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 26 to 50 of 79 citations

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 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
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 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
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 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
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).
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).
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).
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).
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).
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).
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).
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 15, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 16, 2025).
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 May 15, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 16, 2025).
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).
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).
No harm, with potential for more than minimal harm
The resident has the right to receive notices in a format and a language he or she understands.
Pattern (more than a few residents). CMS level E.
Health citation F-0574, Resident Rights Deficiencies. Inspection of July 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 14, 2023).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pattern (more than a few residents). CMS level E.
Health citation F-0759, Pharmacy Service Deficiencies. Inspection of July 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 14, 2023).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
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 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of July 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of July 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of July 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 8, 2023).
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).
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).

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.