Nursing homeActive
Columbine Commons Health And Rehab LLC
1475 Main St, Windsor, CO 80550970449554060 certified beds · 58 residentsFor profit - Limited Liability companyMedicare
Surveys on file
3
since 2022
Deficiencies
7
● 0● 7● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-04-17
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 3
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 |
|---|---|---|---|---|
| 2025-04-17 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-10-12 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2022-07-14 | Standard | 010 | 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.
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 2025-05-09Record 065410-20250417-F677
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 2025-05-09Record 065410-20250417-F812
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 065410-20231012-F678
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-25Record 065410-20231012-F761
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-25Record 065410-20231012-F849
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 2023-10-25Record 065410-20231012-F880
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-31Record 065410-20220714-F695
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.90
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day4.02
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours3.66
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover92%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover96%
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 | 5.4% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.1% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.4% | 20.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 8.0% | 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 | 20.0% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.7% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.5% | 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)No ownership records in the data we hold from CMS (Provider Enrollment).
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 Weld.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Pelican Pointe Health And Rehabilitation Center Windsor | 1.6 mi | 2026-05-19 | 0303 |
| Lemay Avenue Health And Rehab LLC Fort Collins | 7.4 mi | 2026-06-01 | 071 |
| Rehabilitation And Nursing Center Of The Rockies Fort Collins | 9.1 mi | 2025-09-23 | 0172 |
| Creekside Village Rehabilitation And Nursing LLC Fort Collins | 9.0 mi | 2026-04-30 | 0335 |
| Grace Pointe Cont Care Sr Campus, Skilled Nursing Greeley | 8.9 mi | 2026-02-26 | 041 |
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 |