Lemay Avenue Health and Rehab LLC
Fort Collins · 2.4 mi · 130 beds
Citations0Substantiated0
Good Samaritan Society -- Fort Collins Village
508 W TRILBY RD, Fort Collins, CO, 80525
Nursing home64 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 4 deficiencies against Good Samaritan Society -- Fort Collins Village in Fort Collins, Colorado at its most recent standard inspection on 2025-12-04. Medicare rates it 4 out of 5 overall.
4 / 5Medicare overall rating
64certified beds
4deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.9
Potential for minimal harmThe least serious band.0
Most recentDDDDFFEED
The last 9 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide 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.
Quality of Life and Care Deficiencies · F0688 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Provide 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.
Quality of Life and Care Deficiencies · F0742 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · F0849 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-01-09 · from a complaint · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2022-09-21 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.49458
Nursing staff turnoverShare of nursing staff who left in a year38.2%
Ownership
Who owns Good Samaritan Society -- Fort Collins Village
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| SANFORD | Organization | 100% | since 01/01/2019 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | 100% | since 01/01/2019 |
| BROWN, GEORGE | Individual | NOT APPLICABLE | since 01/01/2025 |
| DYKHOUSE, DANA | Individual | NOT APPLICABLE | since 05/30/2024 |
| ENGBRECHT, WESLEY | Individual | NOT APPLICABLE | since 05/30/2024 |
| GASSEN, WILLIAM | Individual | NOT APPLICABLE | since 05/30/2024 |
| GULSVIG, NEIL | Individual | NOT APPLICABLE | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | Individual | NOT APPLICABLE | since 05/30/2024 |
| LUNDEEN, MARK | Individual | NOT APPLICABLE | since 05/30/2024 |
| MCCAUSLAND, MAUREEN | Individual | NOT APPLICABLE | since 01/01/2025 |
| MOLBERT, LAURIS | Individual | NOT APPLICABLE | since 05/30/2024 |
| NORTH, ANDREW | Individual | NOT APPLICABLE | since 05/30/2024 |
Part of the GOOD SAMARITAN SOCIETY group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Centre Avenue Health and Rehab LLC
Fort Collins · 4.2 mi · 90 beds
Citations0Substantiated0
Columbine West Health and Rehab LLC
Fort Collins · 4.3 mi · 100 beds
Citations0Substantiated0
Creekside Village Rehabilitation and Nursing LLC
Fort Collins · 5.0 mi · 120 beds
Citations0Substantiated0
North Shore Health & Rehab Facility
Loveland · 5.1 mi · 120 beds
Citations0Substantiated0
Storybrook Care & Rehabilitation
Fort Collins · 5.7 mi · 60 beds
Citations0Substantiated0
Contact
Ask Good Samaritan Society -- Fort Collins Village a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 065227.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction