The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
COLUMBINE COMMONS HEALTH AND REHAB LLC
WINDSOR, CO · Medicare-certified · 60 beds
In good standing
For-profitChain member
5 of 5 overall
COLUMBINE COMMONS HEALTH AND REHAB LLC in Windsor has an overall 5-star rating, with a 5-star health inspection score, 4-star staffing, and 3-star quality measures. It reported 4.02 nurse hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent citations included food safety, infection control, and assistance with daily living.
Facility ratings
Health inspections
Staffing
4.0155 hrs/resident/day
Quality measures
Last inspection: April 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0155.
Staffing detail
- Registered nurses
- 1.12
- Licensed practical nurses
- 0.99
- Nurse aides
- 1.91
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 46%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
26.5%Improving
Residents with a fall causing major injury
6.7%Improving
Residents with pressure ulcers (bedsores)
4.5%Improving
Residents with a urinary tract infection
7.7%Worsening
Residents who lost too much weight
3.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
23.1%Improving
Residents whose ability to walk got worse
36.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
13.6%Worsening
Short-stay residents newly given an antipsychotic
3.8%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
29.8%Worsening
Residents with depressive symptoms
1.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.5%Worsening
Short-stay residents given the seasonal flu vaccine
98.8%Steady
Short-stay residents given the pneumonia vaccine
94.2%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited October 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited October 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of COLUMBINE HEALTH SYSTEMS · 5 homes · 4.4 stars avg
- Occupancy
- 58.5 residents on an average day (98% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 12 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.