Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

COLUMBINE WEST HEALTH AND REHAB LLC

FORT COLLINS, CO · 100 certified beds · Last Life Safety survey June 16, 2026

CMS Certification Number 065245 · first certified December 1988

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within CO

7 citations — more than 23% of the 210 certified nursing homes in CO. Compared within CO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2027 — about 14 months from now. This facility’s last Life Safety survey was June 2026. Facilities in CO are typically surveyed 17–24 months after the last one (median 19), measured over 177 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in CO, and nationally. Surveyors differ markedly between states, so the CO figure is the meaningful one.

This facility7CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
02019-1222024-0452026-06
Citations at each Life Safety survey
Survey dateCitations
December 19, 20190
April 11, 20242
June 16, 20265

Most-cited tags

Most-cited tags at this facility
K-02712K-03431K-03531K-07121K-03721K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0271Have exits that are accessible at all times.22026-06-16
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.12026-06-16
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-06-16
K-0712Have simulated fire drills held at unexpected times.12024-04-11
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-06-16
K-0363Install corridor and hallway doors that block smoke.12026-06-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Egress Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 16, 2026 — 5 citations

Citations issued on June 16, 2026
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has no plan of correction
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has no plan of correction
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has no plan of correction
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has no plan of correction
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has no plan of correction

April 11, 2024 — 2 citations

Citations issued on April 11, 2024
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (May 21, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 16, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.