Lemay Avenue Health and Rehab LLC
4824 S Lemay Ave, Fort Collins, CO 80525
Lemay Avenue Health and Rehab LLC is a nursing home in Fort Collins, Colorado. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionSeptember 11, 2025 (1 year ago)
- Health citations since August 19, 202211 (Colorado average 25)
- Fines in the past three years1, $54,810 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Name
CMS lists a new legal business name for this home.
Ownership
CMS no longer lists a chain for this home.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 5 of 5 to 3 of 5.
June 27, 2026
Payment stoppedCMS stopped payment for new admissions from June 27, 2026, for 26 days.
Health inspection on June 1, 2026
5 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
38 of 210 Colorado homes (18%) got a citation at the actual harm level in 2026.
CMS fine of $54,810 on June 1, 2026.
Show the 5 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 23, 2026.
CMS has cited this home for F0689 2 times since 2022.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 3, 2026.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 3, 2026.
Citation F0744. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS lists it as corrected on June 3, 2026.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on June 3, 2026.
CMS update of March 25, 2026
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of February 25, 2026
Fire safety citation
CMS removed citation K0524 from the fire safety inspection on September 11, 2025.
CMS update of January 14, 2026
Name
CMS lists a new name for this home. It was LEMAY AVENUE HEALTH AND REHABILITATION FACILITY.
Health inspection on September 11, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 1, 2025.
CMS has cited this home for F0880 3 times since 2022.
Fire safety inspection on September 11, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0753. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on February 27, 2026.
Citation K0271. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on February 27, 2026.
Citation K0293. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on February 27, 2026.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 27, 2026.
Citation K0919. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for the use of electrical equipment.
CMS lists it as corrected on February 27, 2026.
CMS update of April 30, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Ownership
CMS lists this home under a new chain.
Health inspection on February 19, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0585. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on March 10, 2025.
CMS update of August 29, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of February 29, 2024
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Health inspection on November 16, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 6, 2023.
Fire safety inspection on November 16, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 14, 2023.
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on December 14, 2023.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on December 21, 2023.
Health inspection on August 19, 2022
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on September 13, 2022.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 13, 2022.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 17, 2022.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (801) 709-4358
- Last standard health inspection
- September 11, 2025 (1 year ago)
- Certified beds
- 130
- Residents per day, on average
- 122
- Ownership type
- For profit - Corporation
- Legal business name
- Legal Business Name Not Available
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Colorado average (11 vs 25).
Questions
When was Lemay Avenue Health and Rehab LLC last inspected?
CMS lists September 11, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Lemay Avenue Health and Rehab LLC have?
CMS lists 11 health citations since August 19, 2022. CMS also calls these deficiencies.
Has Lemay Avenue Health and Rehab LLC been fined?
CMS lists 1 fine in the past three years, $54,810 in total.
What is the CMS star rating of Lemay Avenue Health and Rehab LLC?
Its CMS overall star rating is 5 of 5.
Is Lemay Avenue Health and Rehab LLC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.