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Nursing HomeMedicaid Investigative

Poudre Canyon Rehabilitation and Nursing, LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1000 S Lemay Ave, Fort Collins, CO 8052483 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 42 Google reviews

5
4
3
2
1
Poudre Canyon Rehabilitation and Nursing, LLC Nursing Home in Fort Collins, CO — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (15 vs median 7)
  • High staff turnover (78%)
  • High RN turnover (75%)

Below average in CO · Below recommended RN staffing · Significantly below average staffing · Very high staff turnover · $45,688 in fines · Abuse citation

Source: Medicare data

What this means for your family

While the therapy team is frequently praised for their dedication, the facility has received multiple recent, severe reports regarding cleanliness and communication failures. If you are considering this facility, we strongly recommend an unannounced tour to verify the current state of the environment and a direct conversation with management about their protocols for family notification and end-of-life care.

Google Reviews

Google Reviews

42 reviews on Google
Poudre Canyon Rehabilitation and Nursing receives highly polarized reviews, with some families praising the compassionate staff and therapy team, while others report severe neglect and poor communication. Recurring complaints highlight an aging, malodorous facility and significant issues with administrative responsiveness and end-of-life care protocols. Families considering this facility should be aware of the stark contrast between positive experiences with therapy and distressing reports of neglect.

Quality Themes

Tap a score for details
Food8.0Staff5.0Clean3.0ActivitiesN/AMeds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate and skilled therapy department
  • Friendly and upbeat frontline staff
  • Active efforts by new management to improve quality

Concerns

  • Strong, persistent odor of urine and lack of cleanliness (mentioned by 4 reviewers)
  • Poor communication and lack of responsiveness from administration (mentioned by 4 reviewers)
  • Understaffing leading to neglect of basic personal care (mentioned by 4 reviewers)
  • Distressing and unprofessional handling of patient belongings/passing (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'17(1)'19(4)'21(5)'23(7)'25(5)'26(1)

Distribution · 47 analyzed

5
24
4
8
3
2
2
1
1
12

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard wonderful things about your therapy department and the upbeat energy of your frontline staff; how does that positive team spirit translate into the daily care of residents?
  • 2With the recent changes in management, what specific steps are being taken to improve the cleanliness of the resident rooms and common areas?
  • 3How does the administration ensure that family members are kept informed and responsive to any concerns we might have about our loved one's care?
  • 4Can you walk me through your process for medication management to ensure everything is handled accurately and timely?
  • 5What is the protocol for handling medical emergencies or sudden changes in a resident's health during the night?
  • 6How do you ensure that personal belongings are kept organized and handled with care during resident transitions?

Personalized based on this facility's data


Key Review Excerpts

Occupational therapist Kevin was excellent. Helped me to recuperate from my illness and become independent. Nurses were kind and helpful. Facility was old and run down and personal care was lacking.

Rehab patient · 2023★★★☆☆

My Moms care here is great and the staff is wonderful and accountable. I am in California and every time my Mom may have a fall regardless of the time they call to report.

Long-term resident's family · 2023★★★★★

My husband passed away here a few years ago, and I didn’t even receive a phone call to inform me. Instead, I received a call at 7 a.m. from a funeral home asking me what to do with his body

Memory care family member · 2025☆☆☆☆
Source: 42 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
2.39hrs
58%
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
15.5%
CO
20.0%
Larimer
19.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility87.5%
Worse than Avg
Here
87.5%
US
95.5%
CO
94.7%
Larimer
96.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility16.2%
Worse than Avg
Here
16.2%
US
12.1%
CO
8.5%
Larimer
10.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.9%
Better than Avg
Here
15.9%
US
19.4%
CO
21.7%
Larimer
22.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
15.3%
CO
14.4%
Larimer
18.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility6.8%
Worse than Avg
Here
6.8%
US
4.9%
CO
3.6%
Larimer
2.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility63.2%
Worse than Avg
Here
63.2%
US
79.8%
CO
75.6%
Larimer
75.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility67.7%
Worse than Avg
Here
67.7%
US
81.8%
CO
76.3%
Larimer
76.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CO
1.5%
Larimer
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
4penalties
Above state avg (8.8)
13 complaint-triggered
$45,688 in fines

This facility has multiple serious concerns including families filing reports about resident abuse and neglect, which have occurred repeatedly across multiple years. The main problem areas are medication management (with high error rates), safety supervision to prevent accidents, and food service issues. While the facility reports correcting these deficiencies, the recurring pattern of abuse/neglect violations and the 13 complaint-triggered deficiencies suggest ongoing care quality problems that families should carefully consider.

May 15, 2025Complaint
4
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0600Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jan 22, 2025Routine
18
0321Potential for harm · Widespread

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0521Potential for harm · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0541Potential for harm · WidespreadCorrected

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0867Potential for harm · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Jan 22, 2025Complaint
4
0600Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Feb 13, 2024Complaint
2
0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jul 13, 2023Routine
20
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0574Potential for harm · PatternCorrected

Resident Rights Deficiencies

The resident has the right to receive notices in a format and a language he or she understands.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Jul 13, 2023Complaint
3
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Federal Penalties

Fine

May 15, 2025

$10,358

Fine

Jan 22, 2025

$37,950

Payment Denial

Aug 2, 2023

20-day denial

Fine

Jul 13, 2023

$7,738

Ownership & Operations

Who Operates This Facility

Owner / Operator

Poudre Canyon Rehabilitation and Nursing, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers

Chain Size

18 facilities nationwide

Chain avg rating: 1.6/5 · Rank 5 of 16

Ownership & Management

Owners

Charly Bello Family Limited Partnership

Owner · Organization

Maze Family Limited Partnership

Owner · Organization

Pickd LLC

Owner · Organization

Mahrt, David

Owner (parent company)

Myers, Katie

Owner (parent company)

Myers, Walter

Owner (parent company)

Swain, Holly

Owner (parent company)

Swain, Jared

Owner (parent company)

Key personnel

Cottonwood Healthcare LLCManagerBader, CarlyManagerMyers, WalterManagerBader, CarlyAdp of the SnfFraser, MalcolmAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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