Creekside Village Rehabilitation And Nursing LLC
1000 E Stuart St, Fort Collins, CO 805259704825712120 certified beds · 74 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
12
since 2019
Deficiencies
53
● 0● 45● 8
Penalties · 3 yrs
$48,875
5 fines
Last survey
2026-04-30
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Colorado Department of Public Health & Environment · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-30 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2026-02-09 | Complaint | 043 | CMS-2567 (Care Compare) | — |
| 2025-09-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-07-08 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-05-13 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-02-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-02 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2023-12-19 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2023-09-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2019-12-19 | Standard | 0123 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Colorado Department of Public Health & Environment publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F561
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F684
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F727
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F759
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F804
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 065221-20260430-F882
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-02-28Record 065221-20260209-F689
F760Ensure that residents are free from significant medication errors.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-02-28Record 065221-20260209-F760
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity JHarm
Food & nutrition
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-02-28Record 065221-20260209-F805
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-28Record 065221-20260209-F561
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-28Record 065221-20260209-F600
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-28Record 065221-20260209-F605
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-28Record 065221-20260209-F865
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-30Record 065221-20250904-F600
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-30Record 065221-20250904-F812
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-06-23Record 065221-20250708-F760
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-09Record 065221-20250708-F609
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 065221-20250513-F600
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 065221-20250513-F760
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 065221-20250513-F921
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-17Record 065221-20250225-F600
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-22Record 065221-20240924-F677
F555Honor the resident's right to choose his or her attending physician.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-12Record 065221-20240717-F555
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 065221-20240402-F550
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 065221-20240402-F677
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 065221-20240402-F760
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 065221-20240402-F791
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 065221-20240402-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 065221-20240402-F812
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 065221-20240402-F921
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-12-01Record 065221-20231219-F689
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-29Record 065221-20231219-F919
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-25Record 065221-20230926-F677
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2020-02-07Record 065221-20191219-F600
F610Respond appropriately to all alleged violations.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2020-01-23Record 065221-20191219-F610
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2020-01-23Record 065221-20191219-F686
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F677
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F679
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F690
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F698
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F725
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F761
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F805
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2020-01-23Record 065221-20191219-F921
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-02-09 | Civil money penalty | $20,833 | CMS · Penalties |
| 2025-07-08 | Civil money penalty | $9,110 | CMS · Penalties |
| 2023-12-19 | Civil money penalty | $8,347 | CMS · Penalties |
| 2023-11-06 | Civil money penalty | $3,176 | CMS · Penalties |
| 2023-10-17 | Civil money penalty | $7,409 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.72
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day3.47
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours3.05
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover74%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover60%
Facility
Colorado
National
Colorado 45% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Colorado | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 25.4% | 20.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.8% | 1.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.8% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.8% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.7% | 11.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Cecilia, Cosmo Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cottonwood Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Roe, Sara Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cecilia, Cosmo Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Charly Bello Family Limited Partnership Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mahrt, David Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Maze Family Limited Partnership Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Myers, Katie Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Myers, Walter Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reddy, Vikas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Swain, Holly Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Swain, Jared Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers — 19 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Colorado.
No county cost figures on file for Larimer.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Poudre Canyon Rehabilitation And Nursing, LLC Fort Collins | 0.7 mi | 2025-05-15 | 0123 |
| Storybrook Care & Rehabilitation Fort Collins | 0.7 mi | 2025-12-22 | 0132 |
| Rehabilitation And Nursing Center Of The Rockies Fort Collins | 0.9 mi | 2025-09-23 | 0172 |
| Columbine West Health And Rehab LLC Fort Collins | 1.6 mi | 2026-06-16 | 0122 |
| Centre Avenue Health And Rehab LLC Fort Collins | 1.7 mi | 2026-05-21 | 010 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |