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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L1 |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E2 | F3 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 8, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 16, 2026 | Fire safety | Fire Safety Complaint | 2 | Potential harm | 1 | Open → |
| Jul 16, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 16, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Feb 17, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 17, 2023 | Health | Health Standard | 2 | Immediate jeopardy | — | Open → |
| Jan 18, 2022 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 18, 2022 | Health | Health Standard | 4 | Immediate jeopardy | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L1 |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E2 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 8, 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 | Past non-compliance Mar 25, 2026 | Complaint |
| Apr 8, 2026 | 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 | E · Potential harm Pattern | Corrected Apr 24, 2026 |
“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 4, 2025 |
| Jonathan Creason | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 1, 2020 |
| Christopher Horton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 1, 2020 |
| Prime Time Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2020 |
| Jonathan Creason | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2020 |
| Christopher Horton | 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 |
|---|---|---|---|---|---|---|
| Irondale Post Acute 7150 Poplar St, Commerce City, CO 80022 CCN 065318SFF Candidate | 2.1 km | 95 | Feb 12, 2026 | 262 IJ4 harm | $114k | |
| City Scape Rehabilitation & Care Center LLC 3345 Forest St, Denver, CO 80207 CCN 065387Abuse icon | 5.7 km | 60 | Jul 1, 2025 | 466 harm1 open | $60k | |
| Thornton Care Center 501 Thornton Pkwy, Thornton, CO 80229 CCN 065193 | 7.4 km | 101 | Aug 27, 2026 | 1122 IJ5 harm2 open | $21k | |
| Denver North Care Center 2201 N Downing St, Denver, CO 80205 CCN 065323 | 8.1 km | 82 | Aug 5, 2026 | 50 | — | |
| The Villas at Sunny Acres 2501 E 104th Ave, Thornton, CO 80233 CCN 065108Abuse icon | 8.1 km | 160 | Apr 8, 2026 | 394 harm | $20k | |
| City Park Healthcare and Rehabilitation Center 1667 Saint Paul St, Denver, CO 80206 CCN 065009Abuse icon | 8.3 km | 125 | Jan 15, 2026 | 491 harm | $8,278 | |
| Clear Creek Care Center 7481 Knox Pl, Westminster, CO 80030 CCN 065120 | 8.7 km | 80 | Jul 21, 2026 | 241 harm | — | |
| Briarwood Health Care Center 1440 Vine St, Denver, CO 80206 CCN 065255 | 8.9 km | 201 | Jul 14, 2026 | 471 IJ1 harm1 open | $9,110 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065283 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065283 | 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
| Complaint |
| Mar 16, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 20, 2026 | Complaint |
| Mar 16, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified | Complaint |
| Jul 16, 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 Aug 15, 2024 |
| Jul 16, 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 Aug 9, 2024 | Complaint |
| Jul 16, 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 Aug 9, 2024 |
| Jul 16, 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 Aug 9, 2024 |
| Jul 16, 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 | D · Potential harm Isolated | Corrected Aug 9, 2024 |
| Jul 16, 2024 | 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 Aug 9, 2024 |
| Feb 17, 2023 | 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 Mar 21, 2023 |
| Feb 17, 2023 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 21, 2023 |
| Jan 18, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | K · Immediate jeopardy Pattern | Corrected Feb 16, 2022 |
| Jan 18, 2022 | F-0886 | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Infection prevention | L · Immediate jeopardy Widespread | Corrected Jan 18, 2022 |
| Jan 18, 2022 | 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 Feb 11, 2022 |
| Jan 18, 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 Feb 11, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.34 (case-mix index 1.34).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Mar 1, 2020 |
| David Jorgensen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 2, 2019 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 2, 2019 |
| Joseph Graham | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2020 |
| 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 2, 2019 |
| Jonathan Creason | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2020 |
| Christopher Horton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2020 |
| 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 | — |