Lemay Avenue Health And Rehab Llc is one of the top-rated nursing facilities in Fort Collins, Colorado, earning an A grade based on CMS data. With a score of 92/100, it ranks in the top 8% of facilities statewide — a strong indicator of quality care.
Staffing levels at Lemay Avenue Health And Rehab Llc exceed national averages, with 4.40 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.27 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 7 deficiencies at Lemay Avenue Health And Rehab Llc. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.40 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.27 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.43 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.70 | 2.4 | Above Average |
| Weekend Total Nursing | 4.07 | 3.8 | Average |
| Weekend RN Hours | 0.91 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Sep 10, 2025 · Infection Control Deficiencies
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eFeb 18, 2025 · Resident Rights Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Nov 15, 2023 · Infection Control Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jul 25, 2023 · Quality of Life and Care Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 18, 2022 · Quality of Life and Care 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 | 4.2% | 4.5% | Average |
| Falls with major injury | 5.8% | 3.0% | Worse |
| On antipsychotic medication | 18.7% | 14.5% | Worse |
| Urinary tract infections | 0.8% | 2.5% | Better |
| ADL decline (daily activities) | 20.4% | 14.0% | Worse |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 20.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $7,443
How This Grade Was Calculated
This facility's grade of A is based on a score of 92 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 5★ → 20 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
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