Federal inspection record · CMS data as of October 1, 2026

Sedgwick County Memorial Nursing Home

901 Cedar St, Julesburg, CO · (970) 463-6229

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
32
Residents per day
20
Ownership
Government
Chain
No chain reported
Medicare / Medicaid
Medicaid
Certified since
June 1, 1991

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Colorado homes

Sedgwick County Memorial Nursing Home carries 45 inspection points. That is fewer than 65% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 45 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–22 pts
  • 4★ 22–44 pts
  • 3★ 44–70.75 pts
  • 2★ 70.75–104 pts
  • 1★ over 104 pts

Bars show every rated home in Colorado by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

15 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts
E 4 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 10, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 6, 2025

  2. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 31, 2022 · Standard inspection · Quality of Life and Care · F686 · Corrected September 30, 2022

  3. G

    Provide enough food/fluids to maintain a resident's health.

    August 31, 2022 · Standard inspection · Quality of Life and Care · F692 · Corrected September 30, 2022

Everything else, by area of care

Pharmacy Service3E
  1. D

    Ensure that residents are free from significant medication errors.

    September 10, 2025 · Standard · F760 · Corrected October 4, 2025

  2. D

    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.

    September 10, 2025 · Standard · F761 · Corrected October 4, 2025

  3. E

    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.

    August 31, 2022 · Standard · F758 · Corrected September 30, 2022

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    September 10, 2025 · Standard · F880 · Corrected October 4, 2025

  2. E

    Provide and implement an infection prevention and control program.

    December 13, 2023 · Standard · F880 · Corrected March 12, 2024

  3. E

    Provide and implement an infection prevention and control program.

    August 31, 2022 · Standard · F880 · Corrected September 30, 2022

Nursing and Physician Services2F
  1. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    September 10, 2025 · Standard · F727 · Corrected November 6, 2025

  2. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    August 31, 2022 · Standard · F727 · Corrected September 30, 2022

Resident Assessment and Care Planning1D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    September 10, 2025 · Complaint · F658 · Corrected October 4, 2025

Environmental1F
  1. F

    Keep all essential equipment working safely.

    December 13, 2023 · Standard · F908 · Corrected March 12, 2024

Nutrition and Dietary1F
  1. F

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    August 31, 2022 · Standard · F801 · Corrected September 30, 2022

Freedom from Abuse, Neglect, and Exploitation1E
  1. E

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    August 31, 2022 · Standard · F943 · Corrected September 30, 2022

Inspection history

  1. 2025-09-10

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  2. 2023-12-13

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

  3. 2022-08-31

    7 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 38 min of nursing staff time a day, 27 min of it from a registered nurse.

This home

4 h 38 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$0 in federal fines on record over the past three years.

DatePenaltyAmount
2025-09-10Payment Denial · 28 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts worse2.01.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days5.5 pts worse7.21.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better97.3%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury8.6 pts worse12.0%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms8.8 pts better0.0%8.8%13.5%
Percentage of long-stay residents who lose too much weight11.2 pts worse16.0%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts better8.0%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.3 pts better10.6%19.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.9 pts worse15.6%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased24.7 pts worse37.5%12.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse2.1%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection1.4 pts better0.0%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts better17.6%20.6%18.3%
Percentage of long-stay residents with pressure ulcers1.8 pts worse5.2%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.2 pts better86.2%77.0%82.3%

·

Fire safety

1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness1F
  1. F

    Develop and maintain an Emergency Preparedness Program (EP).

    September 10, 2025 · E4 · Corrected October 4, 2025

·

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