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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D22 | E5 | 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.
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 8, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 8, 2026 | Health | Health Complaint, Health Standard | 17 | Potential harm | — | Open → |
| Feb 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 30, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 25, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 25, 2024 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Feb 12, 2020 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 12, 2020 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 25, 2024 | Denial of payment for new admissions | — | May 23, 2024 · 32 days | 065345|Payment Denial|2024-05-23 |
| Apr 25, 2024 | Civil money penalty (fine) | $36,446 | — | 065345|Fine|115856 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D22 | E5 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 8, 2026 | 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 Jun 7, 2026 | |
| May 8, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 7, 2026 | Complaint |
“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 | Mar 1, 1996 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Christian Living Neighborhoods | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 1, 1996 |
| Christian Living Neighborhoods | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 1996 |
| Jan Franken | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2018 |
| 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 Clermont Park Care Center 2480 S Clermont St, Denver, CO 80222 CCN 065344 | 63 | Feb 18, 2026 | 211 harm | — | |
| 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 |
|---|---|---|---|---|---|---|
| The Suites at Holly Creek Care Center 5590 E Peakview Ave, Centennial, CO 80121 CCN 065395 | 0.9 km | 25 | Nov 21, 2024 | 441 IJ2 harm | $22k | |
| Orchard Park Health Care Center 6005 S Holly St, Littleton, CO 80121 CCN 065259 | 1.6 km | 133 | May 14, 2026 | 301 harm | — | |
| Brookdale Greenwood Village 6450 S Boston St, Greenwood Village, CO 80111 CCN 065376 | 4.3 km | 90 | Apr 9, 2026 | 532 harm6 open | $33k | |
| VI at Highlands Ranch Skilled Nursing 9085 Ranch River Cir, Highlands Ranch, CO 80126 CCN 065398 | 5.6 km | 24 | Sep 19, 2024 | 161 open | — | |
| Cherrelyn Healthcare Center 5555 S Elati St, Littleton, CO 80120 CCN 065203 | 5.6 km | 190 | Aug 10, 2026 | 757 harm | — | |
| Life Care Center of Littleton 1500 W Mineral Ave, Littleton, CO 80120 CCN 065370 | 7.3 km | 120 | Nov 7, 2024 | 371 harm | — | |
| Wellsprings Care Center 3636 S Pearl St, Englewood, CO 80113 CCN 065208Abuse icon | 7.5 km | 81 | Aug 5, 2026 | 39 | — | |
| Julia Temple Healthcare Center 3401 S Lafayette St, Englewood, CO 80113 CCN 065322 | 7.5 km | 128 | Dec 10, 2024 | 13 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065345 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065345 | 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
| May 8, 2026 |
| F-0554 |
| Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Jun 7, 2026 |
| May 8, 2026 | 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 7, 2026 |
| May 8, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2026 |
| May 8, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2026 |
| May 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 Jun 7, 2026 | Complaint |
| May 8, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 7, 2026 | Complaint |
| May 8, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2026 |
| May 8, 2026 | 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 Jun 7, 2026 |
| May 8, 2026 | 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 Jun 7, 2026 |
| May 8, 2026 | 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 Jun 7, 2026 |
| May 8, 2026 | 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 Jun 7, 2026 |
| May 8, 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 | D · Potential harm Isolated | Corrected Jun 7, 2026 |
| May 8, 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 7, 2026 |
| May 8, 2026 | 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 Jun 7, 2026 |
| May 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 7, 2026 |
| Feb 4, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Past non-compliance | Complaint |
| Apr 30, 2025 | 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 Jun 12, 2025 | Complaint |
| Apr 30, 2025 | 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 Jun 12, 2025 | Complaint |
| Apr 25, 2024 | 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 May 23, 2024 |
| Apr 25, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 24, 2024 |
| Apr 25, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 23, 2024 |
| Apr 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 | D · Potential harm Isolated | Corrected May 23, 2024 |
| Apr 25, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 23, 2024 |
| Apr 25, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 23, 2024 |
| Feb 12, 2020 | 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 Mar 20, 2020 |
| Feb 12, 2020 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 12, 2020 |
| Feb 12, 2020 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 13, 2020 |
| Feb 12, 2020 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2020 |
| Feb 12, 2020 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2020 |
| Feb 12, 2020 | 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 Mar 20, 2020 |
| Feb 12, 2020 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 20, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.96 (case-mix index 1.28).
| 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 15, 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 15, 2020 |
| Christian Living Neighborhoods | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 27, 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 | Nov 1, 2018 |
| 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 15, 2020 |
| 25 |
| Nov 21, 2024 |
441 IJ2 harm |
| $22k |