1475 Main St., Windsor, CO 80550 · Weld County · (970) 449-5540
60 certified beds, about 58 residents a day · For profit - Limited Liability company · Medicare since 2014
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065410 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 17, 2025, inspectors cited 2 health deficiencies (the Colorado average is 8.7, the national average 9.2).
None of its 7 health citations since July 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.02 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.
92.0% of nursing staff left within the year CMS measured (Colorado average 47.1%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Inspectors wroteBased on observations, record review and interviews, the facility failed to store, prepare, distribute and serve food in a sanitary manner in the main kitchen and two out of two kitchenettes. Specifically, the facility failed to ensure: -Refrigerators were maintained at the correct temperature; -Food was properly stored after being opened; -Staff wore beard nets in the kitchen; -Staff did not have fake nails; and, -Staff did not wear a watch on their wrist while serving food.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain grooming and personal hygiene for one (#8) of four residents reviewed out of 17 sample residents. Specifically, the facility failed to provide Resident #8 with timely bathroom assistance.
Inspectors wroteBased on observations, record review and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection. Specifically, the facility failed to: -Ensure glucometers were disinfected per manufacturer's recommendations and ensure that individual glucometers were labeled on three of four medication carts reviewed; -Follow infection control practices when administering medications via gastrostomy (G-tube) tube; and, -Follow infection control practices when entering the room of a resident on contact precautions.
Inspectors wroteBased on record review and interviews, the facility failed to have a process in place to ensure one (#48) resident reviewed for cardiopulmonary resuscitation (CPR) out of 28 sample residents choices regarding CPR were honored and physician orders in place to support the choices. Specifically, the facility failed to ensure the physician orders were updated after admission to do not resuscitate (DNR) status in order to align with the Resident #48's documented choices.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure proper storage and disposal of medications in two of three medication carts. Specifically, the facility failed to discard prepared and contaminated medications that had not been administered to residents.
Inspectors wroteBased on record review and interviews, the facility failed to ensure that the hospice services provided met professional standards and principles that applied to individuals providing services in the facility for one (#159) of three residents reviewed for hospice services out of 28 sample residents. Specifically, for Resident #159 the facility failed: -To have a hospice plan of care in order to maintain the resident's highest practicable physical, mental and psychosocial well-being; -To identify the responsibilities of the hospice provider and the facility to include frequency of visits; and, -To have consistent documentation of hospice care visits and updates in the resident's record. I. Facility policy The Palliative and hospice Services policy, updated on 5/18/23, was provided by the nursing home administrator (NHA) on 10/12/23 at 2:47 p.m. it revealed in pertinent part; [...]
Inspectors wroteBased on interviews and record review, the facility failed to ensure one (#24) of one resident reviewed for respiratory care of 20 sample residents were provided respiratory care consistent with professional standards of practice. Specifically, the facility failed to ensure physician orders and a care plan were in place for Resident #24, who required a continuous positive airway pressure (CPAP) unit/machine.
26 fire safety citations on file: 15 on April 17, 2025, 1 on October 12, 2023, 10 on July 14, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Colorado | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.02 | 3.72 | 3.86 |
| Registered nurses | 0.90 | 0.82 | 0.69 |
| All nursing staff on weekends | 3.66 | 3.29 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 92.0% | 47.1% | 45.8% |
| Registered nurse turnover | 96.3% | 44.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.93 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.17 on weekdays and 3.66 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.17 in April to June 2025 to 4.02 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.02 | 0.90 | 4.17 | 3.66 | 0.0% | 0 of 90 | 58 |
| Oct to Dec 2025 | 4.02 | 1.12 | 4.20 | 3.55 | 8.5% | 0 of 92 | 59 |
| Jul to Sep 2025 | 4.49 | 1.44 | 4.65 | 4.08 | 12.4% | 0 of 92 | 57 |
| Apr to Jun 2025 | 5.17 | 1.83 | 5.43 | 4.52 | 10.1% | 0 of 91 | 53 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Colorado, Jan to Mar 2026 | 3.59 | 0.76 | 3.75 | 3.18 | 5.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Colorado, all employers | |||
| CNAs (nursing assistants) | $22.78 | $21.42 to $24.00 | 22,240 |
| LPNs and LVNs | $35.52 | $29.76 to $38.37 | 4,920 |
| Registered nurses | $48.20 | $40.67 to $52.37 | 54,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Colorado | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.9 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 28.9 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.4 | 20.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.6 | 20.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.5 | 12.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Columbine Commons Health and Rehab LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (68.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
68.8% this home
Better than the national rate
US median of homes 51.5% · Colorado: 39 better, 8 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 228 eligible stays.
9.4% this home
No different from the national rate
US median of homes 10.7% · Colorado: 3 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 234 eligible stays.
6.2% this home
No different from the national rate
US median of homes 7.1% · Colorado: 4 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 144 eligible stays.
69.2% this home
Median of homes: Colorado65.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 117 residents counted.
1.8% this home
Median of homes: Colorado0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 166 residents counted.
1.3% this home
Median of homes: Colorado0.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 166 residents counted.
97.8% this home
Median of homes: Colorado99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 93 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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