SNF

NORTH SHORE HEALTH & REHAB FACILITY

CCN: 065129 · LOVELAND, CO 80538 · Larimer County

Overview

Address
1365 W 29TH ST, LOVELAND, CO 80538
Phone
9706676111
Certified beds
120
Avg daily residents
75 (63% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1975-07-01
Setting
Urban
4 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.35 3.74 4.49 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.10 0.65 1.14 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.70 0.83 0.73 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.54 2.25 2.63 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.80 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.10 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.79
hrs / resident / day
RN (weekend)
0.97
hrs / resident / day
Total nurse (adjusted, weekend)
3.92
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
58.9%
annual
RN turnover
52.0%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.32
higher acuity than avg
Case-Mix Index Ratio
0.96
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-05-16 6 6 0 32 1 32
Cycle 2/3 (prior) 2020-03-10 10 6 4 76 1 76
Total weighted health score
43.0
lower is better

Deficiencies (22)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

22 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-05-16 2024-06-07
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2024-05-16 2024-06-07
0758 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. D 2024-05-16 2024-06-08
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. E 2024-05-16 2024-06-06
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-05-16 2024-06-07
0880 Provide and implement an infection prevention and control program. D 2024-05-16 2024-06-07
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2023-06-26 2023-08-15
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. E 2023-06-26 2023-08-09
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2023-06-26 2023-08-09
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2023-06-26 2023-08-09
0567 Honor the resident's right to manage his or her financial affairs. E 2020-03-10 2020-04-24
0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. D 2020-03-10 2020-04-24
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2020-03-10 2020-04-30
0679 Provide activities to meet all resident's needs. D 2020-03-10 2020-04-17
0761 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. E 2020-03-10 2020-04-30
0880 Provide and implement an infection prevention and control program. F 2020-03-10 2020-04-24
0558 Reasonably accommodate the needs and preferences of each resident. D 2019-03-05 2019-04-12
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2019-03-05 2019-04-12
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2019-03-05 2019-04-05
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2019-03-05 2019-04-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2019-03-05 2019-04-17
0880 Provide and implement an infection prevention and control program. F 2019-03-05 2019-04-10

Penalties (1)

Fines issued
1
last 3 years
Total fines
$4,233
Date Type Fine amount
2023-05-02 Fine $4,233

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 7.1% Medicaid 45.0% Other 47.9%

Operating performance

Operating Margin
-7.1%
Total Margin
-5.3%
Occupancy Rate
74.8%
Cost per Resident Day
$32

Revenue & costs

Net Patient Revenue
$11.5M
Total Costs
$1.0M
Net Income
-$620K

Balance sheet

Total Assets
$5.9M
Total Liabilities
$7.5M
Fund Balance
-$1.6M
Current Ratio
0.85

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: COLUMBINE HEALTH SYSTEMS

Chain ID
707
Facilities in chain
5
Legal business name
NORTH SHORE MANOR, INC.
Chain-average star ratings (for peer context)
Overall
4.4
Health
4.2
Staffing
4.6
QM
4.2

Owner / manager organizations (2)

Organization Role Association
COLUMBINE MANAGEMENT SERVICES INC OPERATIONAL/MANAGERIAL CONTROL since 12/01/1993
QP HEALTH CARE SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 04/17/2023

Owner / manager individuals (11)

Name Role Association
WILSON, JOHN 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/19/1986
KING, JACQUELINE OPERATIONAL/MANAGERIAL CONTROL since 07/01/2023
WILSON, JOHN CORPORATE DIRECTOR since 08/19/1986
FANCHER, BARRY CORPORATE OFFICER since 07/01/1999
FASCIANO-SAGER, LAUREN CORPORATE OFFICER since 11/21/2012
MOSKOWITZ, JAY CORPORATE OFFICER since 04/15/2018
MOSKOWITZ, JAY CONTRACTED MANAGING EMPLOYEE since 04/17/2023
FANCHER, BARRY W-2 MANAGING EMPLOYEE since 07/01/1999
FASCIANO-SAGER, LAUREN W-2 MANAGING EMPLOYEE since 11/21/2012
KORETKE, MARY W-2 MANAGING EMPLOYEE since 04/17/2023
WILSON, JOHN W-2 MANAGING EMPLOYEE since 08/19/1986

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $32 metrics.cost_per_resident_day
Cost Report Current Ratio 0.85 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 45.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.1% metrics.medicare_day_share
Cost Report Net Income ($) $-620,444 metrics.net_income
Cost Report Net Patient Revenue ($) $11,460,352 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 74.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -7.1% metrics.operating_margin
Cost Report Total Assets ($) $5,937,539 metrics.total_assets
Cost Report Total Costs ($) $1,033,312 metrics.total_costs
Cost Report Total Fund Balances ($) $-1,606,617 metrics.fund_balance
Cost Report Total Liabilities ($) $7,544,156 metrics.total_liabilities
Cost Report Total Margin (%) -5.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.72606 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.62871 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.13776 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.49254 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.91548 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 75.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.82910 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.25332 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65351 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.73593 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.29283 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 4.2 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 4.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.6 Chain Average Staffing Rating
Provider Information Chain ID 707 Chain ID
Provider Information Chain Name COLUMBINE HEALTH SYSTEMS Chain Name
Provider Information City/Town LOVELAND City/Town
Provider Information CMS Certification Number (CCN) 065129 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Larimer County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1975-07-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 40.4217 Latitude
Provider Information Legal Business Name NORTH SHORE MANOR, INC. Legal Business Name
Provider Information Location 1365 W 29TH ST,LOVELAND,CO,80538 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -105.1 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 120 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 5 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.32347 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.96068 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1365 W 29TH ST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name NORTH SHORE HEALTH & REHAB FACILITY Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 340 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 32 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-05-16 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 32 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 6 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2020-03-10 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 76 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 4 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 76 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 10 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.96552 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 52.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.80349 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.70256 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.54361 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.09686 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.10093 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.34709 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CO State
Provider Information Telephone Number 9706676111 Telephone Number
Provider Information Total Amount of Fines in Dollars 4233.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.78872 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 58.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 43.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 80538 ZIP Code