153 of the 210 Medicare-certified nursing homes in Colorado (73%) are chain-owned, and all are listed below. 22 of the 153 graded homes earn an A and 7 earn a D or F. They average 3.6 nursing hours per resident per day, 0.12 hours below the 3.72 for every home in Colorado. Vi At Highlands Ranch Skilled Nursing in Highlands Ranch grades highest at A (96 out of 100).
How chain-owned homes in Colorado compare
This group set against every nursing home in Colorado, from the current CMS release.
Vista Ridge runs about 18% below the national average on nurse staffing, and weekends drop another 12% below its own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 64.2% against a national 45.8%, roughly two of every three caregivers left within the year. The inspection record shows 31 deficiencies, including three at the harm level and three tied to abuse, with $41,772 in fines. A December 2025 inspection is recent, and the 3/5 health inspection and quality scores aren't alarming on their own. The staffing number is the one worth pressing on during a tour.
Kiowa Hills Rehabilitation and Nursing is a for-profit, limited liability company running 83 certified beds in Colorado Springs. The staffing numbers tell the main story: 2.75 nurse hours per resident day, roughly 29% under the national average, and weekends run about 12% thinner than weekdays. Turnover sits at 54% against a national 45.8%, so the people who do show up don't tend to stay long. Its record shows 64 deficiencies, including one at the harm or jeopardy level and one tied to abuse, and the last inspection was January 16, 2025. All three CMS star ratings, health inspections, quality measures, staffing, come in at 1 out of 5.
Westlake Health and Rehabilitation Center is a 107-bed for-profit home in Greeley, and the numbers pull in different directions depending on what you weigh most. Its last inspection was in April 2024 and came back strong on health and safety, with 12 deficiencies on record, just one at the harm level, and no abuse citations. Staffing is where the trouble sits: 3.01 nurse hours per resident day runs about 22 percent under the national average, weekends dip another 11 percent below its own weekday level, and turnover hits 72.3 percent against a national 45.8. A decent inspection history can't offset a workforce that thin and that unstable.
Colonial Rehabilitation and Nursing is an 80-bed for-profit home in Colorado Springs, and the numbers tell a fairly consistent story. Nurse staffing runs about 3.08 hours per resident day, roughly a fifth below the national average, and weekends dip below its own weekday levels, which matters most for residents who need help when families are away. The 61.5% annual turnover means most of the people caring for your relative likely won't be there a year from now.
Its inspection record shows 39 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus one fine of $24,453. The last inspection was July 2025, so that record is current, not stale.
South Platte Rehabilitation and Nursing in Brush runs on thinner nurse coverage than most homes, 3.38 hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekdays. That shortfall shows up in the staffing rating, and the 64.7% annual turnover means the aides and nurses at the bedside are often new. Its inspection record carries 18 deficiencies, three serious enough to involve harm or jeopardy, three tied to abuse, and two fines totaling $49,843. Ownership is a for-profit LLC with 78 certified beds. The last state inspection was October 8, 2024. Quality measures score mid-range, but staffing and safety are where families should focus questions.
Mantey Heights runs about 19% leaner on nurse staffing than the national average, 3.12 hours per resident day against 3.86, and it thins out further on weekends, when coverage drops roughly 8% below its own weekday level. That staffing picture gets harder to defend alongside a 58.3% annual turnover rate, well above the 45.8% national figure, because residents see a rotating cast rather than a consistent crew. The inspection record is the heavier concern: 55 deficiencies on file, seven of them serious enough to put residents in harm's way, plus nine tied to abuse. Three fines totaling $117,284 have followed. Whatever the quality measures show, the people responsible for daily care here are stretched thin and constantly changing.
