Facility Watch Inspection records for every certified US nursing home

Lemay Avenue Health and Rehab LLC

4824 S Lemay AVE
Fort Collins, CO 80525
(801) 709-4358

CCN
065142
Certified beds
130
Ownership
For profit - Corporation
Chain
Columbine Health Systems

Nurse staffing

4.69
Total nurse staffing hours per resident per day, case-mix adjusted

Registered nurses: 1.26 hours per resident per day

Nursing staff turnover: 48% a year

Derived by CMS from the Payroll-Based Journal and refreshed quarterly.

Inspection history

Inspected September 11, 2025

1 citation · Health
E
F0880 No actual harm with potential for more than minimal harm · Pattern

Provide and implement an infection prevention and control program.

Deficient, Provider has date of correction · corrected October 1, 2025

Inspected February 19, 2025

1 citation · from a complaint investigation · Health
E
F0585 No actual harm with potential for more than minimal harm · Pattern

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.

Deficient, Provider has date of correction · corrected March 10, 2025

Inspected November 16, 2023

1 citation · Health
F
F0880 No actual harm with potential for more than minimal harm · Widespread

Provide and implement an infection prevention and control program.

Deficient, Provider has date of correction · corrected December 6, 2023

Inspected July 26, 2023

1 citation · from a complaint investigation · Health
G
F0689 Actual harm · Isolated

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

Deficient, Provider has date of correction · corrected July 27, 2023

Inspected August 19, 2022

3 citations · Health
D
F0689 No actual harm with potential for more than minimal harm · Isolated

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

Deficient, Provider has date of correction · corrected September 13, 2022
D
F0761 No actual harm with potential for more than minimal harm · Isolated

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.

Deficient, Provider has date of correction · corrected September 13, 2022
D
F0880 No actual harm with potential for more than minimal harm · Isolated

Provide and implement an infection prevention and control program.

Deficient, Provider has date of correction · corrected September 17, 2022

Penalties

DateTypeAmount
July 26, 2023Fine$7,443