Creekside Village Rehabilitation And Nursing Llc has received an F grade based on CMS data, with a score of 12/100 — 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 Creekside Village Rehabilitation And Nursing Llc, with 3.10 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 inspections identified 40 deficiencies at Creekside Village Rehabilitation And Nursing 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 | 3.10 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.73 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.29 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.09 | 2.4 | Below Average |
| Weekend Total Nursing | 2.72 | 3.8 | Below Average |
| Weekend RN Hours | 0.63 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Sep 3, 2025 · Nutrition and Dietary Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Sep 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0760 Severity GEnsure that residents are free from significant medication errors.Jul 7, 2025 · Pharmacy Service Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jul 7, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0921 Severity EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.May 12, 2025 · Environmental 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 | 3.2% | 4.5% | Better |
| Falls with major injury | 2.4% | 3.0% | Better |
| On antipsychotic medication | 24.4% | 14.5% | Worse |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 9.5% | 14.0% | Better |
| Excessive weight loss | 4.0% | 7.5% | Better |
| New/worsened incontinence | 13.3% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $28,042
How This Grade Was Calculated
This facility's grade of F is based on a score of 12 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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