B

NORTH SHORE HEALTH & REHAB FACILITY

1365 W 29TH ST, LOVELAND, CO 80538
Score: 75 / 100

North Shore Health & Rehab Facility earns a solid B grade from CMS data, with a score of 75/100. Performing above average across most metrics, this Loveland facility ranks in the 73th percentile among Colorado nursing homes.

Staffing levels at North Shore Health & Rehab Facility exceed national averages, with 4.35 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.10 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 22 deficiencies at North Shore Health & Rehab Facility. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.35 3.8 Above Average
Registered Nurses (RN) 1.10 0.7 Above Average
Licensed Practical Nurses (LPN) 0.70 0.7 Average
Certified Nursing Assistants (CNA) 2.54 2.4 Average
Weekend Total Nursing 3.79 3.8 Average
Weekend RN Hours 0.97 0.7 Above Average

🔍 Inspection & Deficiency History

22
Total Deficiencies
May 15, 2024
Most Recent Inspection
🟠 22 Moderate
View recent deficiencies (5 shown)
  • Tag 0805 Severity E
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    May 15, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    May 15, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    May 15, 2024 · Quality of Life and Care Deficiencies
  • Tag 0697 Severity D
    Provide safe, appropriate pain management for a resident who requires such services.
    May 15, 2024 · Quality of Life and Care Deficiencies
  • Tag 0758 Severity D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    May 15, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.1% 4.5% Better
Falls with major injury 3.1% 3.0% Average
On antipsychotic medication 18.6% 14.5% Worse
Urinary tract infections 4.7% 2.5% Worse
ADL decline (daily activities) 21.1% 14.0% Worse
Excessive weight loss 8.5% 7.5% Worse
New/worsened incontinence 26.9% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $4,233

How This Grade Was Calculated

This facility's grade of B is based on a score of 75 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 15, 2024
Deficiencies (Cycle 1)
6