Columbine Commons Health And Rehab Llc is one of the top-rated nursing facilities in Windsor, Colorado, earning an A grade based on CMS data. With a score of 94/100, it ranks in the top 6% of facilities statewide — a strong indicator of quality care.
Staffing levels at Columbine Commons Health And Rehab Llc exceed national averages, with 4.49 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.44 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 7 deficiencies at Columbine Commons 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 | 4.49 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.44 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.97 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.07 | 2.4 | Below Average |
| Weekend Total Nursing | 4.08 | 3.8 | Average |
| Weekend RN Hours | 1.11 | 0.7 | Above 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.Apr 16, 2025 · Nutrition and Dietary Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Apr 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Oct 11, 2023 · Infection Control Deficiencies
- Tag 0678 Severity DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advancOct 11, 2023 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiOct 11, 2023 · 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 | 7.2% | 4.5% | Worse |
| Falls with major injury | 8.4% | 3.0% | Worse |
| On antipsychotic medication | 22.7% | 14.5% | Worse |
| Urinary tract infections | 8.1% | 2.5% | Worse |
| ADL decline (daily activities) | 19.8% | 14.0% | Worse |
| Excessive weight loss | 4.1% | 7.5% | Better |
| New/worsened incontinence | 25.9% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 94 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: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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