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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D13 | E8 | F10 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Nov 7, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Nov 7, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Jun 6, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 6, 2023 | Health | Health Standard | 4 | Actual harm | — | Open → |
| Mar 10, 2020 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Mar 10, 2020 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D13 | E8 | F10 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Nov 7, 2024 | K-0231 | Provide large enough exits. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Jan 14, 2025 | |
| Nov 7, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 14, 2025 | |
| Nov 7, 2024 | K-0353 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Barry Port | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Aug 7, 2025 |
| Candace Fisher | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2014 |
| Christopher Horton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 17, 2020 |
| Candace Fisher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2014 |
| Christopher Horton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 17, 2020 |
| David Jorgensen | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| City Park Healthcare and Rehabilitation Center 1667 Saint Paul St, Denver, CO 80206 CCN 065009Abuse icon | 125 | Jan 15, 2026 | 491 harm | $8,278 | |
| Mapleton Post Acute 115 Ingalls St, Lakewood, CO 80226 CCN 065097 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Wellsprings Care Center 3636 S Pearl St, Englewood, CO 80113 CCN 065208Abuse icon | 0.2 km | 81 | Aug 5, 2026 | 39 | — | |
| Julia Temple Healthcare Center 3401 S Lafayette St, Englewood, CO 80113 CCN 065322 | 0.9 km | 128 | Dec 10, 2024 | 13 | — | |
| The Suites at Clermont Park Care Center 2480 S Clermont St, Denver, CO 80222 CCN 065344 | 4.1 km | 63 | Feb 18, 2026 | 211 harm | — | |
| Cherrelyn Healthcare Center 5555 S Elati St, Littleton, CO 80120 CCN 065203 | 4.1 km | 190 | Aug 10, 2026 | 757 harm | — | |
| Heights Care & Rehabilitation LLC 3131 S Federal Blvd, Denver, CO 80236 CCN 065191 | 4.3 km | 110 | Apr 6, 2026 | 521 IJ2 harm | $68k | |
| South Valley Post Acute Rehabilitation 4450 E Jewell Ave, Denver, CO 80222 CCN 065230 | 4.8 km | 106 | Jan 29, 2026 | 341 open | — | |
| Brookshire Post Acute 4660 E Asbury Cir, Denver, CO 80222 CCN 065242Abuse icon | 5.3 km | 67 | Aug 12, 2026 | 472 IJ3 harm1 open | $47k | |
| Amberwood Post Acute 4686 E Asbury Cir, Denver, CO 80222 CCN 065034 | 5.3 km | 88 | Apr 23, 2026 | 391 harm | $9,636 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065077 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065077 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jan 14, 2025 |
| Nov 7, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 14, 2025 |
| Nov 7, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 14, 2025 |
| Nov 7, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 29, 2024 |
| Nov 7, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 30, 2024 | Complaint |
| Nov 7, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 29, 2024 |
| Nov 7, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 30, 2024 |
| Nov 7, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 29, 2024 |
| Nov 7, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 29, 2024 |
| Jun 6, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 3, 2023 |
| Jun 6, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Oct 9, 2023 |
| Jun 6, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 21, 2023 |
| Jun 6, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 21, 2023 |
| Jun 6, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 27, 2023 |
| Jun 6, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 27, 2023 |
| Jun 6, 2023 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 27, 2023 |
| Mar 10, 2020 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 20, 2020 |
| Mar 10, 2020 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 20, 2020 |
| Mar 10, 2020 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 3, 2020 |
| Mar 10, 2020 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 6, 2020 |
| Mar 10, 2020 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 11, 2020 |
| Mar 10, 2020 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 6, 2020 |
| Mar 10, 2020 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 19, 2020 |
| Mar 10, 2020 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 12, 2020 |
| Mar 10, 2020 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 23, 2020 |
| Mar 10, 2020 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 23, 2020 |
| Mar 10, 2020 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 23, 2020 |
| Mar 10, 2020 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 6, 2020 |
| Mar 10, 2020 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 20, 2020 |
| Mar 10, 2020 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 28, 2020 |
| Mar 10, 2020 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 20, 2020 |
| Mar 10, 2020 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 20, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.24 (case-mix index 1.35).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jun 1, 2014 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2014 |
| David Dunyon | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2014 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Ami Sato | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 9, 2024 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2014 |
| Ventas, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2014 |
| Candace Fisher | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2014 |
| Christopher Horton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 17, 2020 |
| 90 |
| Jun 17, 2025 |
611 harm |
| — |
| Rock Canyon Respiratory and Rehabilitation Center 2515 Pitman Pl, Pueblo, CO 81004 CCN 065100Abuse icon | 151 | Aug 6, 2026 | 381 IJ3 harm1 open | $67k |
| The Villas at Sunny Acres 2501 E 104th Ave, Thornton, CO 80233 CCN 065108Abuse icon | 160 | Apr 8, 2026 | 394 harm | $20k |
| Medallion Post Acute Rehabilitation 1719 E Bijou St, Colorado Springs, CO 80909 CCN 065113 | 60 | Jun 16, 2026 | 502 IJ3 harm1 open | $87k |
| Holly Heights Care and Rehabilitation 6000 E Iliff Ave, Denver, CO 80222 CCN 065124 | 133 | Jan 21, 2026 | 451 IJ1 harm3 open | $9,249 |
| Hampden Hills Post Acute 14699 E Hampden Ave, Aurora, CO 80014 CCN 065146 | 218 | Jul 9, 2026 | 45 | — |
| Riverbend Health and Rehabilitation Center 821 Duffield Ct, Loveland, CO 80537 CCN 065165Abuse icon | 100 | Apr 30, 2026 | 432 open | — |