1637 29th Ave Pl, Greeley, CO 80634 · Weld County · (970) 356-8181
107 certified beds, about 90 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065212 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 11, 2024, inspectors cited 6 health deficiencies (the Colorado average is 8.7, the national average 9.2).
Of 12 health citations since September 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $14,069 in the last three years; the largest was $14,069, and the latest is dated April 7, 2025.
Nurses and nurse aides worked 3.01 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
72.3% of nursing staff left within the year CMS measured (Colorado average 47.1%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
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 12 health citations on file.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#4) of four residents were free from significant medication errors out of five sample residents. Specifically, the facility failed to ensure Resident #4 did not receive another resident's medications.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure one (#12) out of four sample residents were free from significant medication errors. Resident #12, who was admitted to the facility on [DATE], had a mechanical heart valve and was at a high risk for deep vein thrombosis (DVT). The resident had a physician's order to receive warfarin (a bloodthinning medication) to assist with preventing blood clots. Additionally, the resident had a physician's order to periodically monitor the resident's PT/INR (prothrombin time test/international normalized ratio - a blood test that measures how long it takes the blood to clot). The resident's physician adjusted the resident's warfarin dose based upon the results of the PT/INR blood test. [...]
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide a safe, functional, sanitary and comfortable environment for residents, staff and the public. Specifically, the facility failed to ensure two ceiling swamp cooler vents, two shower rooms and eight mechanical rooms were thoroughly cleaned, free from debris and did not contain any black discoloration on any surfaces.
Inspectors wroteBased on observations, interviews and record review, 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 in one out of two units. Specifically, the facility failed to: -Ensure resident rooms were cleaned in a sanitary manner; -Ensure manufacturer recommended surface contact times were followed for effective disinfection; -Ensure nebulizers (an apparatus that allows medications to be inhaled) were stored and cleaned according to professional standards of practice.
Inspectors wroteBased on record review and interviews, the facility failed to ensure level II preadmission screening and resident review (PASRR) were completed for one (#33) of two residents out of 32 sample residents reviewed for PASRR to gain and maintain their highest practical medical, emotional and psychosocial well-being. Specifically, the facility failed to follow PASRR level II recommendations for Resident #33.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure that activities of daily living (ADL) for dependent residents were provided for one (#31) of two residents out of 32 sample residents. Specifically, the facility failed to provide eating assistance for a resident who required supervision and cueing and who was at high risk for weight loss.
Inspectors wroteBased on record review and interviews, the facility failed to ensure two (#35 and #51) out of two residents out of 32 sample residents received treatment and care in accordance with professional standards of practice. Specifically, the facility failed to: -Follow hospital physician orders to remove Resident #35's cervical neck brace after six weeks; -Monitor the skin under Resident #35's cervical neck brace; -Ensure Resident #35 was transported to and attended her neuro-orthopedic doctor' s appointment; and, -Support and position Resident #51 in her wheelchair properly.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure two (#33 and #35) of two residents reviewed for accidents out of 32 sample residents received adequate supervision to prevent accidents. Specifically, the facility failed to: -Complete a root cause analysis and implement person centered fall interventions for Resident #33 and Resident #35; and, -Ensure a registered nurse (RN) completed an assessment after Resident #33 sustained a fall.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents were free from significant medication errors for two (#51 and #70) of five residents reviewed for significant medication errors out of 32 sample residents. Specifically, the facility failed to: -Ensure Resident #51 received the correct medications by ensuring the correct resident was identified before administering another resident's (Resident #20) medications; -Ensure Resident #51 had documentation, monitoring and follow up for possible adverse outcomes after receiving multiple wrong medications; and, -Ensure Resident #70 was given a scheduled opioid medication according to physician orders.
