The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
LEMAY AVENUE HEALTH AND REHAB LLC
FORT COLLINS, CO · Medicare-certified · 130 beds
In good standing
For-profitChain member
5 of 5 overall
LEMAY AVENUE HEALTH AND REHAB LLC in Fort Collins, CO has an overall 5-star rating, with 5 stars for health inspections and staffing and 4 stars for quality measures. Reported nurse staffing is 4.27 hours per resident per day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.2657 hrs/resident/day
Quality measures
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2657.
Staffing detail
- Registered nurses
- 1.15
- Licensed practical nurses
- 0.53
- Nurse aides
- 2.59
- Weekend nursing
- 3.84
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 27%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.1%Improving
Residents with a fall causing major injury
4.6%Improving
Residents with pressure ulcers (bedsores)
3.9%Improving
Residents with a urinary tract infection
0.8%Improving
Residents who lost too much weight
2.3%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.4%Worsening
Residents whose ability to walk got worse
34.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
15.2%Steady
Short-stay residents newly given an antipsychotic
2.4%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
20.4%Worsening
Residents with depressive symptoms
2.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.5%Worsening
Short-stay residents given the seasonal flu vaccine
92%Steady
Short-stay residents given the pneumonia vaccine
92.5%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 November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited August 2022 — 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 met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,443 in total fines.
- $7,443
Federal fine
Jul 26, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of COLUMBINE HEALTH SYSTEMS · 5 homes · 4.4 stars avg
- Occupancy
- 122.9 residents on an average day (95% of 130 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 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.