LEMAY AVENUE HEALTH AND REHAB LLC

FORT COLLINS, CO · 130 beds · For profit - Corporation

86 Trust Score

Grade: A LOW Risk → Stable

Red Flags

⚠ 1 citation(s) where residents suffered actual harm

Green Flags

✓ 4-star health inspection rating
✓ 5-star staffing rating
✓ Below-average deficiency count (2 vs 9 state avg)
✓ Above-average RN staffing (1.40 hrs vs 0.88 state avg)

Quick Facts

★★★★★

CMS Overall

★★★★☆

Health Inspection

0.2x state avg

Deficiencies

$7,443

Fines (3-yr)

★★★★★

Staffing

Violation Timeline

September 10, 2025

1 deficiency

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

February 18, 2025

1 deficiency

F0585 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

November 15, 2023

1 deficiency

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

July 25, 2023

1 deficiency

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

August 18, 2022

3 deficiencyies

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

See full violation history →

Staffing

1.40

RN hrs/res/day

0.47

LPN hrs/res/day

2.97

CNA hrs/res/day

4.48

Weekend hrs/res/day

47%

Total nurse turnover

18%

RN turnover

A nurse checks on each resident roughly every 4.9 hours on average.

Fines & Penalties

Fine Jul 25, 2023
$7,443

Total $7,443

Ownership

For profit - Corporation Chain: COLUMBINE HEALTH SYSTEMS

WILSON, JOHN

5% OR GREATER DIRECT OWNERSHIP INTEREST

Since since 12/06/1971

100% Individual
COLUMBINE MANAGEMENT SERVICES INC

OPERATIONAL/MANAGERIAL CONTROL

Since since 12/01/1993

Organization
WILSON, JOHN

CORPORATE DIRECTOR

Since since 12/06/1971

Individual
FANCHER, BARRY

CORPORATE OFFICER

Since since 07/01/1999

Individual
FASCIANO-SAGER, LAUREN

CORPORATE OFFICER

Since since 11/21/2012

Individual
FANCHER, BARRY

W-2 MANAGING EMPLOYEE

Since since 07/01/1999

Individual
FASCIANO-SAGER, LAUREN

W-2 MANAGING EMPLOYEE

Since since 11/21/2012

Individual
WILSON, JOHN

W-2 MANAGING EMPLOYEE

Since since 12/06/1971

Individual