Brookshire Post Acute — nursing home in Denver, 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: 58.4 CMS, MDS-derived
CMS Certification Number: 065242
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 1, 1988
Ownership type: For profit - Individual
Operator (legal business name): Brookshire Healthcare LLC
CMS chain: Pacs Group 277 facilities
Phone: (303) 756-1546
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Aug 12, 2026

Citations

47

46 health · 1 fire

Harm or worse

5

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G3	H·	I·
Potential harm	D28	E10	F4
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

1

$46,638

Payment denials

0

Latest

Oct 16, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 065242
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 67
First approved: Oct 1, 1988
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 12, 2026	Health	Health Complaint	1	Potential harm	1	Open →
Jan 6, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Oct 16, 2025	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Jan 16, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jan 16, 2025	Health	Health Complaint, Health Standard	12	Potential harm	—	Open →
Jan 25, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jan 25, 2024	Health	Health Standard	13	Potential harm	—	Open →
Oct 12, 2023	Health	Health Complaint	6	Actual harm	—	Open →
Sep 29, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Sep 29, 2022	Health	Health Standard	11	Immediate jeopardy	—	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.

Date	Type	Amount	Payment denial	Record
Oct 16, 2025	Civil money penalty (fine)	$46,638	—	065242\|Fine\|135925

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G3	H·	I·
Potential harm	D28	E10	F4
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 12, 2026	F-0567	Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Plan of correction, not yet verified Aug 13, 2026	Complaint
Jan 6, 2026	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 Jan 30, 2026	Complaint
Oct 16, 2025	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	J · Immediate jeopardy Isolated	Corrected Nov 13, 2025	Complaint
Oct 16, 2025	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Nov 13, 2025	Complaint
Jan 16, 2025	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Feb 20, 2025
Jan 16, 2025	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 7, 2025
Jan 16, 2025	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 12, 2025
Jan 16, 2025	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 Feb 7, 2025
Jan 16, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025
Jan 16, 2025	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025	Complaint
Jan 16, 2025	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 14, 2025
Jan 16, 2025	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Feb 14, 2025
Jan 16, 2025	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2025
Jan 16, 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 Feb 14, 2025
Jan 16, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025	Complaint
Jan 16, 2025	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 12, 2025
Jan 16, 2025	F-0940	Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Feb 14, 2025
Jan 25, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 15, 2024
Jan 25, 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	E · Potential harm Pattern	Corrected Feb 15, 2024
Jan 25, 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 Feb 15, 2024
Jan 25, 2024	F-0603	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 15, 2024
Jan 25, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 15, 2024
Jan 25, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 15, 2024
Jan 25, 2024	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 15, 2024
Jan 25, 2024	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 15, 2024
Jan 25, 2024	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 Feb 15, 2024
Jan 25, 2024	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 Feb 15, 2024
Jan 25, 2024	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 15, 2024
Jan 25, 2024	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 Feb 15, 2024
Jan 25, 2024	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Feb 15, 2024
Oct 12, 2023	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	G · Actual harm Isolated	Corrected Nov 8, 2023	Complaint
Oct 12, 2023	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 Nov 13, 2023	Complaint
Oct 12, 2023	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Nov 22, 2023	Complaint
Oct 12, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 22, 2023	Complaint
Oct 12, 2023	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 13, 2023	Complaint
Oct 12, 2023	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 13, 2023	Complaint
Sep 29, 2022	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	J · Immediate jeopardy Isolated	Corrected Oct 4, 2022
Sep 29, 2022	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 4, 2022
Sep 29, 2022	F-0603	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 4, 2022
Sep 29, 2022	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 4, 2022
Sep 29, 2022	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 4, 2022
Sep 29, 2022	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 4, 2022
Sep 29, 2022	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 4, 2022
Sep 29, 2022	F-0849	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Oct 4, 2022
Sep 29, 2022	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Oct 4, 2022
Sep 29, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Oct 4, 2022
Sep 29, 2022	F-0888	Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Oct 4, 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 staffing3.07

State avg 3.69US avg 3.90

Registered nurse (RN)0.64

State avg 0.81US avg 0.69

Licensed practical nurse0.57

State avg 0.68US avg 0.86

Nurse aide1.85

State avg 2.20US avg 2.35

Weekend total nurse2.81

State avg 3.26US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.88 (case-mix index 1.11).

