Berthoud Care and Rehabilitation

Nursing Home · Berthoud, CO

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number065265

Contact & location

855 Franklin Ave
Berthoud, CO 80513
Larimer County
Phone
(970) 532-2683
ZIP code
80513 – all care providers

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Facility details

Certified beds
76
Residents per day
67.3 (89% occupied)
Ownership
For profit - Limited Liability company
Legal name
Franklin Avenue Healthcare INC.
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
October 1, 1989
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.1
Health inspections★★★★★ 4/5
State avg 2.7
Staffing★★★★★ 2/5
State avg 3.1
Quality measures★★★★★ 3/5
State avg 4.1
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 3/5

Staffing

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

Total nurse staffing
3.33 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.68 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.69 (state 0.68 · U.S. 0.86)
Nurse aides
1.96 (state 2.22 · U.S. 2.32)
Weekend total
2.85 (state 3.30 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
June 2, 2026
Health deficiencies (last cycle)
7.0 (state 8.6 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
16 health · 19 fire safety
DateCitationSeverityStatus
2026-06-02 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-05-13
2026-06-02 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-29
2026-06-02 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-29
2026-06-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-29
2026-06-02 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-29
2026-06-02 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-20
2026-06-02 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 2026-06-29
2024-06-11 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2024-06-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-10
2023-02-16 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-03-17
2023-02-16 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-03-17
2023-02-16 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-17
2023-02-16 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-24
2023-02-16 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
F0742 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-17
2023-02-16 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-17
2023-02-16 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 2023-03-25

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Fraser, Malcolm (individual)Administrator · NOT APPLICABLE
Graham, Joseph (individual)Administrator · NOT APPLICABLE
SMV Berthoud LLC (organization)Administrator · NOT APPLICABLE
Jorgensen, David (individual)Corporate Director · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Graham, Joseph (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Sato, Ami (individual)Corporate Officer · NOT APPLICABLE
Port, Barry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Fraser, Malcolm (individual)Managing Control - Governing Body · NOT APPLICABLE
Graham, Joseph (individual)Managing Control - Governing Body · NOT APPLICABLE
Fraser, Malcolm (individual)Operational/managerial Control · NOT APPLICABLE
Graham, Joseph (individual)Operational/managerial Control · NOT APPLICABLE
Isomed INC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Berthoud Care and Rehabilitation?

Berthoud Care and Rehabilitation has a 4-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 Berthoud Care and Rehabilitation have?

It has 76 certified beds and cares for about 67 residents per day.

Has Berthoud Care and Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Berthoud Care and Rehabilitation?

It is part of The Ensign Group 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 Berthoud Care and Rehabilitation?

(970) 532-2683. The facility is located at 855 Franklin Ave, Berthoud, CO 80513.

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