COLUMBINE COMMONS HEALTH AND REHAB LLC
Open-data reference.
COLUMBINE COMMONS HEALTH AND REHAB LLC is a for profit - limited liability company facility in WINDSOR, CO with 60 certified beds and a 5-star overall CMS rating. The facility has 7 deficiency records on file.
1475 MAIN ST, WINDSOR, CO 80550
Phone: 9704495540
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 065410
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare
- Beds
- 60
- Residents
- 57
- In Hospital
- No
- County
- Weld
- Last Inspection
- Apr 17, 2025
Staffing Data
- RN Hours
- 1.44 (nat'l avg: 0.68)
- LPN Hours
- 0.97
- CNA Hours
- 2.07
- Total Nursing Hours
- 4.49 (nat'l avg: 3.89)
- PT Hours
- 0.21
- Nursing Turnover
- 45.9%
- RN Turnover
- 37.5%
What the CMS Record Reveals About COLUMBINE COMMONS HEALTH AND REHAB LLC
COLUMBINE COMMONS HEALTH AND REHAB LLC operates 60 certified beds in WINDSOR, CO with approximately 57 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (5★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 7 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.49 total nursing hours per resident day (national average 3.89), with RN coverage at 1.44 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare" provider, COLUMBINE COMMONS HEALTH AND REHAB LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 45.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (7 most recent)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: May 9, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: May 9, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 25, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Category: Administration Deficiencies
Corrected: Oct 25, 2023
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.
Category: Pharmacy Service Deficiencies
Corrected: Oct 25, 2023
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 20, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 31, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.1% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 8.1% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.4% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.4% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.9% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 13.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 98.8% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.2% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 25.9% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.7% | Yes |
Penalty History
No penalties on record.
Nearby Nursing Homes in CO
ACCEL AT LONGMONT HEALTH AND REHAB, LLC
LONGMONT, CO
ADARA LIVING
BROOMFIELD, CO
ADVANCED HEALTH CARE OF AURORA
AURORA, CO
ADVANCED HEALTH CARE OF COLORADO SPRINGS
COLORADO SPRINGS, CO
AHC OF LAKEWOOD, LLC
LAKEWOOD, CO
ALLISON CARE CENTER
LAKEWOOD, CO
Understanding Nursing Home Data
Related Data from Other Sources
Doctors Nearby
Find physicians and specialists in WINDSOR, CO on PlainDoctor
Hospitals Nearby
Hospital quality ratings and safety data for WINDSOR, CO on PlainHospital
Medicare Plans
Compare Medicare plans and coverage options near WINDSOR, CO on PlainMedicare
County Health Data
Health outcomes, access, and quality metrics for Weld on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for COLUMBINE COMMONS HEALTH AND REHAB LLC?
What are the staffing levels at COLUMBINE COMMONS HEALTH AND REHAB LLC?
How many beds does COLUMBINE COMMONS HEALTH AND REHAB LLC have?
Does COLUMBINE COMMONS HEALTH AND REHAB LLC have any deficiencies on record?
Has COLUMBINE COMMONS HEALTH AND REHAB LLC received any fines or penalties?
Who owns COLUMBINE COMMONS HEALTH AND REHAB LLC?
When was COLUMBINE COMMONS HEALTH AND REHAB LLC last inspected?
What quality measures are tracked for COLUMBINE COMMONS HEALTH AND REHAB LLC?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.