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POUDRE CANYON REHABILITATION AND NURSING, LLC

1000 S LEMAY AVE
FORT COLLINS, CO 80524 · 9704827925 · Larimer County
⚠ Abuse citation on record. This facility has been cited for abuse or neglect in the CMS data — see the citation list below.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds83
OwnershipFor profit - Limited Liability company
State rank#196

By the numbers

36
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
4
Actual-harm (G/H/I)
$48,308
Federal fines (CMPs)
The trend: Citations are trending down — 11 in the most recent cycle versus 14 two cycles ago.

Recent Health Citations

May 15, 2025 · Health survey · F-tag 0610
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
May 15, 2025 · Health survey · F-tag 0609
E — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 15, 2025 · Health survey · F-tag 0600
E — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 15, 2025 · Health survey · F-tag 0760
G — Actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Details
Correction status: Corrected May 16, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jan 22, 2025 · Health survey · F-tag 0921
D — No actual harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 22, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 22, 2025 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Jan 22, 2025 · Health survey · F-tag 0760
D — No actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jan 22, 2025 · Health survey · F-tag 0759
D — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Jan 22, 2025 · Health survey · F-tag 0700
D — No actual harm
Quality of Life and Care Deficiencies
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.
Jan 22, 2025 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 22, 2025 · Health survey · F-tag 0867
E — No actual harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Jan 22, 2025 · Health survey · F-tag 0804
E — No actual harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jan 22, 2025 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Feb 6, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Jan 22, 2025 · Health survey · F-tag 0600
K — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Details
Correction status: Corrected Feb 19, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Jul 13, 2023 · Health survey · F-tag 0577
C — Cited
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Jul 13, 2023 · Health survey · F-tag 0813
D — No actual harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Jul 13, 2023 · Health survey · F-tag 0808
D — No actual harm
Nutrition and Dietary Deficiencies
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.
Jul 13, 2023 · Health survey · F-tag 0806
D — No actual harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Jul 13, 2023 · Health survey · F-tag 0759
E — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Colorado →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.