A91

COLUMBINE COMMONS HEALTH AND REHAB LLC

Grade A 91/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
5/5
Quality
3/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

60

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

1475 MAIN ST, WINDSOR, CO 80550
9704495540

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.52h
LPN
1.02h
CNA
2.18h
Total
4.72h
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 Sep 2012

100%

FANCHER, BARRY

IndividualCORPORATE OFFICERSince Jul 1999

FASCIANO-SAGER, LAUREN

IndividualCORPORATE OFFICERSince May 2008

FANCHER, BARRY

IndividualW-2 MANAGING EMPLOYEESince Jul 1999

FASCIANO-SAGER, LAUREN

IndividualW-2 MANAGING EMPLOYEESince May 2008

WILSON, JOHN

IndividualW-2 MANAGING EMPLOYEESince Dec 1971

WITHROW, PALMER

IndividualW-2 MANAGING EMPLOYEESince Sep 2013

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (7)

April 17, 2025Health2 deficiencies
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected May 9, 2025
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected May 9, 2025
October 12, 2023Health4 deficiencies
0678DMinimal harm, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Oct 20, 2023
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 Oct 25, 2023
0849DMinimal harm, Isolated

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.

Administration Deficiencies

Corrected Oct 25, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 25, 2023
July 14, 2022Health1 deficiency
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Aug 31, 2022

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Frequently Asked Questions

What is the CareGrader rating for COLUMBINE COMMONS HEALTH AND REHAB LLC?

COLUMBINE COMMONS HEALTH AND REHAB LLC in WINDSOR, Colorado has a CareGrader grade of A (Excellent), with a composite score of 90.8 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 COLUMBINE COMMONS HEALTH AND REHAB LLC?

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

How many health deficiencies does COLUMBINE COMMONS HEALTH AND REHAB LLC have?

COLUMBINE COMMONS 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.

How many beds does COLUMBINE COMMONS HEALTH AND REHAB LLC have?

COLUMBINE COMMONS HEALTH AND REHAB LLC has 60 certified beds with approximately 56 current residents (93% occupancy). The facility is located at 1475 MAIN ST, WINDSOR, Colorado 80550. It is a for profit - limited liability company 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.