Poudre Canyon Rehabilitation and Nursing, LLC

Nursing Home · Fort Collins, CO

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number065166
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1000 S Lemay Ave
Fort Collins, CO 80524
Larimer County
Phone
(970) 482-7925
ZIP code
80524 – all care providers

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Facility details

Certified beds
83
Residents per day
69.7 (84% occupied)
Ownership
For profit - Limited Liability company
Legal name
Poudre Canyon Rehabilitation and Nursing LLC
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers (19 facilities, avg 1.7★)
Medicare certified since
July 1, 1982
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.7
Staffing★★★★★ 1/5
State avg 3.1
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.65 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.48 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.54 (state 0.68 · U.S. 0.86)
Nurse aides
1.63 (state 2.22 · U.S. 2.32)
Weekend total
2.51 (state 3.30 · U.S. 3.42)
Nursing staff turnover
60.5 (state 47.1 · U.S. 45.8)%
RN turnover
52.9 (state 44.6 · U.S. 42.9)%

Inspections

Last standard inspection
January 22, 2025
Health deficiencies (last cycle)
11.0 (state 8.6 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
36 health · 36 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-05-15 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-05-16
2025-05-15 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-16
2025-05-15 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-16
2025-05-15 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-16
2025-01-22 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-02-19
2025-01-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-02-06
2025-01-22 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-15
2025-01-22 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2025-01-22 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-19
2025-01-22 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-23
2025-01-22 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-19
2025-01-22 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-19
2025-01-22 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-06
2025-01-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-06
2025-01-22 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-19
2023-07-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-07-14
2023-07-13 The resident has the right to receive notices in a format and a language he or she understands.
F0574 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-14
2023-07-13 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-14
2023-07-13 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-14
2023-07-13 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
F0808 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-14
2023-07-13 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-29
2023-07-13 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-07-14
2022-06-16 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 G
Actual harm		 Corrected 2022-07-16
2022-06-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2022-07-16
2022-06-16 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16
2022-06-16 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-16

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $48,308 in fines.

DateTypeAmount
2025-05-15Fine$10,358
2025-01-22Fine$37,950

Ownership & management

NameRoleSince
Bader, Carly (individual)Administrator · NOT APPLICABLE
Fraser, Malcolm (individual)Administrator · NOT APPLICABLE
Charly Bello Family Limited Partnership (organization)Direct Ownership Interest · NOT APPLICABLE
Maze Family Limited Partnership (organization)Direct Ownership Interest · NOT APPLICABLE
Pickd LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Mahrt, David (individual)Indirect Ownership Interest · NOT APPLICABLE
Myers, Katie (individual)Indirect Ownership Interest · NOT APPLICABLE
Myers, Walter (individual)Indirect Ownership Interest · NOT APPLICABLE
Swain, Holly (individual)Indirect Ownership Interest · NOT APPLICABLE
Swain, Jared (individual)Indirect Ownership Interest · NOT APPLICABLE
Bader, Carly (individual)Operational/managerial Control · NOT APPLICABLE
Cottonwood Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Myers, Walter (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Poudre Canyon Rehabilitation and Nursing, LLC?

Poudre Canyon Rehabilitation and Nursing, LLC has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Colorado.

How many beds does Poudre Canyon Rehabilitation and Nursing, LLC have?

It has 83 certified beds and cares for about 70 residents per day.

Has Poudre Canyon Rehabilitation and Nursing, LLC been fined?

Yes. CMS lists 2 penalties totaling $48,308 in the last three years.

Who owns Poudre Canyon Rehabilitation and Nursing, LLC?

It is part of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Poudre Canyon Rehabilitation and Nursing, LLC?

(970) 482-7925. The facility is located at 1000 S Lemay Ave, Fort Collins, CO 80524.

Other nursing homes in Fort Collins

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.