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

REHABILITATION AND NURSING CENTER OF THE ROCKIES

FORT COLLINS, CO · 106 certified beds · Last Life Safety survey June 26, 2025

CMS Certification Number 065192 · first certified September 1984

Ownership

Operated by THE ENSIGN GROUP · For profit - Corporation

  • Ownership changed August 1, 2023 (change of ownership)from HANLON-BUSH INVESTMENTS, LLC
12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within CO

12 citations — more than 34% 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was June 2025. 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

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 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 12 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • 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 facility12CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
72019-1132023-1222025-06
Citations at each Life Safety survey
Survey dateCitations
November 21, 20197
December 12, 20233
June 26, 20252

Most-cited tags

Most-cited tags at this facility
K-09182K-03631K-03451K-02911K-07411K-02111K-02711K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-06-26
K-0363Install corridor and hallway doors that block smoke.12019-11-21
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-12-12
K-0291Install emergency lighting that can last at least 1 1/2 hours.12023-12-12
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12019-11-21
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12019-11-21
K-0271Have exits that are accessible at all times.12023-12-12
K-0324Provide properly protected cooking facilities.12019-11-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Egress Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

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

June 26, 2025 — 2 citations

Citations issued on June 26, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has plan of correction (December 31, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 1, 2025)

December 12, 2023 — 3 citations

Citations issued on December 12, 2023
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Waiver has been granted (March 9, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 9, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 9, 2024)

November 21, 2019 — 7 citations

Citations issued on November 21, 2019
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 30, 2019)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 6, 2020)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 30, 2019)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 30, 2019)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (December 30, 2019)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (December 30, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 30, 2019)

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