NORTH SHORE HEALTH & REHAB FACILITY
1365 W 29TH ST
LOVELAND, CO, 80538
9706676111
CCN: 065129
4
Overall4
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
GOOD SHEPHERD HEALTH FACILITIE
1128a1
Excluded 1989-01-18
Ownership
| Name | Role | % |
|---|---|---|
| WILSON, JOHN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% |
| MOSKOWITZ, JAY | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| WILSON, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| FASCIANO-SAGER, LAUREN | CORPORATE OFFICER | NOT APPLICABLE |
| FANCHER, BARRY | CORPORATE OFFICER | NOT APPLICABLE |
| MOSKOWITZ, JAY | CORPORATE OFFICER | NOT APPLICABLE |
| COLUMBINE MANAGEMENT SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KING, JACQUELINE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| QP HEALTH CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KORETKE, MARY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| FANCHER, BARRY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| WILSON, JOHN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| FASCIANO-SAGER, LAUREN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-05-02 | Fine | $4K |
Health Deficiencies (22)
2024-05-16 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F805 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
F758 · Pharmacy Service Deficiencies
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
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-06-26 · Health
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2020-03-10 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · Pharmacy Service Deficiencies
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.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
F569 · Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
E
F567 · Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
2019-03-05 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.35
RN Hrs/Resident/Day0.54
1.10
LPN Hrs/Resident/Day0.81
0.70
CNA Hrs/Resident/Day2.33
2.54
PT Hrs/Resident/Day0.12
0.10
Data as of 2026-03-01