All citations for Columbine Commons Health and Rehab LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Columbine Commons Health and Rehab LLC

Last standard health inspection on record

April 17, 2025

Showing 1 to 25 of 26 citations

No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home has a plan to correct it (August 23, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Widespread (many residents). CMS level F.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2022).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2022).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2022).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2022).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2022).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0222, Egress Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0281, Egress Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Have restrictions on the use of highly flammable decorations.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 6, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0511, Services Deficiencies. Inspection of July 14, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 4, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.