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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D19 | E5 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| May 14, 2026 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| May 14, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Jun 19, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| May 9, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 9, 2024 | Health | Health Complaint, Health Standard | 2 | Potential harm | — | Open → |
| Jan 26, 2023 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jan 26, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D19 | E5 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 14, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2026 | |
| May 14, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 1, 2026 | |
| May 14, 2026 | 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.
8 facilities in 2 states. CMS chain ID 149.
Chain average overall rating (CMS): 3.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Clear Choice Health Care LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2007 |
| Deborah Kennedy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 12, 2009 |
| Leslie Partee | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 9, 2009 |
| Scott Peabody | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Oct 1, 2009 |
| Thomas Sylvain | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Dec 1, 2012 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Suites at Holly Creek Care Center 5590 E Peakview Ave, Centennial, CO 80121 CCN 065395 | 1 km | 25 | Nov 21, 2024 | 441 IJ2 harm | $22k | |
| The Suites at Someren Glen Care Center 5000 E Arapahoe Rd, Centennial, CO 80122 CCN 065345 | 1.6 km | 109 | May 8, 2026 | 332 harm | $36k | |
| Brookdale Greenwood Village 6450 S Boston St, Greenwood Village, CO 80111 CCN 065376 | 3.5 km | 90 | Apr 9, 2026 | 532 harm6 open | $33k | |
| Cherrelyn Healthcare Center 5555 S Elati St, Littleton, CO 80120 CCN 065203 | 6.1 km | 190 | Aug 10, 2026 | 757 harm | — | |
| Julia Temple Healthcare Center 3401 S Lafayette St, Englewood, CO 80113 CCN 065322 | 6.8 km | 128 | Dec 10, 2024 | 13 | — | |
| Wellsprings Care Center 3636 S Pearl St, Englewood, CO 80113 CCN 065208Abuse icon | 7 km | 81 | Aug 5, 2026 | 39 | — | |
| Englewood Post Acute and Rehabilitation 3575 S Washington St, Englewood, CO 80113 CCN 065077 | 7.1 km | 82 | Nov 7, 2024 | 343 harm | — | |
| VI at Highlands Ranch Skilled Nursing 9085 Ranch River Cir, Highlands Ranch, CO 80126 CCN 065398 | 7.2 km | 24 | Sep 19, 2024 | 161 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065259 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065259 | 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 |
| F · Potential harm Widespread |
| Corrected Jul 2, 2026 |
| May 14, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 25, 2026 |
| May 14, 2026 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 26, 2026 |
| May 14, 2026 | 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 Jul 2, 2026 |
| May 14, 2026 | K-0522 | Have an externally vented heating system. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| May 14, 2026 | 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 Jun 21, 2026 |
| May 14, 2026 | 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 Jun 21, 2026 |
| May 14, 2026 | 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 Jun 21, 2026 |
| Jun 19, 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 | G · Actual harm Isolated | Corrected Jul 15, 2025 | Complaint |
| Jun 19, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2025 | Complaint |
| Jun 19, 2025 | 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 Jul 15, 2025 | Complaint |
| May 9, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2024 |
| May 9, 2024 | 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 Jul 2, 2024 | Complaint |
| May 9, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 2, 2024 | Complaint |
| Jan 26, 2023 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 8, 2023 |
| Jan 26, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2023 |
| Jan 26, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 9, 2023 |
| Jan 26, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 9, 2023 |
| Jan 26, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 10, 2023 |
| Jan 26, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 10, 2023 |
| Jan 26, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 20, 2023 |
| Jan 26, 2023 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 10, 2023 |
| Jan 26, 2023 | 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 | D · Potential harm Isolated | Corrected Mar 9, 2023 |
| Jan 26, 2023 | 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 Mar 9, 2023 |
| Jan 26, 2023 | 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 | E · Potential harm Pattern | Corrected Mar 9, 2023 |
| Jan 26, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 9, 2023 |
| Jan 26, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 9, 2023 |
| Jan 26, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 9, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.55 (case-mix index 1.29).