Home / Colorado / Fort Collins
4824 S Lemay Ave, Fort Collins, CO 80525 · Larimer County · (801) 709-4358
130 certified beds, about 125 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065142 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 11, 2025, inspectors cited 1 health deficiency (the Colorado average is 8.7, the national average 9.2).
Of 11 health citations since August 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.03 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.
92.6% 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 11 health citations on file.
Inspectors wroteBased on record review and interviews, the facility failed to ensure two (#5 and #15) of four residents reviewed for accidents hazards received adequate supervision out of 16 sample residents. Resident #5 was admitted on [DATE]. Resident #5 required partial assistance from staff to transfer from surface to surface. In December 2025 Resident #5 was presenting with increased anxiety; yelling out; requests to use the bathroom and attempting to self transfer herself to get to the bathroom without staff assistance. Resident #5 fell on 2/4/26 while attempting to self transfer to use the bathroom. The facility failed to address the resident's impulsiveness to attempt to self transfer to use the bathroom. On 2/16/26, Resident #5 fell again and hit her head during an attempt to self transfer to use the bathroom. [...]
Inspectors wroteBased on record review and interviews, the facility failed to provide appropriate treatment and services to prevent urinary tract infections (UTI) for one (#16) of four residents out of 16 sample residents. Specifically, the facility failed to prevent recurring UTIs for Resident #16.
Inspectors wroteBased on record review, observation and interviews, the facility failed to provide necessary respiratory care and services consistent with professional standards of practice for two (#3 and #14) of four residents reviewed of 16 sample residents. Specifically, the facility failed to ensure Resident #3 and Resident #14 received oxygen therapy in accordance with the physician's orders.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents who were diagnosed with dementia received the appropriate treatment and services to attain or maintain their highest practical physical, mental, and psychological well-being an prevevent re for two (#6 and #12) of five residents out of 16 sample residents. Specifically, the facility failed to develop individualized interventions related to Resident #6 and Resident #12 behavioral symptomatology for becoming aggressive towards other individuals (resident and visitors) when they did not like what was going on in their environment/surroundings; to prevent each of them from initiating an aggressive altercation directed towards other individuals.
Inspectors wroteBased on record review and interviews, the facility failed to provide medications as ordered for one (#1) of three residents of 16 sampled residents. Specifically, the facility failed to have a physician's ordered medications available at the facility to administer to Resident #1.
Inspectors wroteBased on observations 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 diseases and infection on two of eight units. Specifically, the facility failed to:-Ensure the vital signs machine was disinfected after being used in a COVID-19 positive room;-Ensure the vital signs machine was disinfected between each resident's use on the secure unit; and,-Ensure housekeeping staff doffed (took off) their personal protective equipment (PPE) and closed the trash bags before exiting a COVID-19 positive room.
Inspectors wroteBased on record review and interviews, the facility failed to ensure three (#13, #11 and #12) of three residents out of 11 sample residents had their grievances resolved promptly by the facility. Specifically, the facility did not promptly respond to Resident #13, Resident #11 and Resident #12's grievances of long call light times.
Inspectors wroteBased on observations, record review and staff interviews the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, the facility failed to: -Demonstrate proper hand hygiene while assisting a residents with their meals; -Ensure control measures for monitoring and preventing Legionella and waterborne pathogens growth were included in the facility's water management plan; and, -Pass medications in a sanitary manner.
Inspectors wroteBased on observation, interviews, record review, facility policy review, and facility document review, it was determined that the facility failed to prevent a resident (Resident #36), who was severely cognitively impaired with known wandering and exit-seeking behaviors, from exiting the facility unsupervised on 06/09/2022. This affected one (Resident #36) of three residents reviewed for wandering behaviors.
Inspectors wroteBased on observation, review of the facility's policy, and interviews, it was determined the facility failed to ensure one (Hall 2500) of four medication carts were locked while not in use and unattended.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to maintain infection control practices during wound care for one (Resident #62) of one resident observed for wound care.
8 fire safety citations on file: 5 on September 11, 2025, 3 on November 16, 2023.
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) | 4.03 | 3.72 | 3.86 |
| Registered nurses | 1.00 | 0.82 | 0.69 |
| All nursing staff on weekends | 3.65 | 3.29 | 3.42 |
| Nurse aides | 2.54 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 92.6% | 47.1% | 45.8% |
| Registered nurse turnover | 95.0% | 44.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.76 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 4.19 on weekdays and 3.65 on weekends, 13% 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 4.40 in April to June 2025 to 4.03 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 | 4.03 | 1.00 | 4.19 | 3.65 | 0.0% | 0 of 90 | 125 |
| Oct to Dec 2025 | 4.27 | 1.15 | 4.43 | 3.84 | 0.3% | 0 of 92 | 123 |
| Jul to Sep 2025 | 4.40 | 1.27 | 4.53 | 4.07 | 0.8% | 0 of 92 | 118 |
| Apr to Jun 2025 | 4.40 | 1.37 | 4.59 | 3.92 | 1.2% | 0 of 91 | 120 |
| 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 | 18.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.8 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.5 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.4 | 20.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.0 | 20.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.8 | 12.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lemay Avenue 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 (67.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
67.0% 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. 297 eligible stays.
8.7% 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. 325 eligible stays.
6.8% 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. 169 eligible stays.
57.5% 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. 146 residents counted.
0.7% 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. 155 residents counted.
2.9% 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. 155 residents counted.
100.0% 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. 103 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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