Poudre Canyon Rehabilitation and Nursing is a for-profit LLC in Fort Collins with 83 certified beds, and its staffing is the first thing you should look at. At 2.65 nurse hours per resident day, it runs roughly 31% below the national average of 3.86, weekend coverage slips about 5% below its own weekdays, and annual turnover is 60.5% against a national 45.8%, so not only are there fewer hands, people keep leaving. That shows in the inspection record: 37 deficiencies on file, six of them carrying harm or jeopardy, seven tied to abuse, and $48,308 in fines across two penalties. The most recent inspection was January 22, 2025. Quality measures score well, but the staffing and inspection numbers are what I'd ask about directly.
Creekside Village runs on thin staffing and a troubling inspection record. Nurses provide about 3.47 hours of care per resident per day, roughly 10% under the national average, and weekend coverage drops another 12% below the home's own weekday level. Staff turnover sits at 74.4%, well above the 45.8% national figure, so the people caring for your family member are likely new, still learning the building, or already halfway out the door. The current record shows 53 deficiencies, nine tied to abuse and eight serious enough to put residents in harm's way, plus five fines totaling $48,875. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Westwood Post Acute carries 50 deficiencies on its current record, six of them serious enough to involve actual harm or jeopardy to residents. That's the kind of inspection history that lands a home in CMS's Special Focus Facility program, which means the government is watching it more closely than most. Staffing sits at 3.24 nurse hours per resident per day, roughly 16 percent under the national average, and weekends run about 10 percent thinner than weekdays. Annual turnover is 50.7 percent, above the national 45.8 percent. The quality measure score looks strong, but it's built from reported data, not from how the place actually runs day to day. Inspectors were last in on April 25, 2025.
Irondale Post Acute carries a 1-out-of-5 health inspection rating, and the record behind it is heavy: 27 deficiencies, six of them at the level where residents were actually harmed or put in immediate jeopardy, and four tied to abuse. CMS has placed the home in its Special Focus Facility program, which is reserved for the homes with the most persistent compliance problems. Five fines total $147,455, and the last inspection was February 2026. Staffing sits at 3.35 hours per resident day, about 13 percent under the national average, and weekends run roughly 11 percent thinner than weekdays. The quality measure score looks strong on paper, but that's self-reported data, the inspection findings and the penalty history are what families should weigh here.
Accel At Longmont is a five-bed for-profit home, and its record is one of the roughest you'll see. Inspectors have cited 57 deficiencies, seven of them serious enough to cause harm or put residents in immediate jeopardy, plus two tied to abuse; fines total $175,956 across five penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Nurse staffing runs about 2.97 hours per resident day, roughly 23% under the national average, and weekends drop further. The inspection done in September 2025 gave it the lowest possible rating. With that few beds, there's little margin for the staffing gaps.
Medallion Post Acute Rehabilitation runs on 3.25 nurse hours per resident per day, roughly 16% under the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows in the numbers: a 55.6% annual turnover rate, well above the 45.8% national figure, and 25 deficiencies on the current record, seven serious enough to involve harm or jeopardy, one abuse-related. Four fines total $86,723. The last inspection was August 2024, so the record is fairly recent. This is a for-profit LLC with 60 beds, and the pattern across staffing, turnover, and inspection history is consistent rather than isolated.
Sterling Rehabilitation and Nursing runs 63 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.22 hours per resident day against a national average of 3.86, and weekends drop about 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover is 60.3%, well above the 45.8% national figure, which means the people caring for residents are often new.
The current inspection record carries 34 deficiencies, five of them at the harm or jeopardy level and four tied to abuse. Four fines total $118,155, and the last inspection was August 2025.
Frequently asked questions
How many chain-owned nursing homes are there in Colorado?
There are 153 chain-owned Medicare-certified nursing homes in Colorado, 73% of the 210 nursing homes there.
Are chain-owned nursing homes better staffed?
In Colorado they average 3.6 total nursing hours per resident per day, against 3.72 for all nursing homes in Colorado, a difference of -0.12 hours. Staff turnover averages 46.9% against 47.1%.
Which chain-owned nursing home grades best in Colorado?