6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Greeley, CO
2-star overall rating with 2-star inspections with $39,384 in total fines with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
4356 24th St Rd, Greeley, CO
(970) 702-7400
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
54
Certified beds
Average residents
36
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Veritas Management Group
Operator or chain grouping
Approved since
2019-10-17
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.47
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.80
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.10
All reported nurse hours · state 3.70 · national 3.89
Licensed hours
2.30
RN + LPN hours · state 1.51 · national 1.54
Weekend hours
4.53
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
1.18
Weekend registered nurse coverage · state 0.60 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.38
CMS adjusted RN staffing hours
Adjusted total hours
4.77
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
79%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
80%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
10,747
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9821
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.57
Baseline 20.25% · Performance 19.31% · Measure score 4.57 · Achievement 4.57 · Improvement 2.41
Healthcare-associated infections
0.92
Baseline 7.43% · Performance 7.56% · Measure score 0.92 · Achievement 0.92 · Improvement 0
Total nurse turnover
0
Baseline 69.00% · Performance 69.23% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.21
Baseline 4.19 hours · Performance 3.71 hours · Measure score 2.21 · Achievement 2.21 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.44% |
10.72%
2.3 pts better
|
No Different than the National Rate · Eligible stays 306 · Observed rate 6.54% · Lower 95% interval 6.88% |
| Discharge to community | 67.65% |
50.57%
17.1 pts better
|
Better than the National Rate · Eligible stays 318 · Observed rate 63.52% · Lower 95% interval 61.17% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 89.39% |
95.27%
5.9 pts worse
|
Numerator 118 · Denominator 132 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 132 |
| Discharge self-care score | 57.78% |
53.69%
4.1 pts better
|
Numerator 52 · Denominator 90 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 45 · Denominator 90 |
| Pressure ulcers or injuries, new or worsened | 0.76% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 132 · Adjusted rate 0.75% |
| Healthcare-associated infections requiring hospitalization | 7.56% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 168 · Observed rate 7.74% · Lower 95% interval 4.92% |
| Staff COVID-19 vaccination coverage | 0.61% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 164 |
| Staff flu vaccination coverage | 40% |
42%
2 pts worse
|
Numerator 56 · Denominator 140 |
| Discharge function score | 54.44% |
56.45%
2 pts worse
|
Numerator 49 · Denominator 90 |
| Transfer of health information to provider | 80% |
95.95%
16 pts worse
|
Numerator 32 · Denominator 40 |
| Transfer of health information to patient | 97.59% |
96.28%
1.3 pts better
|
Numerator 81 · Denominator 83 |
| Resident COVID-19 vaccinations up to date | 72.73% |
25.2%
47.5 pts better
|
Numerator 56 · Denominator 77 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.2% |
76.4%
14.8 pts better
|
81.7%
9.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 93.5% · Q3 95.6% · Q4 85.2% · 4Q avg 91.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.0% |
12.8%
1.2 pts worse
|
12.0%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 16.2% · Expected 13.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.7% |
75.6%
9.1 pts better
|
79.7%
5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
20.3%
1.8 pts worse
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 27.0% · Expected 29.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-07-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-19
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-03-10
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-03-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-11-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-11-14
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-11-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-11-09
Inspection history
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Not marked corrected
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-14
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-02-14
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-02-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-29
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-04-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-19
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-29
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-02-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-04-05
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-02-24
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-02-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-10-11
Health
Respond appropriately to all alleged violations.
Corrected 2021-10-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-10-11
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2021-10-11
Penalties and ownership
Fine · fine $22,925
Fine
Fine · fine $16,459
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
Greeley, CO
5-star overall rating with 4-star inspections with $12,285 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Greeley, CO
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Greeley, CO
3-star overall rating with 3-star inspections with $14,069 in total fines with 8 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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