Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Columbine Commons Health And Rehab Llc during CMS and state inspections, most recent first.
Surveyors identified multiple deficiencies in food safety and staff hygiene, including improper refrigerator temperatures, unsealed and unlabeled food items, staff not wearing required beard nets, serving food with fake nails and without gloves, and wearing a smart watch while serving food. These actions were not in compliance with state regulations or facility policy.
A resident with severe cognitive and physical impairments was left waiting on the toilet for approximately 40 minutes after signaling for help using both the bathroom call box and personal pendant. Despite care plan interventions requiring regular monitoring and assistance, staff did not respond promptly, and the resident had to scream and bang on the wall before receiving help. Facility records and staff interviews confirmed the delay and lack of follow-up after call notifications were cleared.
Multiple Food Safety and Staff Hygiene Deficiencies in Food Service Areas
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in a sanitary manner in both the main kitchen and two kitchenettes. Surveyors observed that refrigerators were not maintained at the required temperature, with one refrigerator reading 46°F, above the regulatory limit of 41°F. Additionally, food items such as French fries, cheesecake mix, and barley were found unsealed and without open dates, contrary to both state regulations and facility policy. Staff interviews confirmed that these practices did not align with established procedures for food storage and temperature control. Further deficiencies were noted in staff hygiene and attire. One cook was observed serving food without wearing a beard net, despite having visible facial hair protruding from under a surgical mask. Another staff member was seen serving lunch while wearing fake nails and no gloves, which is not permitted unless gloves are worn. Additionally, the same staff member wore a smart watch while serving food, which is prohibited by state regulations and not addressed in the facility's current policy. These findings were corroborated by interviews with the dietary manager, registered dietitian, and assistant dietary manager, who acknowledged the lapses in compliance with both state regulations and facility policies. The report did not mention any specific residents affected or provide details about their medical history or condition at the time of the deficiencies.
Failure to Provide Timely Bathroom Assistance for Dependent Resident
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs), specifically timely bathroom assistance, to a resident with severe cognitive impairment and significant physical limitations. The resident, who had diagnoses including atrial fibrillation, chronic heart failure, anxiety disorder, and unspecified pain, required substantial to maximum assistance with toileting hygiene and transfers. On the morning in question, the resident waited approximately 40 minutes for help after signaling for assistance from the bathroom, using both the call box and personal pendant. She reported having to scream and bang on the wall before staff responded. Review of the facility's response time logs confirmed the sequence of call activations and deactivations, showing a significant delay between the initial request for help and staff response. Staff interviews revealed that CNAs relied on call notification systems and did not check on residents after a call was cleared, even if the resident had not been assisted. The resident's care plan required staff to anticipate and assist with ADLs and monitor her regularly, but these interventions were not effectively implemented, resulting in the resident being left unattended for an extended period.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 196 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Windsor
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pelican Pointe Health And Rehabilitation Center | 1.6 mi | ★★★★★ | 21 | 0 |
| Center At Rock Creek, Llc | 5.6 mi | — | 0 | 0 |
| Lemay Avenue Health And Rehab Llc | 7.4 mi | ★★★★★ | 12 | 0 |
| Good Samaritan Society -- Fort Collins Village | 8.5 mi | ★★★★★ | 12 | 0 |
| Grace Pointe Cont Care Sr Campus, Skilled Nursing | 8.9 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.