Greeley County Hospital Ltcu

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 16 beds and averages 16.0 residents a day — about 100% occupied, or roughly 0 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Weekend coverage: total nurse staffing is 4.02 hrs/resident/day on weekends vs 5.04 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.54 to 1.07 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.

• Actual harm · Gcited before2024-08-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 16 residents. The sample included nine residents with two reviewed for accidents. Based on observation, record review, and interview the facility failed to ensure an environment free from accidents for Resident (R)3, when staff served her a hot beverage in the wrong cup. R3 spilled the hot beverage on her abdomen, which caused a second-degree burn (potentially painful burn that affects the first and second layer of the skin) and placed the resident at risk for increased pain. Findings included: - R3's Electronic Health Record (EHR) revealed diagnoses of multiple sclerosis (MS-a disorder of the central nervous system marked by weakness, numbness, a loss of muscle coordination, and problems with vision, speech, and bladder control), major depressive disorder (major mood disorder which causes persistent feelings of sadness), dysphagia (swallowing difficulty), and weakness. R3's admission Minimum Data Set (MDS), dated [DATE], recorded the resident had a Brief Interview Mental Status…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2023-06-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 18 residents. The sample included eight residents. Based on observation, record review and interview the facility failed to promote an environment free of hazards for Resident (R)8 who smoked cigarettes but was not assessed for safe smoking practices by the facility. This placed the resident at risk for avoidable injuries and fire related hazards Findings included: - R8's diagnoses include cerebrovascular disease (CVA-sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain) major depressive disorder (major mood disorder) , hyperkalemia (greater than normal amounts of calcium in the blood), hypertension (elevated blood pressure), and gastro-esophageal reflux disease (backflow of stomach contents to the esophagus). R8's Annual Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. The MDS documented R8 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-06-08 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 16 residents. Based on record review, observation, and interview, the facility failed to provide sufficient nurse staffing with the appropriate competencies and skill sets to assure residents safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing for Resident (R)1 which resulted in R1 falling and breaking her left hip. On 07/26/23 at 02:15 AM, Certified Medication Aide (CMA) R sat at the nurse's station and heard someone yelling. CMA R went down the hallway and found R1 in her room by her bed. R1 stated, I fell, and I can't get up and R1 stated she was trying to reach her call light, which was noted to be at the end of her bed. CMA R called the hospital to get one of the nurses to come help with R1's assessments and neurological checks. R1 told the hospital nurse her left hip hurt. The two hospital nurses who responded to the incident provided a few routine checks of R1's range of motion and then decided to take R1 to the emergency room. CMA R notified R1's son about the fall and R1 went to the emergency…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-11-06 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  The facility had a census of 15 residents. Based on observation, interview, and record review, the facility failed to use appropriate barriers while sorting soiled laundry.Findings included:- On 11/06/25 at 08:37 AM, while on tour of the laundry department, Housekeeping Staff V stated the soiled laundry was sorted using only gloves for personal protective equipment (PPE) and said staff did not wear a gown or other barriers.On 11/06/25 at 09:48 AM, Housekeeping Staff U stated the laundry staff had not been using a clothing barrier while sorting soiled laundry, and there was the potential of transferring infectious material to the clean laundry while sorting and folding clean laundry.The facility's Laundry Washer Dryer Room Procedures, dated 10/02/24, documented to use of gloves when touching dirty/soiled laundry. The policy lacked the use of a PPE gown or apron barrier to prevent the transfer of potentially infectious material from sorting soiled laundry onto clean laundry for folding and sorting.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-06 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 15 residents. Based on observation, interview, and record review, the facility failed to offer a pneumococcal (type of bacterial infection) PVC20 immunization for Residents (R) 6, R12, and R10 per the guidance from the Centers for Disease Control and Prevention (CDC).Findings included:- R6's Electronic Health Record (EHR) documented that R6 received one Pneumovax Prevnar 13 dose on 04/17/17. The facility lacked documentation that R6 had been offered or refused any further pneumococcal vaccinations.R12's EHR documented that R12 received one Pneumovax Prevnar 13 dose on 01/05/18. The facility lacked documentation that R12 had been offered or refused any further pneumococcal vaccinations.R10's EHR documented that R10 received one Pneumovax Prevnar 13 dose on 11/17/22. The facility lacked documentation that R10 had been offered or refused any further pneumococcal vaccinations. On 11/06/25 at 09:34 AM, Administrative Nurse E reported the facility had been working on the pneumonia…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-06 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 15 residents. The sample included eight residents, with five reviewed for unnecessary medications. Based on observation, interview, and record review, the facility failed to ensure an appropriate indication, or a documented physician rationale which included the unsuccessful attempts for nonpharmacological symptom management and risk versus benefits for the continued use for Resident (R) 12's antipsychotic (a medication used to treat any major mental disorder characterized by a gross impairment testing). Findings included: - R12's Electronic Medical Record (EMR) documented the resident had diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), major depressive disorder (major mood disorder that causes persistent feelings of sadness), and Parkinson's disease (a slowly progressive neurologic disorder characterized by resting tremors, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity, and weakness).R12's admission…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 15 residents. The sample included eight residents, including one resident reviewed for accidents. Based on observation, interview, and record review, the staff failed ensure fall interventions were implemented to prevent a fall which resulted in transport to a local hospital and subsequent hip fracture and hematoma (collection of