Map showing the location of POUDRE CANYON REHABILITATION AND NURSING, LLC in FORT COLLINS, Colorado
1000 S LEMAY AVE, FORT COLLINS, CO, 80524

Overall Score

CMS Five-Star Quality Rating
2/5Below averageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • ColoradoAbove only 14% of peers208 rated homes · average 3.1★
  • Larimer CountyAbove only 8% of peers13 rated homes · average 3.5★
  • United StatesAbove only 20% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point1★−1.7 vs CO avg
  • StaffingCan add or remove a star1★−2.1 vs CO avg
  • Quality measuresCan add or remove a star5★+0.8 vs CO avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

  • Abuse citation flagCMS shows an abuse icon: inspectors cited the facility for abuse that led to harm within the past year, or for abuse that could have led to harm in each of the last two years.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles1★Lowest tier among peersCO avg2.7★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover1★Lowest tier among peersCO avg3.1★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments5★Above 50% of peersCO avg4.2★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff2.72hrsAbove only 3% of peersCO avg3.73Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only0.56hrsAbove only 19% of peersCO avg0.83Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better78%Above only 2% of peersCO avg49%RN turnover75%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$45,688Above only 17% of peersCO avg$25,587Fines · denials2 · 1
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
37citations
4inspection dates
5actual harm (G–I)
1immediate jeopardy (J–L)
May 15, 2025most recent

Citations by monthJun 2022 – May 2025

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

May 15, 20254 citationsCycle 1worst G · actual harm
  1. F610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected May 16, 2025
  2. F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationE · patternCorrected May 16, 2025
  3. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceG · isolatedCorrected May 16, 2025
  4. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationE · patternCorrected May 16, 2025
Jan 22, 202511 citationsCycle 1worst K · immediate jeopardy$37,950
  1. F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy ServiceD · isolatedCorrected Feb 6, 2025
  2. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected Feb 15, 2025
  3. F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.AdministrationE · patternCorrected Feb 14, 2025
  4. F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Feb 6, 2025
  5. F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EnvironmentalD · isolatedCorrected Feb 19, 2025
  6. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationK · patternCorrected Feb 19, 2025
  7. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareG · isolatedCorrected Feb 6, 2025
  8. F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Quality of Life and CareD · isolatedCorrected Jan 23, 2025
  9. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareD · isolatedCorrected Feb 19, 2025
  10. F759Ensure medication error rates are not 5 percent or greater.Pharmacy ServiceD · isolatedCorrected Feb 19, 2025
  11. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceD · isolatedCorrected Feb 19, 2025
Jul 13, 20238 citationsCycle 2worst G · actual harm$7,738
  1. F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Nutrition and DietaryD · isolatedCorrected Jul 14, 2023
  2. F574The resident has the right to receive notices in a format and a language he or she understands.Resident RightsE · patternCorrected Jul 14, 2023
  3. F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Resident RightsC · widespreadCorrected Jul 14, 2023
  4. F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Nutrition and DietaryD · isolatedCorrected Jul 14, 2023
  5. F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Nutrition and DietaryD · isolatedCorrected Sep 29, 2023
  6. F759Ensure medication error rates are not 5 percent or greater.Pharmacy ServiceE · patternCorrected Jul 14, 2023
  7. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Jul 14, 2023
  8. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationG · isolatedCorrected Jun 5, 2023
Jun 16, 202214 citationsCycle 3worst G · actual harm
  1. F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsG · isolatedCorrected Jul 16, 2022
  2. F565Honor the resident's right to organize and participate in resident/family groups in the facility.Resident RightsE · patternCorrected Jul 16, 2022
  3. F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Resident RightsD · isolatedCorrected Jul 16, 2022
  4. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Jul 16, 2022
  5. F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationE · patternCorrected Jul 16, 2022
  6. F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Quality of Life and CareD · isolatedCorrected Jul 16, 2022
  7. F685Assist a resident in gaining access to vision and hearing services.Quality of Life and CareD · isolatedCorrected Jul 16, 2022
  8. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareG · isolatedCorrected Jul 16, 2022
  9. F692Provide enough food/fluids to maintain a resident's health.Quality of Life and CareD · isolatedCorrected Jul 16, 2022
  10. F791Provide or obtain dental services for each resident.Quality of Life and CareD · isolatedCorrected Jul 16, 2022
  11. F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Nutrition and DietaryF · widespreadCorrected Jul 16, 2022
  12. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected Jul 16, 2022
  13. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Jul 16, 2022
  14. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Jul 16, 2022

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined2.72hrsAbove only 3% of peers−1.01 vs CO avg
  • Registered nursesRN hours only0.56hrsAbove only 19% of peers−0.27 vs CO avg
  • Licensed practical nursesLPN hours0.57hrs
  • Nurse aidesCNA hours1.59hrs
  • Weekend nursingAll staff on Saturdays and Sundays2.50hrs
  • Colorado average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better78%Above only 2% of peersCO avg 49%
  • RN turnoverRegistered nurses only75%Not ranked by CMS
  • Administrators who leftIn the past year3Leadership changed
  • Occupancy83 certified beds · ~73 residents a day88%Above 65% of peersCO avg 79%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $45,688In fines
  • 2Fines
  • 1Payment denial
  • $25,587CO avg in fines
Above only 17% of peersFewer fines than 17% of rated homes in Colorado

Actions on record

  1. Jan 22, 2025Civil money penalty$37,950
  2. Aug 2, 2023Denial of payment for new admissionsfrom Nov 2, 2023
  3. Jul 13, 2023Civil money penalty$7,738

Ownership

As filed with CMS

Structure

Ownership type
For profit - Limited Liability company
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers17 facilities in the chain1.7★ chain average
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Charly Bello Family Limited Partnership
  • Maze Family Limited Partnership
  • Pickd LLC
Indirect owners (5%+)
  • David Mahrt
  • Katie Myers
  • Walter Myers
  • Holly Swain
  • Jared Swain
Operational or managerial control
  • Cottonwood Healthcare LLC
  • Carly Bader
  • Walter Myers

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 065166 · 1000 S LEMAY AVE, FORT COLLINS, CO, 80524.
  • Percentiles compare this facility with every rated nursing home in Colorado and Larimer County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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