All citations for Poudre Canyon Rehabilitation and Nursing, 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 Poudre Canyon Rehabilitation and Nursing, LLC

Last standard health inspection on record

January 22, 2025

Showing 1 to 25 of 29 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 28, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (July 16, 2026).

  3. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 6, 2025).

  4. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Widespread (many residents). CMS level F.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  5. 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 January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2025).

  6. 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 January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2025).

  7. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 22, 2025. Found during a standard inspection.

    A waiver was granted (June 1, 2026).

  8. 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 January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  9. 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 January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  10. 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 January 22, 2025. Found during a standard inspection.

    A waiver was granted (November 21, 2025).

  11. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0541, Services Deficiencies. Inspection of January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 14, 2025).

  12. 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 January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 18, 2025).

  13. 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 January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  15. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2025).

  16. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0867, Administration Deficiencies. Inspection of January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  17. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of July 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  18. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of July 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  19. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  20. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  21. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

  22. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  23. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of January 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2025).

  24. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

  25. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of January 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.