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
Data as of July 1, 2026
5 of 5 overall
LEMAY AVENUE HEALTH AND REHAB LLC has a 5-star overall rating, with 5 stars for health inspections and 4 stars for quality measures, but staffing is lower at 3 stars and reported nurse staffing (4.03 hours per resident per day) is slightly below the federal benchmark (4.1). There were no fines in the last 24 months, though recent inspection citations included accident hazards/supervision, infection prevention and control, and grievance handling.
Facility ratings
Health inspections
Staffing
4.0338 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 4.0338.
Staffing detail
- Registered nurses
- 1.00
- Licensed practical nurses
- 0.50
- Nurse aides
- 2.54
- Weekend nursing
- 3.65
Hours per resident per day.
Total staff turnover: 93%
Registered nurse turnover: 95%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
19.4%16.2%Improving
Residents with a fall causing major injury
6.1%3.1%Improving
Residents with pressure ulcers (bedsores)
5%3.6%Improving
Residents with a urinary tract infection
0%1%Worsening
Residents who lost too much weight
2.4%4.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.8%12.9%Improving
Residents whose ability to walk got worse
30.3%23.4%Improving
Long-stay residents on antianxiety or sleep medication
15.1%18.4%Worsening
Short-stay residents newly given an antipsychotic
0.9%3.5%Worsening
Residents with a long-term catheter
0%1%Worsening
Residents with new or worsening incontinence
23.3%20.9%Improving
Residents with depressive symptoms
3.2%14.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%99%Worsening
Short-stay residents given the seasonal flu vaccine
—92%—
Short-stay residents given the pneumonia vaccine
93.7%85.7%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.
View the original federal record
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 was below the federal recommendation of 4.1 hours per resident per day.
- 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 · 4.2 stars avg
- Occupancy
- 125.4 residents on an average day (96% 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.