01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-09-19 | 14 | 2024-09-19 | 7 |
| Cycle 2 | 2023-04-11 | 15 | 2023-04-11 | 4 |
| Cycle 3 | 2022-01-18 | 5 | 2022-01-18 | 7 |
CMS CCN 0652572026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Storybrook Care & Rehabilitation
1005 E Elizabeth St · Fort Collins, CO 80524 · Larimer County
Certified beds60CMS provider file
Recent citation rows52current CMS citation release
Penalty rows2current 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
52 rows in the current release
5 rows carry G–L scope/severity codes; 0 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-22 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint2025-12-22 · 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 · 2025-12-23 · complaint2025-10-15 · 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 · 2025-10-16 · complaint2025-10-15 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-10-16 · complaint2025-06-03 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2025-06-04 · complaint2024-09-19 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2024-10-132024-09-19 · HEALTHF0572Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Correction field: Deficient, Provider has date of correction · 2024-10-132024-09-19 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2024-10-132024-09-19 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2024-10-132024-09-19 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-10-132024-09-19 · HEALTHF0791Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2024-10-132024-09-19 · HEALTHF0804Severity E · pattern; 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 · 2024-10-132024-09-19 · 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 · 2024-10-132024-09-19 · HEALTHF0812Severity E · pattern; 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 · 2024-10-132024-09-19 · HEALTHF0921Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-10-132024-09-19 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-11-122024-09-19 · FIREK0331Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Construct fire resistant interior walls.
Correction field: Deficient, Provider has date of correction · 2024-11-052024-09-19 · 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 date of correction · 2024-11-052024-09-19 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-10-072024-09-19 · 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 date of correction · 2024-10-032024-09-19 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-11-182024-09-19 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-10-302023-04-11 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2023-05-122023-04-11 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-05-1203 / 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 |
|---|---|---|---|
| 2025-10-15 | Fine | $4,333 | 0 |
| 2024-09-19 | Fine | $31,847 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SWEETWATER CARE OPCO LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/16/2024
- CHESLEY, AARONIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/16/2024
- AJC HEALTHCARE LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/16/2024
- J&S GAMETT NEVADA TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/16/2024
- JBG PARTNERS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/16/2024
- GAMETT, JAMESIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/16/2024
- CHESLEY, AARONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/16/2024
- GAMETT, JAMESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/16/2024
- CHESLEY, AARONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2024
- GAMETT, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2024
- GAMETT, JAMESIndividual · GENERAL PARTNERSHIP INTERESTNOT APPLICABLE · since 10/16/2024
- CHESLEY, AARONIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 06/10/2025
- GAMETT, JAMESIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 09/30/2025
- CHESLEY, AARONIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/16/2024
- GAMETT, JAMESIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/16/2024
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 hours3.68per resident day
RN hours0.66per resident day
Weekend nurse hours3.27per resident day
Staff turnover50.0%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 rowsCreekside Village Rehabilitation And Nursing Llc120 beds · CMS overall 1/584 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 rows