COLUMBINE COMMONS HEALTH AND REHAB LLC

WINDSOR, CO · 60 beds · For profit - Limited Liability company

100 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 5-star health inspection rating
  • 5-star staffing rating
  • Below-average deficiency count (2 vs 9 state avg)
  • No fines or penalties on record
  • Above-average RN staffing (1.52 hrs vs 0.88 state avg)

Quick Facts

★★★★★
CMS Overall
★★★★★
Health Inspection
2
0.2x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

April 16, 2025

2 deficiencyies
F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

October 11, 2023

4 deficiencyies
F0678 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

July 13, 2022

1 deficiency
F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

See full violation history →

Staffing

1.52
RN hrs/res/day
1.02
LPN hrs/res/day
2.18
CNA hrs/res/day
4.30
Weekend hrs/res/day
46%
Total nurse turnover
38%
RN turnover

A nurse checks on each resident roughly every 5.1 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: COLUMBINE HEALTH SYSTEMS
  • WILSON, JOHN

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/25/2012

    100% Individual
  • FANCHER, BARRY

    CORPORATE OFFICER

    Since since 07/01/1999

    Individual
  • FASCIANO-SAGER, LAUREN

    CORPORATE OFFICER

    Since since 05/12/2008

    Individual
  • FANCHER, BARRY

    W-2 MANAGING EMPLOYEE

    Since since 07/01/1999

    Individual
  • FASCIANO-SAGER, LAUREN

    W-2 MANAGING EMPLOYEE

    Since since 05/12/2008

    Individual
  • WILSON, JOHN

    W-2 MANAGING EMPLOYEE

    Since since 12/06/1971

    Individual
  • WITHROW, PALMER

    W-2 MANAGING EMPLOYEE

    Since since 09/01/2013

    Individual

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