Inspectors wroteBased on record review and interviews, the facility failed to ensure that residents were free of unnecessary psychotropic medications for three (#6, #62 and #17) of six residents reviewed for psychotropic medications out of 25 sample residents. Specifically, the facility failed to: -Obtain appropriate risk versus benefits statements for Resident #6; -Attempt gradual dose reductions (GDR) for psychotropic medications for Resident #6; -Track and monitor behaviors accurately to justify continuation of psychotropic medications for Resident #6; -Have the residents physician document the rationale for extending the use and indicate the duration of a PRN (as needed) psychotropic medications for Resident #62 and Resident #17; -Attempt non-pharmacological interventions prior to administering PRN antipsychotics for Resident #62 and Resident #17; [...]
Inspectors wroteBased on observations and interviews, the facility failed to ensure the services provided or arranged by the facility met professional standards of quality for one (#120) of six residents out of 25 sample residents. Specifically, the facility failed to ensure a licensed practical nurse (LPN) administered medications for Resident #120 without touching the medications with her bare hands.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure medication error rates were not 5% or greater. Out of 25 opportunities for medication errors, 10 errors were observed, resulting in an error rate of 40%. These errors affected one (#120) of six residents out of 25 sample residents. Specifically, the facility failed to ensure medications for Resident #120 were not administered late.
25 fire safety citations on file: 13 on April 11, 2024, 4 on December 15, 2022, 8 on September 2, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| April 7, 2025 | Fine | $14,069 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.01 | 3.72 | 3.86 |
| Registered nurses | 0.69 | 0.82 | 0.69 |
| All nursing staff on weekends | 2.67 | 3.29 | 3.42 |
| Nurse aides | 1.80 | ||
| Licensed practical nurses | 0.52 | ||
| Nursing staff turnover (share who left in a year) | 72.3% | 47.1% | 45.8% |
| Registered nurse turnover | 61.5% | 44.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.78 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 3.15 on weekdays and 2.67 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.20 in April to June 2025 to 3.01 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 | 3.01 | 0.69 | 3.15 | 2.67 | 5.4% | 0 of 90 | 90 |
| Oct to Dec 2025 | 3.07 | 0.72 | 3.21 | 2.71 | 4.3% | 0 of 92 | 87 |
| Jul to Sep 2025 | 3.11 | 0.61 | 3.28 | 2.69 | 7.5% | 0 of 92 | 87 |
| Apr to Jun 2025 | 3.20 | 0.67 | 3.39 | 2.71 | 14.8% | 0 of 91 | 84 |
| 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.
| 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 | 8.1 | 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 | 1.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.8 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.0 | 20.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.6 | 20.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 25.9 | 12.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Westlake Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.2% this home
No different from 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. 43 eligible stays.
10.5% 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. 52 eligible stays.
7.2% 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. 30 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 17 residents counted.
3.3% 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. 30 residents counted.
3.0% 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. 30 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 4 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: LATHAM RIVER HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Conley, Calvin | Managing control - governing body | Individual | 04/01/2025 | |
| Fraser, Malcolm | Managing control - governing body | Individual | 09/01/2024 | |
| Jorgensen, David | Corporate director | Individual | 05/24/2024 | |
| Burnam, Soon | Corporate officer | Individual | 05/24/2024 | |
| Graham, Joseph | Corporate officer | Individual | 05/24/2024 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Nursa Inc | Operational/managerial control | Organization | 09/01/2024 | |
| Onshift Inc | Operational/managerial control | Organization | 09/01/2024 | |
| Conley, Calvin | Operational/managerial control | Individual | 04/01/2025 | |
| Fraser, Malcolm | Operational/managerial control | Individual | 09/01/2024 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/21/2025 | |
| Ensign Services Inc | Adp of the SNF | Organization | 09/01/2024 | |
| Smv Greeley Centennial LLC | Adp of the SNF | Organization | 09/01/2025 | |
| Conley, Calvin | Adp of the SNF | Individual | 06/21/2025 | |
| Fraser, Malcolm | Adp of the SNF | Individual | 06/21/2025 |
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.
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.