Deficiency Index

Fairacres Manor, Inc.

Greeley, Colorado · CCN 065211

15 surveys since 2010, 4 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
62
Surveys
15
Harm or worse
4
Immediate jeopardy
0
The record, 2010–2024
’10’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
116
Ownership
For profit - Limited Liability company
Chain
FRONTLINE MANAGEMENT
County
Weld
Medicare-certified since
1985

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Jun 6, 2024

886 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.713.30
Registered-nurse hours per resident day0.88—
Annual nurse turnover37.5%44.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG15.9%H—I—
No harm, potential for more than minimalD1058.8%E317.6%F317.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 17 of the 62 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6042×

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Fairacres Manor, Inc., in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jun 6, 2024

    Based on observations, record review and interviews, the facility failed to ensure food was prepared, distributed and served under sanitary conditions in the kitchen. Specifically, the facility failed to: -Ensure safe holding temperatures for food items were maintained; -Ensure kitchen staff wore appropriate hair restraints when preparing and serving food to residents; and, -Ensure kitchen staff handled ready-to-eat foods in an appropriate sanitary manner to prevent cross contamination. Findings include: I. Maintain safe holding temperatures for food items A. Professional reference The Colorado Retail Food Establishment Regulations, effective 3/16/24, were retrieved on 6/10/24 from https://cdphe.colorado.gov/environment/food-regulations. […]

  • No harm, potential for more than minimal, patternF803Jun 6, 2024

    Based on observations, record review and interviews, the facility failed to ensure menus were followed to meet the residents nutritional needs. Specifically, the facility failed to: -Follow the weekly menu to ensure adequate nutrition was provided to the residents; and, -Ensure Resident #38 and Resident #10 were provided with the correct mechanically altered diet. Findings include: I. Failure to follow the weekly menu to ensure adequate nutrition was provided to the residents A. Observations and record review Review of the menu and the menu extensions for the 6/3/24 lunch meal revealed that 2% (percent) milk was to be served. On 6/3/24 the lunch service was observed during a continuous observation in the main and rear dining rooms, beginning at 10:50 a.m. and ending at 11:58 p.m. […]

  • No harm, potential for more than minimal, isolatedF880Jun 6, 2024

    Based on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases and infection on two of four units. Specifically, the facility failed to: -Ensure housekeeping staff followed proper cleaning techniques for cleaning and disinfecting resident rooms and high frequency touch areas (call lights, bed controls and light switches); -Ensure housekeeping staff were trained appropriately on housekeeping procedures; and, -Ensure surface disinfectant dwell times (how long surfaces remained wet with disinfectant) were adhered to. Findings include I. Professional reference Assadian O, Harbarth S, Vos M, et al. […]

Read 23 findings in full →The most serious and the most recent: 23 of 62 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 6, 2024Standard and complaint3 findings
  • Apr 7, 2020Infection control1 finding
  • Feb 13, 2020Standard8 findings · 1 harm
  • Feb 21, 2019Standard6 findings
  • Aug 16, 2018Complaint1 finding
  • Jan 11, 2018Standard5 findings
  • Sep 1, 2016Standard2 findings
  • Aug 3, 2015Standard5 findings
Show the 7 earlier surveys
  • Jun 2, 2014Standard5 findings · 1 harm
  • Mar 12, 2013—5 findings
  • Feb 6, 2012—10 findings
  • Jun 8, 2011—2 findings · 2 harm
  • Apr 21, 2011—1 finding
  • Jan 18, 2011—1 finding
  • Jun 30, 2010—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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