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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G7 | H· | I· |
| Potential harm | D35 | E21 | F9 |
| 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 | Potential harm | — | Open → |
| Feb 17, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 11, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 2, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Dec 19, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Dec 19, 2024 | Health | Health Standard | 9 | Actual harm | — | Open → |
| May 10, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 18, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 13, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jul 13, 2023 | Health | Health Standard | 21 | Actual harm | — | Open → |
| May 19, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 19, 2022 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 19, 2024 | Civil money penalty (fine) | $46,557 | — | 065307|Fine|115914 |
| May 10, 2024 | Civil money penalty (fine) | $39,104 | — | 065307|Fine|115859 |
| Mar 18, 2024 | Civil money penalty (fine) | $31,623 | — | 065307|Fine|115832 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G7 | H· | I· |
| Potential harm | D35 | E21 | F9 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 20, 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 Aug 28, 2026 | Complaint |
| Feb 17, 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 | D · Potential harm Isolated | Corrected Mar 19, 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 7 facilities.
7 facilities in 1 states. CMS chain ID 491.
Chain average overall rating (CMS): 2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sptihs Properties Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2024 |
| Charles Schwab Investment Management Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 22, 2024 |
| D.e. Shaw & Co., L.p | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 22, 2024 |
| Diversified Healthcare Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| H/2 Special Opportunities IV L.p | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 22, 2024 |
| Snh Proj Lincoln Trs LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2024 |
| Snh Trs Licensee Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Snh Trs, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sptihs Properties Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2024 |
| Charles Schwab Investment Management Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 22, 2024 |
| D.e. Shaw & Co., L.p | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 22, 2024 |
| Diversified Healthcare Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Cedars Healthcare Center 1599 Ingalls St, Lakewood, CO 80214 CCN 065202 | 130 | Jun 11, 2026 | 582 IJ2 open | $16k | |
| Cherrelyn Healthcare Center 5555 S Elati St, Littleton, CO 80120 CCN 065203 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Cedars Healthcare Center 1599 Ingalls St, Lakewood, CO 80214 CCN 065202 | 130 | Jun 11, 2026 | 582 IJ2 open | $16k | |
| Cherrelyn Healthcare Center 5555 S Elati St, Littleton, CO 80120 CCN 065203 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Larchwood Health and Rehab LLC 2845 N 15th St, Grand Junction, CO 81506 CCN 065331Abuse icon | 1.7 km | 130 | Aug 24, 2026 | 561 IJ3 harm1 open | $29k | |
| Red Cliffs Post Acute 2901 N 12th St, Grand Junction, CO 81506 CCN 065110Abuse icon | 1.7 km | 89 | Jul 22, 2026 | 441 harm1 open | — | |
| Eagle Ridge Post Acute 2425 Teller Ave, Grand Junction, CO 81501 CCN 065286 | 2 km | 70 | Jun 16, 2026 | 561 IJ3 harm | $64k | |
| La Villa Grande Care Center 2501 Little Bookcliff Dr, Grand Junction, CO 81501 CCN 065253 | 2.6 km | 96 | Dec 18, 2025 | 521 IJ3 harm | $81k | |
| The Center at Foresight LLC 606 Foresight Cir E, Grand Junction, CO 81505 CCN 065425 | 5.2 km | 54 | Mar 19, 2026 | 21 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065307 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065307 | 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
| Feb 17, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 19, 2026 | Complaint |
| Jun 11, 2025 | 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 Jul 10, 2025 | Complaint |
| Jun 11, 2025 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2025 | Complaint |
| Jun 11, 2025 | 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 Jul 10, 2025 | Complaint |
| Apr 2, 2025 | 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 May 1, 2025 | Complaint |
| Apr 2, 2025 | 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 May 1, 2025 | Complaint |
| Apr 2, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 1, 2025 | Complaint |
| Apr 2, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 1, 2025 | Complaint |
| Apr 2, 2025 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 1, 2025 | Complaint |
| Dec 19, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 20, 2025 |
| Dec 19, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 10, 2025 |
| Dec 19, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 19, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 15, 2025 |
| Dec 19, 2024 | 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 Mar 15, 2025 |
| Dec 19, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 15, 2025 |
| Dec 19, 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 Feb 28, 2025 |
| Dec 19, 2024 | K-0927 | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 15, 2025 |
| Dec 19, 2024 | 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 Jan 20, 2025 |
| Dec 19, 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 | E · Potential harm Pattern | Corrected Jan 20, 2025 |
| Dec 19, 2024 | 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 Jan 20, 2025 |
| Dec 19, 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 Jan 20, 2025 |
| Dec 19, 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 Jan 20, 2025 |
| Dec 19, 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 Jan 20, 2025 |
| Dec 19, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 20, 2025 |
| Dec 19, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 20, 2025 |
| May 10, 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 | G · Actual harm Isolated | Corrected Jun 8, 2024 | Complaint |
| Mar 18, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 16, 2024 | Complaint |
| Jul 13, 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 | G · Actual harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 15, 2023 |
| Jul 13, 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 Aug 5, 2023 |
| Jul 13, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 15, 2023 |
| Jul 13, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 25, 2023 |
| Jul 13, 2023 | K-0522 | Have an externally vented heating system. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 8, 2023 |
| Jul 13, 2023 | 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 | E · Potential harm Pattern | Corrected Aug 8, 2023 |
| Jul 13, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | 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, 2023 |
| Jul 13, 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 | E · Potential harm Pattern | Corrected Aug 15, 2023 |
| Jul 13, 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 Aug 15, 2023 |
| Jul 13, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | 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 | E · Potential harm Pattern | Corrected Aug 15, 2023 |
