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GOOD SAMARITAN SOCIETY -- FORT COLLINS VILLAGE Inspection Report, Violations & Safety Grade (FORT COLLINS, Colorado)

508 W TRILBY RD, FORT COLLINS, Colorado 80525

Phone: 9702264909

CMS Overall:4/5

Overview & Bed Count

Certified Beds
64
Avg Residents/Day
56.4
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Larimer
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityColorado AvgDifference
RN Hours per Resident per Day1.400.81+0.59
Total Nurse Hours per Resident per Day3.653.69-0.05
CMS Staffing Rating4/53.1/5-
Nursing Staff Turnover35.6%47%-

Health Citation History

9 health citations on record

DateCategoryDescriptionSeverity
2025-12-04Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2025-12-04Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential
2025-12-04Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2025-12-04Infection Control DeficienciesImplement a program that monitors antibiotic use.D – Moderate Harm Potential
2024-01-09Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-01-09Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-01-09Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2024-01-09Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2022-09-21Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-04Egress DeficienciesMeet other general requirements.F – Moderate Harm Potential
2025-12-04Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.F – Moderate Harm Potential
2025-12-04Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2025-12-04Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2025-12-04Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2025-12-04Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.F – Moderate Harm Potential
2025-12-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2025-12-04Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-01-09Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-01-09Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-01-09Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-01-09Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2022-09-21Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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