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 24 of 24 citations

  1. Harm to a resident

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

  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 June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 12, 2024).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 12, 2024).

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

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

  6. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

  7. 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 June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 11, 2022).

  8. 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 June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2022).

  9. 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 June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2022).

  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 June 16, 2022. Found during a standard inspection.

    A waiver was granted (July 7, 2023).

  11. 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 June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2022).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

  14. 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 June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

    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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

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

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 16, 2022).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 10, 2022).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2022).

  24. 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 June 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 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.