CareRecords.org

Nursing homesColorado › Berthoud Care and Rehabilitation

Berthoud Care and Rehabilitation

855 Franklin Ave, Berthoud, CO 80513 · (970) 532-2683 · 76 certified beds

Overall★★★★☆ 4/5
Health inspections★★★★☆ 4/5
Staffing★★☆☆☆ 2/5
Quality measures★★★☆☆ 3/5

Ownership group

Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 342 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 6 facilities on the Special Focus list, $7,057,363 in federal fines. This facility rates above its group average (3.2/5).

See all 342 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.33 (Colorado median: 3.49). RN hours: 0.68. Weekend total: 2.85.

Inspection deficiencies

All-time on record: 16 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-06-02Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. FHealthcorrected 2026-05-13
2026-06-02Provide activities to meet all resident's needs. EHealthcorrected 2026-06-29
2026-06-02Provide safe and appropriate respiratory care for a resident when needed. EHealthcorrected 2026-06-29
2026-06-02Provide and implement an infection prevention and control program. EHealthcorrected 2026-06-29
2026-06-02Keep residents' personal and medical records private and confidential. DHealthcorrected 2026-06-29
2026-06-02Protect each resident from the wrongful use of the resident's belongings or money. Dcomplaintcorrected 2026-05-20
2026-06-02Provide or obtain dental services for each resident. DHealthcorrected 2026-06-29
2024-06-11Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. EHealthcorrected 2024-07-10
2024-06-11Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2024-07-10
2023-02-16Provide and implement an infection prevention and control program. FHealthcorrected 2023-03-17
2023-02-16Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. EHealthcorrected 2023-03-17
2023-02-16Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2023-03-17
2023-02-16Provide activities to meet all resident's needs. DHealthcorrected 2023-03-24
2023-02-16Provide 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. DHealthcorrected 2023-03-17
2023-02-16Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. DHealthcorrected 2023-03-17
2023-02-16Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. DHealthcorrected 2023-03-25

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
FRASER, MALCOLMManaging Control - Governing BodyIndividualNOT APPLICABLEsince 04/01/2021
GRAHAM, JOSEPHManaging Control - Governing BodyIndividualNOT APPLICABLEsince 04/01/2021
JORGENSEN, DAVIDCorporate DirectorIndividualNOT APPLICABLEsince 12/15/2020
BURNAM, SOONCorporate OfficerIndividualNOT APPLICABLEsince 12/15/2020
GRAHAM, JOSEPHCorporate OfficerIndividualNOT APPLICABLEsince 02/01/2024
KEETCH, CHADCorporate OfficerIndividualNOT APPLICABLEsince 03/01/2011
SATO, AMICorporate OfficerIndividualNOT APPLICABLEsince 09/20/2024
ISOMED INCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 04/01/2021
FRASER, MALCOLMOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2021
GRAHAM, JOSEPHOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2021

Compare nearby (Larimer County)

How to cite this page: CareRecords, “Berthoud Care and Rehabilitation — compliance, penalty and ownership record” (CCN 065265), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/berthoud-care-and-rehabilitation-berthoud-co/

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065265. Corrections: data@carerecords.org.