blood trapped in the tissues of the skin or in an organ, resulting from trauma) for Resident (R) 12. Findings included: - R12's Electronic Medical Record (EMR) documented the resident had diagnoses of atrial fibrillation (rapid, irregular heartbeat), dementia (a progressive mental disorder characterized by failing memory and confusion), major depressive disorder (major mood disorder that causes persistent feelings of sadness), Parkinson's disease (a slowly progressive neurologic disorder characterized by resting tremors, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity, and weakness), and nondisplaced subtrochanteric fracture of right…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-06 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 15 residents. The sample included eight residents. Based on observation, interview, and record review, the facility failed to ensure the Consultant Pharmacist (CP) identified the lack of specific parameters for Resident (R) 1's use of as-needed (PRN) opioid (a class of drug used to reduce moderate to severe pain) and diuretic (a medication to promote the formation and excretion of urine) use and R12's unapproved diagnosis for the use of an antipsychotic (a class of medications used to treat major mental conditions that cause a break from reality).Findings included: - R1's Electronic Medical Record (EMR) included diagnoses of constipation (difficulty passing stools), pain, functional dyspepsia (indigestion), major depressive disorder (major mood disorder that causes persistent feelings of sadness), acquired absence of right leg above the knee, pain in the left leg, and polyneuropathy (a condition that affects multiple peripheral nerves). R1's Quarterly Minimum Data Set (MDS) dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-06 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 15 residents. The sample included eight residents. Based on observation, interview, and record review, the facility failed to obtain parameters for as needed (PRN) medication related to opioid (a class of drug used to reduce moderate to severe pain) and diuretic (a medication to promote the formation and excretion of urine) use.Findings included:- R1's Electronic Medical Record (EMR) included diagnoses of constipation (difficulty passing stools), pain, functional dyspepsia (indigestion), major depressive disorder (major mood disorder that causes persistent feelings of sadness), acquired absence of right leg above the knee, pain in left leg, and polyneuropathy (a condition that affects multiple peripheral nerves).R1's Quarterly Minimum Data Set (MDS) dated [DATE] documented that R1 had intact cognition and rejection of care behavior that occurred one to three days during a seven-day look-back period. R1 had a functional range of motion to lower extremity on one side, required…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-08-29 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 16 residents. Based on record review and interview, the facility failed to submit complete and accurate staffing information through Payroll Based Journal (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) 2024 Quarter 1 indicated no licensed nurse coverage on the following dates: 10/08/23, 10/09/23, 10/15/23, 10/22/23, 10/28/23, 11/05/23, 11/11/23, 11/16/23, 11/23/23, 11/24/23, 12/03/23, 12/17/23, and 12/30/23. A review of the facility's licensed nurse payroll data for the dates listed above revealed a licensed nurse was on duty 24 hours a day, seven days a week. On 08/27/24 at 11:30 AM, Administrative Nurse D verified the facility had submitted nursing hours and data for the PBJ that lacked the coverage of the agency and hospital RN coverage. Administrative Nurse D verified the nurse clock in hours and the facility had nurse coverage on all the days…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-29 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 16 residents. The sample included nine residents with two reviewed for skin issues. Based on observation, interview, and record review the facility failed to perform weekly skin assessments and follow-up documentation of non-pressure related skin issues found for Resident (R) 9, placing R9 at risk for further skin issues. Findings included: - R9's Electronic Medical Record (EMR) documented diagnoses of dermatitis (swelling and irritation of the skin), history of venous thrombosis (a clot that developed within a blood vessel) absence of the right leg above the knee, and anemia (inadequate number of healthy red blood cells to carry adequate oxygen to body tissues). The Quarterly Minimum Data Set (MDS), dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. The MDS documented that R9 was independent with eating and required staff assistance with dressing toileting and mobility. The MDS documented R9 was at risk for pressure ulcers…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-29 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 16 residents. The sample included nine residents. Based on observation, interview, and record review the facility failed to label and date one vial of insulin (a hormone that lowers the level of glucose in the blood) for Resident (R) 15, placing R15 at risk of receiving expired or ineffective insulin. Findings included: - On [DATE] at 09:24 AM, observation in the facility's medication storage room revealed one Fiasp (fast-acting insulin) insulin vial which had been accessed, but not dated at that time. On [DATE] Medlineplus.Gov documented unrefrigerated unopened vials, cartridges, and pens of insulin aspart solution (Fiasp) can be used within 28 days, but after that time they must be discarded. On [DATE] at 09:24 AM, Administrative Nurse D verified the vial should have been dated when opened and first accessed. The facility's Medication Labeling and Storage policy, dated [DATE], stated medications would be labeled and stored in accordance with facility requirements and state and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-06-08 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 16 residents. The sample included eight residents. Based on observation, record review, and interview, the facility failed to promote care in a manner to maintain and enhance dignity and respect when staff administered nasal spray to Resident (R)2 in the dining room with other residents in full view of the procedure. This placed the resident at risk for an undignified experience. Findings included: - On 06/06/23 at 07:55 AM, observation revealed R2 sat at the dining room table and Certified Medication Aide (CMA) M administered fluticasone propionate (anti-allergy nasal spray) nasal spray and morning medications to the resident's nostril while 15 other residents were in the dining room in full view of the nasal administration. On 06/08/23 at 09:20 AM, Administrative Nurse D stated she expected the nurse to administer the nasal spray to the resident in another, private area. The facility's Resident Rights policy dated February 23, 2023, documented each resident residing in the facility has the right and would be afforded the right to a dignified existence…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in KS