During the first quarter of 2026, Forrest Preston was listed as the owner of Columbine Manor Care Center, as reported by the Centers for Medicare and Medicaid Services (CMS). The facility, based in Chaffee County, has been under Preston’s ownership since Jan. 6, 1976.
Columbine Manor Care Center operates as a for-profit facility.
At that time, the nursing home received an overall CMS rating of four, which exceeded Colorado’s statewide nursing home average of 3.2. CMS develops its ratings by considering health inspection findings, staffing ratios, and the caliber of resident care, among other factors.
CMS data showed the center cared for an average of 52.2 residents daily throughout the first quarter of 2026, with a total of 112 available beds. The nursing home is not part of a hospital.
Through the first quarter of 2026, Columbine Manor Care Center had no reported fines or penalties.
Chaffee County, Colorado had one for-profit nursing home during this timeframe.
According to U.S. Census Bureau estimates, the U.S. population of older adults is rising as younger age groups shrink. From 2020 to 2024, the country saw a 13% growth in those age 65 and older, while the under-18 population declined by 1.7%. Over the past hundred years, the population of older Americans has climbed significantly, rising from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 analysis estimated that nearly half of this age demographic—around 28 million—may ultimately require long-term care services and support. Additionally, the report suggests that more than one-third could need nursing home care at some point.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education entity. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Columbine Manor Care Center | Forrest Preston | For profit – Corporation | 4 | 52.2 |
Details in this report were sourced from the Centers for Medicare and Medicaid Services. Access the raw data here.
