B86

BERTHOUD CARE AND REHABILITATION

Grade B 86/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
5/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

76

Ownership

For profit - Corporation

Total Fines

$13,000

Last Survey

N/A

855 FRANKLIN AVE, BERTHOUD, CO 80513
9705322683

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.72h
LPN
0.68h
CNA
2.14h
Total
3.55h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

ENDURA HEALTHCARE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2021

100%

THE ENSIGN GROUP INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2014

100%

ISOMED INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

FRASER, MALCOLM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

GRAHAM, JOSEPH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

JORGENSEN, DAVID

IndividualCORPORATE DIRECTORSince Dec 2020

BURNAM, SOON

IndividualCORPORATE OFFICERSince Dec 2020

GRAHAM, JOSEPH

IndividualCORPORATE OFFICERSince Feb 2024

KEETCH, CHAD

IndividualCORPORATE OFFICERSince Mar 2011

SATO, AMI

IndividualCORPORATE OFFICERSince Sep 2024

Penalties & Fines (1)

$13,000total fines
DateTypeDescriptionAmount
Feb 16, 2023Fine$13,000

Health Inspection Deficiencies (16)

June 11, 2024Health2 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 10, 2024
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Jul 10, 2024
February 16, 2023Health7 deficiencies
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 17, 2023
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Mar 24, 2023
0726EMinimal harm, Pattern

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Mar 17, 2023
0742DMinimal harm, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Quality of Life and Care Deficiencies

Corrected Mar 17, 2023
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Mar 17, 2023
0808DMinimal harm, Isolated

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Nutrition and Dietary Deficiencies

Corrected Mar 25, 2023
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 17, 2023
November 9, 2021Health7 deficiencies
0580EMinimal harm, Pattern

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Dec 8, 2021
0603DMinimal harm, Isolated

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 23, 2021
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Dec 8, 2021
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Dec 8, 2021
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Dec 8, 2021
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 8, 2021
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Dec 8, 2021

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Frequently Asked Questions

What is the CareGrader rating for BERTHOUD CARE AND REHABILITATION?

BERTHOUD CARE AND REHABILITATION in BERTHOUD, Colorado has a CareGrader grade of B (Good), with a composite score of 86 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for BERTHOUD CARE AND REHABILITATION?

BERTHOUD CARE AND REHABILITATION has an overall CMS star rating of 5 out of 5, a health inspection rating of 5/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does BERTHOUD CARE AND REHABILITATION have?

BERTHOUD CARE AND REHABILITATION has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has BERTHOUD CARE AND REHABILITATION been fined?

Yes. BERTHOUD CARE AND REHABILITATION has $13,000 in total fines from CMS enforcement actions across 1 penalty.

How many beds does BERTHOUD CARE AND REHABILITATION have?

BERTHOUD CARE AND REHABILITATION has 76 certified beds with approximately 67 current residents (88% occupancy). The facility is located at 855 FRANKLIN AVE, BERTHOUD, Colorado 80513. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.