ElderGrade
F

25/100

Poor

Creekside Village Rehabilitation And Nursing Llc

1000 E Stuart St, Fort Collins, CO 80525

CMS 1/5 stars #13 of 13 in Larimer County (970) 482-5712
Certified beds
120
Occupancy
62%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 8 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $48,875 in federal fines

    CMS has fined this facility across 5 penalty action(s).

  • Nursing staff turnover of 74%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -7.4 for 38 total citations against a national median of 17

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.41 total nurse hours per resident per day (national median 3.77)
  • 0.72 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 74% of nursing staff left in the last year
  • -2 for 3 administrator departures

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $48,875 in federal fines across 5 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.47 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.72 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.05 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 74.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 53 citations

Last standard health inspection: April 30, 2026 (3 months ago).

F Apr 30, 2026 F0727

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.

No actual harm, potential for more than minimal harm

F Apr 30, 2026 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

F Apr 30, 2026 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

F Apr 30, 2026 F0882

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

No actual harm, potential for more than minimal harm

E Apr 30, 2026 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

E Apr 30, 2026 F0761

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...

No actual harm, potential for more than minimal harm

E Apr 30, 2026 F0806

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.

No actual harm, potential for more than minimal harm

D Apr 30, 2026 F0561

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CHARLY BELLO FAMILY LIMITED PARTNERSHIP Organization DIRECT OWNERSHIP INTEREST
MAZE FAMILY LIMITED PARTNERSHIP Organization DIRECT OWNERSHIP INTEREST
MAHRT, DAVID Individual INDIRECT OWNERSHIP INTEREST
MYERS, KATIE Individual INDIRECT OWNERSHIP INTEREST
MYERS, WALTER Individual INDIRECT OWNERSHIP INTEREST
SWAIN, HOLLY Individual INDIRECT OWNERSHIP INTEREST
SWAIN, JARED Individual INDIRECT OWNERSHIP INTEREST
COTTONWOOD HEALTHCARE LLC Organization OPERATIONAL/MANAGERIAL CONTROL
CECILIA, COSMO Individual OPERATIONAL/MANAGERIAL CONTROL
ROE, SARA Individual OPERATIONAL/MANAGERIAL CONTROL
CECILIA, COSMO Individual ADP OF THE SNF
REDDY, VIKAS Individual ADP OF THE SNF

What families say

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Common questions about Creekside Village Rehabilitation And Nursing Llc

What is the ElderGrade for Creekside Village Rehabilitation And Nursing Llc? +

Creekside Village Rehabilitation And Nursing Llc holds an ElderGrade of F (25 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Creekside Village Rehabilitation And Nursing Llc? +

Residents receive an average of 3.47 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Creekside Village Rehabilitation And Nursing Llc been cited for harming residents? +

Yes. 8 of the 53 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Creekside Village Rehabilitation And Nursing Llc accept Medicaid? +

Yes, Creekside Village Rehabilitation And Nursing Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.