Facility profile · CCN 065166
Poudre Canyon Rehabilitation And Nursing, Llc
37 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $45,688.
Record summary
Federal record · Q1 202637
Total citations
23
Last 3 years
6
Actual harm+
3
Federal penalties
$45,688
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
37 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 15, 2025 | F760 | Ensure that residents are free from significant medication errors. | G | Complaint |
| May 15, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 15, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| May 15, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Jan 22, 2025 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint |
| Jan 22, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jan 22, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jan 22, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Jan 22, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Jan 22, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 22, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Jan 22, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jan 22, 2025 | F761 | 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. | D | Standard |
| Jan 22, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jan 22, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jul 13, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jul 13, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Jul 13, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint |
| Jul 13, 2023 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard |
| Jul 13, 2023 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard |
| Jul 13, 2023 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Jul 13, 2023 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Jul 13, 2023 | F574 | The resident has the right to receive notices in a format and a language he or she understands. | E | Standard |
| Jun 16, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jun 16, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 16, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jun 16, 2022 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard |
| Jun 16, 2022 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Jun 16, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 16, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Jun 16, 2022 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jun 16, 2022 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Jun 16, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard |
| Jun 16, 2022 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Jun 16, 2022 | F585 | 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. | D | Standard |
| Jun 16, 2022 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jun 16, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $45,688 and 1 payment-denial actions spanning 20 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 22, 2025 | Fine | $37,950 | — |
| Aug 2, 2023 | Payment Denial | — | Nov 2, 2023 · 20 days |
| Jul 13, 2023 | Fine | $7,738 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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