Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D16 | E9 | 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.
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 | |
|---|---|---|---|---|---|---|
| Jul 20, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 7, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Nov 7, 2024 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Apr 27, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 27, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Feb 10, 2022 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Feb 10, 2022 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 7, 2024 | Civil money penalty (fine) | $38,812 | — | 065240|Fine|115882 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D16 | E9 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 20, 2026 | 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 | G · Actual harm Isolated | Past non-compliance | Complaint |
| Nov 7, 2024 | K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2024 | |
| Nov 7, 2024 |
“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 | Jul 3, 2025 |
| Shad Grubbs | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 31, 2022 |
| Rachel Rodriquez | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 1, 2022 |
| Shad Grubbs | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2022 |
| Rachel Rodriquez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2022 |
| 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 | |
| Englewood Post Acute and Rehabilitation 3575 S Washington St, Englewood, CO 80113 CCN 065077 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Riverdale Post Acute 2311 E Bridge St, Brighton, CO 80601 CCN 065378Abuse icon | 0.9 km | 105 | Aug 13, 2026 | 752 harm11 open | — | |
| Skylake Post Acute 12080 Bellaire Wy, Thornton, CO 80241 CCN 065238 | 14.1 km | 242 | May 11, 2026 | 543 IJ | $56k | |
| The Villas at Sunny Acres 2501 E 104th Ave, Thornton, CO 80233 CCN 065108Abuse icon | 17.5 km | 160 | Apr 8, 2026 | 394 harm | $20k | |
| Malley Transitional Care Center 401 Malley Dr, Northglenn, CO 80233 CCN 065196 | 17.8 km | 162 | May 14, 2026 | 281 IJ3 harm | $14k | |
| The Center at Northridge, LLC 12285 Pecos St, Westminster, CO 80234 CCN 065416 | 18.6 km | 96 | Jul 9, 2026 | 20 | — | |
| Thornton Care Center 501 Thornton Pkwy, Thornton, CO 80229 CCN 065193 | 19.8 km | 101 | Aug 27, 2026 | 1122 IJ5 harm2 open | $21k | |
| Irondale Post Acute 7150 Poplar St, Commerce City, CO 80022 CCN 065318SFF Candidate | 19.9 km | 95 | Feb 12, 2026 | 262 IJ4 harm | $114k | |
| Ridgeview Post Acute 5230 E 66th Way, Commerce City, CO 80022 CCN 065283 | 21.7 km | 112 | Apr 8, 2026 | 163 IJ1 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065240 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065240 | 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
| K-0353 |
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Dec 5, 2024 |
| Nov 7, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2024 |
| Nov 7, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2024 |
| Nov 7, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2024 |
| Nov 7, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2024 |
| Nov 7, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2024 |
| 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 | E · Potential harm Pattern | Corrected Dec 5, 2024 |
| Nov 7, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2024 |
| Nov 7, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2024 |
| Nov 7, 2024 | 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 27, 2024 | Complaint |
| Nov 7, 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 | E · Potential harm Pattern | Corrected Nov 27, 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 Jan 10, 2025 |
| Nov 7, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 10, 2025 | Complaint |
| Apr 27, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 9, 2023 |
| Apr 27, 2023 | 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 | D · Potential harm Isolated | Corrected May 26, 2023 |
| Apr 27, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 5, 2023 |
| Apr 27, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2023 |
| Apr 27, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 15, 2023 |
| Apr 27, 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 May 24, 2023 |
| Apr 27, 2023 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 24, 2023 |
| Apr 27, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2023 |
| Apr 27, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 24, 2023 |
| Feb 10, 2022 | 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 10, 2022 |
| Feb 10, 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 | G · Actual harm Isolated | Corrected Mar 10, 2022 |
| Feb 10, 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 | D · Potential harm Isolated | Corrected Mar 22, 2022 |
| Feb 10, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 22, 2022 |
| Feb 10, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 18, 2022 |
| Feb 10, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 29, 2022 |
| Feb 10, 2022 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 30, 2022 |
| Feb 10, 2022 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 10, 2022 |
| Feb 10, 2022 | 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 Mar 10, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.30 (case-mix index 1.38).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jun 20, 2019 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 25, 2022 |
| Joseph Graham | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 9, 2024 |
| 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 | Aug 25, 2022 |
| Shad Grubbs | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 3, 2025 |
| Rachel Rodriquez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 3, 2025 |
| 82 |
| Nov 7, 2024 |
343 harm |
| — |
| Mapleton Post Acute 115 Ingalls St, Lakewood, CO 80226 CCN 065097 | 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 | — |