B88

LEMAY AVENUE HEALTH AND REHAB LLC

Grade B 88/100 composite score

For profit - Corporation

CMS Star Ratings

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

Certified Beds

130

Ownership

For profit - Corporation

Total Fines

$7,443

Last Survey

N/A

4824 S LEMAY AVE, FORT COLLINS, CO 80525
9704821584

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.40h
LPN
0.47h
CNA
2.97h
Total
4.85h
Facility
State Average

Turnover Rates

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

Ownership

WILSON, JOHN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 1971

100%

COLUMBINE MANAGEMENT SERVICES INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 1993

WILSON, JOHN

IndividualCORPORATE DIRECTORSince Dec 1971

FANCHER, BARRY

IndividualCORPORATE OFFICERSince Jul 1999

FASCIANO-SAGER, LAUREN

IndividualCORPORATE OFFICERSince Nov 2012

FANCHER, BARRY

IndividualW-2 MANAGING EMPLOYEESince Jul 1999

FASCIANO-SAGER, LAUREN

IndividualW-2 MANAGING EMPLOYEESince Nov 2012

WILSON, JOHN

IndividualW-2 MANAGING EMPLOYEESince Dec 1971

Penalties & Fines (1)

$7,443total fines
DateTypeDescriptionAmount
Jul 26, 2023Fine$7,443

Health Inspection Deficiencies (7)

September 11, 2025Health1 deficiency
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 1, 2025
February 19, 2025Health1 deficiency
0585EMinimal harm, Pattern

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 Mar 10, 2025
November 16, 2023Health1 deficiency
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 6, 2023
July 26, 2023Health1 deficiency1 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 Jul 27, 2023
August 19, 2022Health3 deficiencies
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 Sep 13, 2022
0761DMinimal harm, Isolated

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 Sep 13, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 17, 2022

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Frequently Asked Questions

What is the CareGrader rating for LEMAY AVENUE HEALTH AND REHAB LLC?

LEMAY AVENUE HEALTH AND REHAB LLC in FORT COLLINS, Colorado has a CareGrader grade of B (Good), with a composite score of 88.3 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 LEMAY AVENUE HEALTH AND REHAB LLC?

LEMAY AVENUE HEALTH AND REHAB LLC has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LEMAY AVENUE HEALTH AND REHAB LLC have?

LEMAY AVENUE HEALTH AND REHAB LLC has 7 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 LEMAY AVENUE HEALTH AND REHAB LLC been fined?

Yes. LEMAY AVENUE HEALTH AND REHAB LLC has $7,443 in total fines from CMS enforcement actions across 1 penalty.

How many beds does LEMAY AVENUE HEALTH AND REHAB LLC have?

LEMAY AVENUE HEALTH AND REHAB LLC has 130 certified beds with approximately 118 current residents (91% occupancy). The facility is located at 4824 S LEMAY AVE, 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.