| Jul 13, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 15, 2023 |
| Jul 13, 2023 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | 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 Aug 15, 2023 |
| Jul 13, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| Jul 13, 2023 | 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 15, 2023 |
| Jul 13, 2023 | 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 Aug 15, 2023 |
| Jul 13, 2023 | 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 Aug 15, 2023 |
| Jul 13, 2023 | 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 15, 2023 |
| Jul 13, 2023 | 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 Aug 15, 2023 |
| Jul 13, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 15, 2023 |
| Jul 13, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 15, 2023 |
| May 19, 2022 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jun 28, 2022 |
| May 19, 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 Jun 28, 2022 |
| May 19, 2022 | 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 20, 2022 |
| May 19, 2022 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2022 |
| May 19, 2022 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 24, 2022 |
| May 19, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 24, 2022 |
| May 19, 2022 | 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 Jun 28, 2022 |
| May 19, 2022 | 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 Jun 28, 2022 |
| May 19, 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 Jun 28, 2022 |
| May 19, 2022 | 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 | E · Potential harm Pattern | Corrected Jun 28, 2022 |
| May 19, 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 | E · Potential harm Pattern | Corrected Jun 28, 2022 |
| May 19, 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 | D · Potential harm Isolated | Corrected Jun 28, 2022 |
| May 19, 2022 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 28, 2022 |
| May 19, 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 Jun 28, 2022 |
| May 19, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 18, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.53 (case-mix index 1.24).
| not provided |
| Jan 1, 2020 |
| H/2 Special Opportunities IV L.p | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 22, 2024 |
| Snh Proj Lincoln Trs LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2024 |
| Snh Trs Licensee Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Snh Trs, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Abp Trust | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 22, 2024 |
| Blackrock Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 22, 2024 |
| Charles Schwab Investment Management Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 22, 2024 |
| D.e. Shaw & Co., L.p | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 22, 2024 |
| Diversified Healthcare Trust | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Flat Footed LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 22, 2024 |
| H/2 Special Opportunities IV L.p | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 22, 2024 |
| Snh Proj Lincoln Trs LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Snh Trs Licensee Holdco LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Snh Trs, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Sptihs Properties Trust | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Stellar Mantey Heights Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2021 |
| Stellar Senior Living B LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2021 |
| Stellar V LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2021 |
| Vanguard Group Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 22, 2024 |
| Evrett Benton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2021 |
| Christopher Bilotto | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Matthew Brown | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2023 |
| Jennifer Clark | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Adam Portnoy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Bradley Sheneman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 5, 2025 |
| Xiao Song | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Misty Young | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 10, 2025 |
| Christopher Bilotto | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Adam Portnoy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Christopher Bilotto | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Matthew Brown | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2023 |
| Jennifer Clark | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2020 |
| Abp Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Blackrock Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 22, 2024 |
| Charles Schwab Investment Management Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| D.e. Shaw & Co., L.p | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Diversified Healthcare Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Flat Footed LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| H/2 Special Opportunities IV L.p | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Snh Proj Lincoln Trs LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Snh Trs Licensee Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Snh Trs, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Sptihs Properties Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Stellar Mantey Heights Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Stellar Senior Living B LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Stellar V LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Vanguard Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 22, 2024 |
| Evrett Benton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2021 |
| Christopher Bilotto | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Matthew Brown | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2023 |
| Jennifer Clark | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Adam Portnoy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Bradley Sheneman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 5, 2025 |
| Xiao Song | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Misty Young | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 10, 2025 |
| 190 |
| Aug 10, 2026 |
757 harm |
| — |
| Springs Village Care Center 110 W Van Buren St, Colorado Springs, CO 80907 CCN 065247 | 91 | Jan 6, 2026 | 573 harm1 open | — |
| Willow Tree Care Center 2050 S Main St, Delta, CO 81416 CCN 065249Abuse icon | 80 | Feb 26, 2026 | 525 harm | $29k |
| Skyline Ridge Nursing & Rehabilitation Center 515 Fairview St, Canon City, CO 81212 CCN 065250Abuse icon | 85 | Dec 9, 2025 | 583 harm | $21k |
| La Villa Grande Care Center 2501 Little Bookcliff Dr, Grand Junction, CO 81501 CCN 065253 | 96 | Dec 18, 2025 | 521 IJ3 harm | $81k |
| 190 |
| Aug 10, 2026 |
757 harm |
| — |
| Springs Village Care Center 110 W Van Buren St, Colorado Springs, CO 80907 CCN 065247 | 91 | Jan 6, 2026 | 573 harm1 open | — |
| Willow Tree Care Center 2050 S Main St, Delta, CO 81416 CCN 065249Abuse icon | 80 | Feb 26, 2026 | 525 harm | $29k |
| Skyline Ridge Nursing & Rehabilitation Center 515 Fairview St, Canon City, CO 81212 CCN 065250Abuse icon | 85 | Dec 9, 2025 | 583 harm | $21k |
| La Villa Grande Care Center 2501 Little Bookcliff Dr, Grand Junction, CO 81501 CCN 065253 | 96 | Dec 18, 2025 | 521 IJ3 harm | $81k |