01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-30 | 20 | 2026-04-30 | 16 |
| Cycle 2 | 2024-04-02 | 14 | 2024-04-02 | 6 |
| Cycle 3 | 2019-12-19 | 19 | 2019-12-19 | 9 |
CMS CCN 0652212026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Creekside Village Rehabilitation And Nursing Llc
1000 E Stuart St · Fort Collins, CO 80525 · Larimer County
Certified beds120CMS provider file
Recent citation rows84current CMS citation release
Penalty rows5current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
84 rows in the current release
8 rows carry G–L scope/severity codes; 3 carry J–L. 17 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-30 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0759Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0804Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0806Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · HEALTHF0882Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2026-06-052026-04-30 · FIREK0161Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has plan of correction · 2026-09-302026-04-30 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has plan of correction · 2026-06-262026-04-30 · FIREK0281Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Install proper backup exit lighting.
Correction field: Deficient, Provider has plan of correction · 2026-06-262026-04-30 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has plan of correction · 2026-06-262026-04-30 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has plan of correction · 2026-06-262026-04-30 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has plan of correction · 2026-06-262026-04-30 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has plan of correction · 2026-06-262026-04-30 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has plan of correction · 2026-06-262026-04-30 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has plan of correction · 2026-09-302026-04-30 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has plan of correction · 2026-06-262026-04-30 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has no plan of correction2026-04-30 · FIREK0531Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Correction field: Deficient, Provider has plan of correction · 2026-06-262026-04-30 · FIREK0741Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has plan of correction · 2026-06-2603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-02-09 | Fine | $20,833 | 0 |
| 2025-07-08 | Fine | $9,110 | 0 |
| 2023-12-19 | Fine | $8,347 | 0 |
| 2023-11-06 | Fine | $3,176 | 0 |
| 2023-10-17 | Fine | $7,409 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CHARLY BELLO FAMILY LIMITED PARTNERSHIPOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/01/2024
- MAZE FAMILY LIMITED PARTNERSHIPOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/01/2024
- MAHRT, DAVIDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/01/2024
- MYERS, KATIEIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/01/2024
- MYERS, WALTERIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/01/2024
- SWAIN, HOLLYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/01/2024
- SWAIN, JAREDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/01/2024
- COTTONWOOD HEALTHCARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2024
- CECILIA, COSMOIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2024
- ROE, SARAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2024
- CECILIA, COSMOIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/17/2025
- REDDY, VIKASIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/23/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.47per resident day
RN hours0.72per resident day
Weekend nurse hours3.05per resident day
Staff turnover74.4%CMS reported field
06 / LOCAL RECORDS
Open the Fort Collins ledger →Other published facilities nearby
Centre Avenue Health And Rehab Llc90 beds · CMS overall 5/520 citation rowsColumbine West Health And Rehab Llc100 beds · CMS overall 3/523 citation rowsGood Samaritan Society -- Fort Collins Village64 beds · CMS overall 4/522 citation rowsLemay Avenue Health And Rehab Llc130 beds · CMS overall 4/519 citation rowsPoudre Canyon Rehabilitation And Nursing, Llc83 beds · CMS overall 1/572 citation rowsRehabilitation And Nursing Center Of The Rockies106 beds · CMS overall 3/533 citation rowsStorybrook Care & Rehabilitation60 beds · CMS overall 1/552 citation rows