Edgewater Health and Rehabilitation — nursing home in Lakewood, CO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 67 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 65.4 CMS, MDS-derived
CMS Certification Number: 065171
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 31, 1981
Ownership type: For profit - Limited Liability company
Operator (legal business name): CMS reports the legal business name as not available.
CMS chain: Not part of a CMS-reported chain
Phone: (303) 238-5363
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Aug 27, 2025

Citations

29

12 health · 17 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D9	E13	F6
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 065171
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 67
First approved: Dec 31, 1981
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Colorado.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 27, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Aug 27, 2025	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Feb 14, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Feb 14, 2024	Health	Health Standard	4	Actual harm	—	Open →
Nov 3, 2022	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
Nov 3, 2022	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D9	E13	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 27, 2025	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 22, 2025
Aug 27, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 22, 2025
Aug 27, 2025	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 22, 2025
Aug 27, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 22, 2025
Aug 27, 2025	F-0569	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 10, 2025
Aug 27, 2025	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 10, 2025
Aug 27, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 10, 2025
Aug 27, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 10, 2025
Aug 27, 2025	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	F · Potential harm Widespread	Corrected Oct 10, 2025	Complaint
Aug 27, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Oct 10, 2025
Feb 14, 2024	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 Mar 15, 2024
Feb 14, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 26, 2024
Feb 14, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 26, 2024
Feb 14, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 26, 2024
Feb 14, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 26, 2024
Feb 14, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 15, 2024
Feb 14, 2024	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 15, 2024
Feb 14, 2024	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	F · Potential harm Widespread	Corrected Mar 15, 2024
Nov 3, 2022	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 16, 2022
Nov 3, 2022	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 22, 2022
Nov 3, 2022	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 16, 2022
Nov 3, 2022	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 27, 2023
Nov 3, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Waiver granted Mar 1, 2023
Nov 3, 2022	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 16, 2022
Nov 3, 2022	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 16, 2022
Nov 3, 2022	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 31, 2023
Nov 3, 2022	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 16, 2022
Nov 3, 2022	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 23, 2022
Nov 3, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 23, 2022

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 3.1

Quality measuresstate 4.2

Long-stay QM

Short-stay QMNot rated

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.34

State avg 3.69US avg 3.90

Registered nurse (RN)0.92

State avg 0.81US avg 0.69

Licensed practical nurse0.39

State avg 0.68US avg 0.86

Nurse aide2.03

State avg 2.20US avg 2.35

Weekend total nurse2.98

State avg 3.26US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.75 (case-mix index 1.24).

Staff turnover

Total nursing staff turnover44.8%

State avg 47.0%US avg 45.3%

Registered nurse turnover25.0%

State avg 44.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 27, 2025
Cycle 1 health score: 40
Total weighted score: 43

Operating entity

CMS reports the legal business name as not available.

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

0

Organizations

0

Individuals

0

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

No ownership disclosures in the CMS Ownership file for this CCN.

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1655 Eaton St, Lakewood, CO 80214
ZIP: 80214
County: Jefferson County FIPS 08059
State: Colorado
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Cambridge Care Center 1685 Eaton St, Lakewood, CO 80214 CCN 065296Abuse icon	0.1 km	110	Jun 11, 2026	391 harm	$8,151
Cedars Healthcare Center 1599 Ingalls St, Lakewood, CO 80214 CCN 065202	0.1 km	130	Jun 11, 2026	582 IJ2 open	$16k
Sierra Post Acute 1432 Depew St, Lakewood, CO 80214 CCN 065272Abuse icon	0.4 km	102	Jul 13, 2026	411 IJ5 harm	$55k
Harmony Pointe Care Center 1655 Yarrow St, Lakewood, CO 80214 CCN 065298	1.7 km	125	Sep 26, 2024	573 harm	—
Wheatridge Care Center 2920 Fenton St, Wheat Ridge, CO 80214 CCN 065308	1.8 km	65	Jun 12, 2025	211 harm	$21k
Allison Care Center 1660 Allison St, Lakewood, CO 80214 CCN 065297Abuse icon	2.6 km	85	Jun 11, 2026	253 harm	$35k
Sloan's Lake Rehabilitation Center 1601 Lowell Blvd, Denver, CO 80204 CCN 065404	2.6 km	42	Mar 5, 2026	18	—
Western Hills Health Care Center 1625 Carr St, Lakewood, CO 80214 CCN 065209	2.6 km	140	Aug 19, 2026	181 harm1 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	065171	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	065171	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

Record-level source links for CCN 065171

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction