F

POUDRE CANYON REHABILITATION AND NURSING, LLC

1000 S LEMAY AVE, FORT COLLINS, CO 80524
Score: 26 / 100

Poudre Canyon Rehabilitation And Nursing, Llc has received an F grade based on CMS data, with a score of 26/100 — placing it among the lowest-rated nursing facilities in Colorado. Families considering this Fort Collins facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at Poudre Canyon Rehabilitation And Nursing, Llc, with 2.72 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 37 deficiencies at Poudre Canyon Rehabilitation And Nursing, Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are free from significant medication errors..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.72 3.8 Below Average
Registered Nurses (RN) 0.56 0.7 Below Average
Licensed Practical Nurses (LPN) 0.57 0.7 Below Average
Certified Nursing Assistants (CNA) 1.59 2.4 Below Average
Weekend Total Nursing 2.50 3.8 Below Average
Weekend RN Hours 0.35 0.7 Below Average

🔍 Inspection & Deficiency History

37
Total Deficiencies
May 14, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 35 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0760 Severity G
    Ensure that residents are free from significant medication errors.
    May 14, 2025 · Pharmacy Service Deficiencies
  • Tag 0600 Severity E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    May 14, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    May 14, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    May 14, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0600 Severity K
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jan 21, 2025 · Freedom from Abuse, Neglect, and Exploitation 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 5.8% 4.5% Worse
Falls with major injury 0.8% 3.0% Better
On antipsychotic medication 26.2% 14.5% Worse
Urinary tract infections 1.7% 2.5% Better
ADL decline (daily activities) 16.3% 14.0% Worse
Excessive weight loss 6.1% 7.5% Better
New/worsened incontinence 18.8% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $45,688

How This Grade Was Calculated

This facility's grade of F is based on a score of 26 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -4 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
83
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 21, 2025
Deficiencies (Cycle 1)
15