 49% | 4.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 176 | 20 | 22% | 8 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 3 | 2 | 2% | 1.3 |
Includes penalties issued in 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)
45% lower than Colorado averageColorado average: $40K
55% 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.
1 penalty in the past 3 years
Apr 7, 2025 · $22K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 7, 2025Last 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.
6.2
31% better than Colorado averageColorado average: 9.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.0
10% better 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
9.9%
38% better than Colorado averageColorado average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
9.4%
45% better than Colorado averageColorado average: 17.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.6%
36% worse than Colorado averageColorado average: 23.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
11% worse than Colorado averageColorado average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
2.3%
42% better than Colorado averageColorado average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Colorado averageColorado average: 1.4%
Percent of long-stay residents who lose too much weight
5.9%
14% worse than Colorado averageColorado average: 5.2%
Percent of long-stay residents who have depressive symptoms
2.1%
70% better than Colorado averageColorado average: 7.2%
Percent of long-stay residents who received an antipsychotic medication
21.3%
14% worse than Colorado averageColorado average: 18.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
7% worse than Colorado averageColorado average: 93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.2%
18% worse than Colorado averageColorado average: 94.7%
Number of hospitalizations per 1,000 long-stay resident days.
1.31
In line with Colorado averageColorado average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.43
14% 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
66.3%
14% worse than Colorado averageColorado average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
14% worse than Colorado averageColorado average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.3%
In line with Colorado averageColorado average: 75.6%
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.
56.0%
In line with Colorado averageColorado average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.2%
9% worse 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.
22% 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
82Residents meet regularly to discuss policies, care quality, and activities
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 Westlake Lodge Health and Rehabilitation from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
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 #97 / 217Payroll — State benchmarkedThis home is ranked 97th out of 217 homes in Colorado for Payroll. 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.Facilities with the same value for a metric share the same rank. 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 #90 / 217Payroll % — State benchmarkedThis home is ranked 90th out of 217 homes in Colorado for Payroll %. Shows payroll as a percentage of revenue versus the Colorado average. Well-run Colorado facilities typically land around 60–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. 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).
No pets allowed
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
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 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Greeley's city center to Westlake Lodge Health and Rehabilitation's address, calculated via Google Maps.
Add your location
