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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D9 | E3 | F8 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 18, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Feb 18, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jan 11, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 11, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Sep 15, 2022 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 15, 2022 | Health | Health Standard | 4 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D9 | E3 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 18, 2026 | 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 | F · Potential harm Widespread | Corrected Mar 30, 2026 | |
| Feb 18, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 23, 2026 | |
| Feb 18, 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 3 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Christian Living Neighborhoods | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 9, 1972 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Christian Living Neighborhoods | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 9, 1972 |
| Christian Living Neighborhoods | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 9, 1972 |
| Jan Franken | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 9, 2007 |
| Traci Fralick | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 5, 2018 |
| Bryon Childs | Individual | Corporate officer / director | CORPORATE OFFICER |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Suites at Someren Glen Care Center 5000 E Arapahoe Rd, Centennial, CO 80122 CCN 065345 | 109 | May 8, 2026 | 332 harm | $36k | |
| The Suites at Holly Creek Care Center 5590 E Peakview Ave, Centennial, CO 80121 CCN 065395 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| South Valley Post Acute Rehabilitation 4450 E Jewell Ave, Denver, CO 80222 CCN 065230 | 1.2 km | 106 | Jan 29, 2026 | 341 open | — | |
| Brookshire Post Acute 4660 E Asbury Cir, Denver, CO 80222 CCN 065242Abuse icon | 1.3 km | 67 | Aug 12, 2026 | 472 IJ3 harm1 open | $47k | |
| Amberwood Post Acute 4686 E Asbury Cir, Denver, CO 80222 CCN 065034 | 1.3 km | 88 | Apr 23, 2026 | 391 harm | $9,636 | |
| Rowan Community, Inc 4601 E Asbury Cir, Denver, CO 80222 CCN 065206 | 1.3 km | 65 | Dec 4, 2025 | 442 harm1 open | $4,622 | |
| Holly Heights Care and Rehabilitation 6000 E Iliff Ave, Denver, CO 80222 CCN 065124 | 1.8 km | 133 | Jan 21, 2026 | 451 IJ1 harm3 open | $9,249 | |
| Highline Post Acute 6060 E Iliff Ave, Denver, CO 80222 CCN 065256 | 1.8 km | 125 | Dec 11, 2025 | 752 IJ3 harm | $80k | |
| Julia Temple Healthcare Center 3401 S Lafayette St, Englewood, CO 80113 CCN 065322 | 3.1 km | 128 | Dec 10, 2024 | 13 | — | |
| Englewood Post Acute and Rehabilitation 3575 S Washington St, Englewood, CO 80113 CCN 065077 | 4.1 km | 82 | Nov 7, 2024 | 343 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065344 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065344 | 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 Apr 10, 2026 |
| Feb 18, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 30, 2026 |
| Feb 18, 2026 | 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 Mar 30, 2026 |
| Feb 18, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 30, 2026 |
| Feb 18, 2026 | 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 19, 2026 |
| Feb 18, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 19, 2026 |
| Jan 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 9, 2024 |
| Jan 11, 2024 | 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 28, 2024 |
| Jan 11, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 15, 2024 |
| Jan 11, 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 Feb 15, 2024 |
| Jan 11, 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 21, 2024 |
| Jan 11, 2024 | 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 Feb 15, 2024 |
| Jan 11, 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 Feb 15, 2024 |
| Jan 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 15, 2024 |
| Sep 15, 2022 | 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 Oct 24, 2022 |
| Sep 15, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 23, 2022 |
| Sep 15, 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 | E · Potential harm Pattern | Corrected Oct 24, 2022 |
| Sep 15, 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 Oct 24, 2022 |
| Sep 15, 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 24, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.66 (case-mix index 1.31).
| May 28, 2007 |
| Jayne Keller | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2021 |
| Jill Vitale-Aussem | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2020 |
| Bryon Childs | Individual | Trustee | TRUSTEE OF THE SNF | not provided | May 28, 2007 |
| Traci Fralick | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Nov 5, 2018 |
| Jayne Keller | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Apr 1, 2021 |
| Jill Vitale-Aussem | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Nov 1, 2020 |
| Christian Living Neighborhoods | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 26, 2025 |
| Bryon Childs | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 28, 2007 |
| Traci Fralick | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2018 |
| Jan Franken | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 2007 |
| Jayne Keller | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2021 |
| Jill Vitale-Aussem | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2020 |
| 25 |
| Nov 21, 2024 |
441 IJ2 harm |
| $22k |