Nursing Home
North Shore Health & Rehab Facility
Part of Columbine Health Systemssee all 5 affiliated facilities
Medicare Outcome Measures
- No Different than the National Rate
Potentially preventable hospital readmissions
9.54% (lower is better)
- Better than the National Rate
Residents discharged back to the community
64.34% (higher is better)
- No Different than the National Rate
Infections acquired during the stay requiring hospitalization
5.88% (lower is better)
Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.
Clinical Quality Measures
-
Long-stay residents with a urinary tract infection
3.4%
national median 0.9%
worse than the national median
-
Long-stay residents experiencing falls with major injury
2.6%
national median 2.8%
near the national median
-
Short-stay residents who newly received an antipsychotic medication
0.9%
national median 1.0%
near the national median
-
Long-stay residents whose ability to walk independently worsened
29.6%
national median 12.5%
worse than the national median
-
Long-stay residents with pressure ulcers
2.3%
national median 4.2%
better than the national median
-
Long-stay residents who received an antipsychotic medication
19.7%
national median 13.4%
worse than the national median
Source: CMS MDS quality measures (four-quarter average).
Nurse Staffing
- Nurse staffing per resident per day
- 3.6 hours
- Registered nurse (RN) time per resident per day
- 0.8 hours
- Weekend nurse staffing per resident per day
- 3.2 hours
- Nursing staff turnover in the past year
- 45.4%
CO average: 3.7 hours · National: 3.9 hours
All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.
CO average: 0.8 hours · National: 0.7 hours
RN hours only — the most highly trained nursing staff.
CO average: 3.3 hours · National: 3.4 hours
Total nurse staffing on Saturdays and Sundays, when staffing typically dips.
CO average: 47.1% · National: 45.8%
Share of this facility’s nursing staff who stopped working there over 12 months.
Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.
Ownership
- Ownership type
- For profit - Limited Liability company
CMS has not published detailed ownership records for this facility.
Inspections & Fire Safety — 7 health (CO avg 8.6) · 1 fire (CO avg 6) Details
19 deficiencies cited across recent inspection cycles. Most recent survey: April 22, 2026.
Most recent inspection cycle: 7 health deficiencies · CO average: 8.6 · National: 9.3
30 fire-safety deficiencies cited — most often smoke (13) and gas, vacuum, and electrical systems (6).
Most recent fire-safety inspection (2024-05-16): 1 deficiency · CO average: 6 · National: 4.5
Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.
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How North Shore Health & Rehab Facility compares nearby
Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.
Among the 9 nursing homes within 25 miles, North Shore Health & Rehab Facility's overall star rating is 4★; the median among the 8 peers reporting it is 3.5★.
| Measure | This facility | Nearby median | Best nearby |
|---|---|---|---|
| Overall star rating reported by 8 of 8 nearby peers | 4★ | 3.5★ | 5★ |
| Health inspections reported by 8 of 8 nearby peers | 4★ | 3.5★ | 5★ |
| Staffing reported by 7 of 8 nearby peers | 3★ | 3★ | 4★ |
| Quality measures reported by 8 of 8 nearby peers | 4★ | 4★ | 5★ |
The comparison group
- Columbine West Health And Rehab Llc
- Centre Avenue Health And Rehab Llc
- Lemay Avenue Health And Rehab Llc
- Creekside Village Rehabilitation And Nursing Llc
- Good Samaritan Society -- Fort Collins Village
- Good Samaritan Society -- Loveland Village
- Riverbend Health And Rehabilitation Center
- Green House Homes At Mirasol, The
Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work