Nursing HomeInspections

Lemay Avenue Health and Rehab LLC

Nursing home in Fort Collins, CO

Medicare & Medicaid certified4★ overall (CMS)

Call (801) 709-4358Send a messageMap ↗

Public-record details

Address
4824 S Lemay Ave, Fort Collins, CO 80525
Phone
(801) 709-4358
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
065142
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
130
Average residents per day
125
Ownership
For-profit, corporation
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 1977
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 065142. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 11, 2025. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 19, 2022 to Jun 1, 2026): 6 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 1, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 1, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 1, 2026Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 1, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 1, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Sep 11, 2025Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Feb 19, 2025Honor 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.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Nov 16, 2023Provide and implement an infection prevention and control program.
Infection Control
F
Potential for more than minimal harm, widespread
Aug 19, 2022Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 19, 2022Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 19, 2022Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.03 hours
Registered nurse (RN) time per resident per day
1.00 hours
Nurse aide time per resident per day
2.54 hours
Total nurse staffing on weekends
3.65 hours
Nursing staff turnover (yearly)
93%
RN turnover (yearly)
95%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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