Staff turnover

Total nursing staff turnover51.6%

State avg 47.0%US avg 45.3%

Registered nurse turnover43.8%

State avg 44.4%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 16, 2025
Cycle 1 health score: 175
Total weighted score: 165.25

Operating entity

Brookshire Healthcare LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Pacs Group

277 facilities in 16 states. CMS chain ID 690.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3

Ownership disclosures

Disclosures

8

Organizations

2

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Centennial Master Tenant, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 11, 2022
Providence Group Nh, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Jun 30, 2023

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.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Centennial Master Tenant, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 11, 2022
Providence Group Nh, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Jun 30, 2023
Frederick Apt	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2024
Mark Hancock	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2024
Joshua Jergensen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2024
John Mitchell	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2024
Christopher Horton	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Apr 20, 2023
Zacharie Mbida	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Nov 27, 2023

Same chain in Colorado

All 276 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Amberwood Post Acute 4686 E Asbury Cir, Denver, CO 80222 CCN 065034	88	Apr 23, 2026	391 harm	$9,636
Boulder Post Acute 2121 Mesa Dr, Boulder, CO 80304 CCN 065052	162	Feb 19, 2026	531 IJ2 harm3 open	$9,113
Red Cliffs Post Acute 2901 N 12th St, Grand Junction, CO 81506 CCN 065110Abuse icon	89	Jul 22, 2026	441 harm1 open	—
Mountain View Post Acute 835 Tenderfoot Hill Rd, Colorado Springs, CO 80906 CCN 065147Abuse icon	180	Apr 1, 2026	882 harm4 open	$29k
Heights Care & Rehabilitation LLC 3131 S Federal Blvd, Denver, CO 80236 CCN 065191	110	Apr 6, 2026	521 IJ2 harm	$68k
Atlas Post Acute 2611 Jones Ave, Pueblo, CO 81004 CCN 065232	146	May 14, 2026	503 harm	$54k
Skylake Post Acute 12080 Bellaire Wy, Thornton, CO 80241 CCN 065238	242	May 11, 2026	543 IJ	$56k
Hilltop Park Post Acute 290 S Monaco Pkwy, Denver, CO 80224 CCN 065241	162	Jun 25, 2026	531 IJ1 harm7 open	$66k

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: 4660 E Asbury Cir, Denver, CO 80222
ZIP: 80222
County: Denver County FIPS 08031
State: Colorado
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Amberwood Post Acute 4686 E Asbury Cir, Denver, CO 80222 CCN 065034	0 km	88	Apr 23, 2026	391 harm	$9,636
Rowan Community, Inc 4601 E Asbury Cir, Denver, CO 80222 CCN 065206	0.1 km	65	Dec 4, 2025	442 harm1 open	$4,622
South Valley Post Acute Rehabilitation 4450 E Jewell Ave, Denver, CO 80222 CCN 065230	0.9 km	106	Jan 29, 2026	341 open	—
Holly Heights Care and Rehabilitation 6000 E Iliff Ave, Denver, CO 80222 CCN 065124	1 km	133	Jan 21, 2026	451 IJ1 harm3 open	$9,249
Highline Post Acute 6060 E Iliff Ave, Denver, CO 80222 CCN 065256	1 km	125	Dec 11, 2025	752 IJ3 harm	$80k
The Suites at Clermont Park Care Center 2480 S Clermont St, Denver, CO 80222 CCN 065344	1.3 km	63	Feb 18, 2026	211 harm	—
Crestmoor Care Center 895 S Monaco Pkwy, Denver, CO 80224 CCN 065290Abuse icon	2.9 km	108	Jul 9, 2026	621 harm	$845
Berkley Care Center 735 S Locust St, Denver, CO 80224 CCN 065223	3.1 km	118	Feb 26, 2026	732 harm1 open	$17k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	065242	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	065242	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 065242

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