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
| Life Care Center of Greeley | NH SNF | Greeley | 124
Facility
124
CO AVG
76
Rank
#73 / 527 |
55.4%
Facility
55.4%
CO AVG
70.7
Rank
#113 / 149 | -22% | 3.35
Facility
3.35
CO AVG
3.86
Rank
#137 / 211 | +2% | -13% | $12.3k
Facility
$12.3k
CO AVG
$39.2k
Rank
#109 / 217 | 6
Facility
6
CO AVG
24.8
Rank
#8 / 212 | 2.0
Facility
2.0
CO AVG
5.2
Rank
#6 / 212 | 3 | 69 | - |
56
Facility
56
CO AVG
51
Rank
#408 / 869 | Daniel Gauger | $10.3MFiscal year ending 05/2024
Facility
$10.3MFiscal year ending 05/2024
CO AVG
$11.2M
Rank
#82 / 217 | $6.2MFiscal year ending 05/2024
Facility
$6.2MFiscal year ending 05/2024
CO AVG
$4.9M
Rank
#104 / 217 | 60.1%Fiscal year ending 05/2024
Facility
60.1%Fiscal year ending 05/2024
CO AVG
46.6%
Rank
#146 / 217 | 65368 | ||||
| Broadview Health and Rehabilitation | NH SNF | Greeley | 100
Facility
100
CO AVG
76
Rank
#158 / 527 |
91.8%
Facility
91.8%
CO AVG
70.7
Rank
#26 / 149 | +30% | 3.01
Facility
3.01
CO AVG
3.86
Rank
#175 / 211 | -37% | -22% | $0
Facility
$0
CO AVG
$39.2k
Rank
#1 / 217 | 16
Facility
16
CO AVG
24.8
Rank
#49 / 212 | 2.3
Facility
2.3
CO AVG
5.2
Rank
#10 / 212 | 1 | 92 | - |
76
Facility
76
CO AVG
51
Rank
#150 / 869 | - | $8.8MFiscal year ending 12/2023
Facility
$8.8MFiscal year ending 12/2023
CO AVG
$11.2M
Rank
#98 / 217 | $4.0MFiscal year ending 12/2023
Facility
$4.0MFiscal year ending 12/2023
CO AVG
$4.9M
Rank
#121 / 217 | 45.3%Fiscal year ending 12/2023
Facility
45.3%Fiscal year ending 12/2023
CO AVG
46.6%
Rank
#146 / 217 | 65219 | ||||
| Westlake Lodge Health and Rehabilitation | NH SNF | Greeley (29Th Avenue Place) | 107
Facility
107
CO AVG
76
Rank
#128 / 527 |
29.9%
Facility
29.9%
CO AVG
70.7
Rank
#139 / 149 | -58% | 3.08
Facility
3.08
CO AVG
3.86
Rank
#169 / 211 | -35% | -20% | $14.1k
Facility
$14.1k
CO AVG
$39.2k
Rank
#114 / 217 | 12
Facility
12
CO AVG
24.8
Rank
#26 / 212 | 2.4
Facility
2.4
CO AVG
5.2
Rank
#17 / 212 | 1 | 32 | A- |
39
Facility
39
CO AVG
51
Rank
#584 / 869 | - | $8.7MFiscal year ending 12/2023
Facility
$8.7MFiscal year ending 12/2023
CO AVG
$11.2M
Rank
#119 / 217 | $4.2MFiscal year ending 12/2023
Facility
$4.2MFiscal year ending 12/2023
CO AVG
$4.9M
Rank
#97 / 217 | 48.8%Fiscal year ending 12/2023
Facility
48.8%Fiscal year ending 12/2023
CO AVG
46.6%
Rank
#90 / 217 | 65212 | ||||
| Fairacres Manor | NH MC RC SNF | Greeley (18Th Avenue) | 116
Facility
116
CO AVG
76
Rank
#95 / 527 |
90.6%
Facility
90.6%
CO AVG
70.7
Rank
#31 / 149 | +28% | 4.08
Facility
4.08
CO AVG
3.86
Rank
#57 / 211 | +27% | +6% | $0
Facility
$0
CO AVG
$39.2k
Rank
#1 / 217 | 17
Facility
17
CO AVG
24.8
Rank
#63 / 212 | 5.7
Facility
5.7
CO AVG
5.2
Rank
#136 / 212 | 1 | 105 | - |
57
Facility
57
CO AVG
51
Rank
#391 / 869 | Jill Nelson | $13.5MFiscal year ending 12/2023
Facility
$13.5MFiscal year ending 12/2023
CO AVG
$11.2M
Rank
#49 / 217 | $8.6MFiscal year ending 12/2023
Facility
$8.6MFiscal year ending 12/2023
CO AVG
$4.9M
Rank
#52 / 217 | 63.4%Fiscal year ending 12/2023
Facility
63.4%Fiscal year ending 12/2023
CO AVG
46.6%
Rank
#118 / 217 | 65211 |
Westlake Lodge Health and Rehabilitation is located in Greeley, Colorado.
Here are the financial assistance programs available to residents in Colorado.
Westlake Lodge Health and Rehabilitation is in the 29th Avenue Place neighborhood of Greeley.
Westlake Lodge Health and Rehabilitation has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Westlake Lodge Health and Rehabilitation's occupancy is 70.4%.
No, Westlake Lodge Health and Rehabilitation has a no-pet policy.
Westlake Lodge Health and Rehabilitation is registered as a for-profit in CO.
Yes — there are 4 photos of Westlake Lodge Health and Rehabilitation in the photo gallery on this page.
Westlake Lodge Health and Rehabilitation is located at 1637 29Th Ave Pl, Greeley, CO 80634.
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