F60

CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC

Grade F 60/100 composite score

For profit - CorporationAbuse Citation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Corporation

Total Fines

$60,870

Last Survey

N/A

1000 E STUART ST, FORT COLLINS, CO 80525
9704825712

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.75h
LPN
0.30h
CNA
2.17h
Total
3.22h
Facility
State Average

Turnover Rates

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

Ownership

CHARLY BELLO FAMILY LIMITED PARTNERSHIP

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2024

40%

MAZE FAMILY LIMITED PARTNERSHIP

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2024

50%

PICKD LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2024

10%

MAHRT, DAVID

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

10%

MYERS, KATIE

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

24%

MYERS, WALTER

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

25%

SWAIN, HOLLY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

19%

SWAIN, JARED

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

20%

COTTONWOOD HEALTHCARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

CECILIA, COSMO

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

ROE, SARA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

Penalties & Fines (5)

$60,870total fines
DateTypeDescriptionAmount
Jul 8, 2025Fine$14,015
Dec 19, 2023Fine$8,347
Nov 6, 2023Fine$3,176
Oct 17, 2023Fine$7,409
Mar 15, 2023Fine$27,923

Health Inspection Deficiencies (40)

September 4, 2025Health2 deficiencies
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 30, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 30, 2025
July 8, 2025Health2 deficiencies1 severe
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 9, 2025
0760GActual harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jun 23, 2025
May 13, 2025Health3 deficiencies
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 2, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jun 2, 2025
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 Jun 2, 2025
February 25, 2025Health1 deficiency
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 17, 2025
September 24, 2024Health1 deficiency
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 22, 2024
July 17, 2024Health1 deficiency
0555FMinimal harm, Widespread

Honor the resident's right to choose his or her attending physician.

Resident Rights Deficiencies

Corrected Aug 12, 2024
April 2, 2024Health7 deficiencies
0791DMinimal harm, Isolated

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Apr 26, 2024
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 26, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Apr 26, 2024
0804FMinimal harm, Widespread

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Apr 26, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 26, 2024
0921DMinimal harm, Isolated

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

Environmental Deficiencies

Corrected Apr 26, 2024
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 Apr 26, 2024
December 19, 2023Health2 deficiencies1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 1, 2023
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Jan 29, 2024
September 26, 2023Health1 deficiency
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 25, 2023
March 15, 2023Health2 deficiencies1 severe
0585DMinimal harm, Isolated

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies

Corrected Apr 21, 2023
0692GActual harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Apr 21, 2023
December 19, 2019Health15 deficiencies3 severe
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 7, 2020
0610GActual harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 23, 2020
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 23, 2020
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 23, 2020
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 Jan 23, 2020
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2020
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2020
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2020
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2020
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2020
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Jan 23, 2020
0761EMinimal harm, Pattern

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Jan 23, 2020
0805DMinimal harm, Isolated

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies

Corrected Jan 23, 2020
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 23, 2020
0921FMinimal harm, Widespread

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

Environmental Deficiencies

Corrected Jan 23, 2020
November 29, 2018Health3 deficiencies
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 28, 2018
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Dec 28, 2018
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Feb 4, 2019

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Frequently Asked Questions

What is the CareGrader rating for CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC?

CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC in FORT COLLINS, Colorado has a CareGrader grade of F (Poor), with a composite score of 59.8 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 CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC?

CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC have?

CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC has 40 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC been fined?

Yes. CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC has $60,870 in total fines from CMS enforcement actions across 5 penalties.

How many beds does CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC have?

CREEKSIDE VILLAGE REHABILITATION AND NURSING LLC has 120 certified beds with approximately 74 current residents (62% occupancy). The facility is located at 1000 E STUART ST, FORT COLLINS, Colorado 80525. 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.