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Health Inspection

Poudre Canyon Rehabilitation And Nursing, Llc

January 22, 2025 · Fort Collins, CO · 1000 S Lemay Ave
Citations 3
CMS Rating 1/5
Beds 83
Provider ID 065166
Healthcare Facility
Poudre Canyon Rehabilitation And Nursing, Llc
Fort Collins, CO  ·  View full profile →
Inspection Summary

POUDRE CANYON REHABILITATION AND NURSING, LLC in FORT COLLINS, CO — inspection on January 22, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF600

F-F600 was cited at K level scope and severity, pattern, immediate jeopardy to residents health and safety.

Failure to monitor sexually inappropriate behavior for the resident with a history of such behaviors.

F-F759 was cited at a D level scope and severity, isolated, no actual harm with potential for more than minimal harm.

II.

Staff interviews

The nursing home administrator (NHA) was interviewed on 1/15/25 at 5:30 p.m.

The NHA said Resident #50 was admitted to the facility prior to change of ownership.

She said the resident's history of sexually inappropriate behavior was mentioned in his medical records, however he did not display any inappropriate behaviors until the incident on 1/1/25.

She said the facility reviewed all of the residents who might have had a history of sexually inappropriate behaviors to ensure proper interventions were put in place.

065166

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 065166 B.

Wing 01/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Poudre Canyon Rehabilitation and Nursing, LLC 1000 S Lemay Ave Fort Collins, CO 80524

F-F760: failure to be free from significant medication errors.

065166

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 065166 B.

Wing 01/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Poudre Canyon Rehabilitation and Nursing, LLC 1000 S Lemay Ave Fort Collins, CO 80524

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FORT COLLINS, CO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from POUDRE CANYON REHABILITATION AND NURSING, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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