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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D22 | E11 | F17 |
| Minimal | A· | B· | C1 |
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 9, 2026 | Fire safety | Fire Safety Standard | 11 | Potential harm | 5 | Open → |
| Apr 9, 2026 | Health | Health Complaint, Health Standard | 10 | Actual harm | — | Open → |
| Dec 1, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Mar 28, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Mar 28, 2024 | Health | Health Standard | 14 | Potential harm | 1 | Open → |
| Jan 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 21, 2022 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Dec 21, 2022 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 9, 2026 | Civil money penalty (fine) | $16,350 | — | 065376|Fine|141720 |
| Apr 9, 2026 | Civil money penalty (fine) | $16,350 | — | 065376|Fine|141719 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D22 | E11 | F17 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 9, 2026 | 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 7, 2026 | |
| Apr 9, 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 | G · Actual harm Isolated | Corrected May 7, 2026 | Complaint |
| Apr 9, 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.
12 facilities in 8 states. CMS chain ID 93.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kevin La Marre | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Oct 2, 2025 |
| Jeanne Damask | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 22, 2025 |
| Tabetha Houston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 22, 2025 |
| Dawn Kussow | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 15, 2024 |
| Kevin La Marre | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 22, 2017 |
| Raymond Leisure | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Brookdale Skyline 2365 Patriot Hts, Colorado Springs, CO 80904 CCN 065382 | 82 | Aug 11, 2026 | 472 harm1 open | $9,110 |
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 | 3.4 km | 25 | Nov 21, 2024 | 441 IJ2 harm | $22k | |
| Orchard Park Health Care Center 6005 S Holly St, Littleton, CO 80121 CCN 065259 | 3.5 km | 133 | May 14, 2026 | 301 harm | — | |
| The Suites at Someren Glen Care Center 5000 E Arapahoe Rd, Centennial, CO 80122 CCN 065345 | 4.3 km | 109 | May 8, 2026 | 332 harm | $36k | |
| Beth Israel at Shalom Park 14800 E Belleview Dr, Aurora, CO 80015 CCN 065303 | 5.8 km | 135 | Apr 16, 2026 | 20 | — | |
| Hampden Hills Post Acute 14699 E Hampden Ave, Aurora, CO 80014 CCN 065146 | 7.8 km | 218 | Jul 9, 2026 | 45 | — | |
| The Springs at St. Andrews Village 2670 S Abilene St, Aurora, CO 80014 CCN 065388 | 8.7 km | 58 | Mar 26, 2026 | 481 harm | $9,243 | |
| VI at Highlands Ranch Skilled Nursing 9085 Ranch River Cir, Highlands Ranch, CO 80126 CCN 065398 | 8.8 km | 24 | Sep 19, 2024 | 161 open | — | |
| Holly Heights Care and Rehabilitation 6000 E Iliff Ave, Denver, CO 80222 CCN 065124 | 9 km | 133 | Jan 21, 2026 | 451 IJ1 harm3 open | $9,249 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065376 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065376 | 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
| K-0293 |
| Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jun 5, 2026 |
| Apr 9, 2026 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified |
| Apr 9, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 5, 2026 |
| Apr 9, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified |
| Apr 9, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified |
| Apr 9, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Plan of correction, not yet verified |
| Apr 9, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 5, 2026 |
| Apr 9, 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 Jun 5, 2026 |
| Apr 9, 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 | Plan of correction, not yet verified |
| Apr 9, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 5, 2026 |
| Apr 9, 2026 | K-0927 | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 5, 2026 |
| Apr 9, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 7, 2026 |
| Apr 9, 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 May 7, 2026 |
| Apr 9, 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 May 7, 2026 |
| Apr 9, 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 | F · Potential harm Widespread | Corrected May 7, 2026 |
| Apr 9, 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 May 7, 2026 |
| Apr 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 7, 2026 |
| Apr 9, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 7, 2026 |
| Apr 9, 2026 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 7, 2026 |
| Dec 1, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2025 | Complaint |
| Dec 1, 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 | D · Potential harm Isolated | Corrected Dec 2, 2025 | Complaint |
| Dec 1, 2025 | 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 Dec 2, 2025 | Complaint |
| Dec 1, 2025 | 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 Dec 2, 2025 | Complaint |
| Mar 28, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2024 |
| Mar 28, 2024 | K-0522 | Have an externally vented heating system. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2024 |
| Mar 28, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2024 |
| Mar 28, 2024 | 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 Apr 29, 2024 |
| Mar 28, 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 Apr 29, 2024 |
| Mar 28, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 29, 2024 |
| Mar 28, 2024 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 29, 2024 |
| Mar 28, 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 Apr 29, 2024 |
| Mar 28, 2024 | 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 Apr 29, 2024 |
| Mar 28, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 29, 2024 |
| Mar 28, 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 Apr 29, 2024 |
| Mar 28, 2024 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 29, 2024 |
| Mar 28, 2024 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 29, 2024 |
| Mar 28, 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 | E · Potential harm Pattern | Corrected Apr 29, 2024 |
| Mar 28, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 29, 2024 |
| Mar 28, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 29, 2024 |
| Mar 28, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Plan of correction, not yet verified Apr 29, 2024 |
| Jan 30, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Dec 21, 2022 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 10, 2023 |
| Dec 21, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 10, 2023 |
| Dec 21, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 10, 2023 |
| Dec 21, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 10, 2023 |
| Dec 21, 2022 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 10, 2023 |
| Dec 21, 2022 | 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 Feb 10, 2023 |
| Dec 21, 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 Feb 10, 2023 |
| Dec 21, 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 Mar 9, 2023 |
| Dec 21, 2022 | 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 Feb 7, 2023 |
| Dec 21, 2022 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 31, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.55 (case-mix index 1.42).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Nov 1, 2024 |
| Anna Munoz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 15, 2024 |
| Vikas Reddy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 22, 2025 |
| Nikolas Stengle | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 8, 2025 |
| Heather Vining | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 22, 2025 |
| Chadwick White | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 9, 2018 |
| Raymond Leisure | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 1, 2024 |
| Nikolas Stengle | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 8, 2025 |
| Chadwick White | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 9, 2018 |
| Dawn Kussow | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 15, 2024 |
| Kevin La Marre | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 22, 2017 |
| Raymond Leisure | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2024 |
| Anna Munoz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 15, 2024 |
| Nikolas Stengle | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 8, 2025 |
| Chadwick White | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 9, 2018 |
| Ally Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Feb 9, 2024 |
| Ally Financial Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 2, 2025 |
| American Retirement Corporation | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 15, 1998 |
| Arc Greenwood Village Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 5, 2006 |
| Brookdale Senior Living Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 25, 2006 |
| Ib Finance Holding Company LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 2, 2025 |
| Lbmc PC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Walters Financial Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 22, 2025 |
| Jordan Asher | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 24, 2020 |
| Claudia Drayton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 18, 2024 |
| Mark Fioravanti | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 13, 2025 |
| Victoria Freed | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 29, 2019 |
| Joshua Hausman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 24, 2025 |
| Tabetha Houston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 27, 2025 |
| Rajendra Kadari | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 26, 2025 |
| Dawn Kussow | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 15, 2024 |
| Raymond Leisure | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2024 |
| Elizabeth Mace | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 18, 2024 |
| Vikas Reddy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 26, 2025 |
| Denise Warren | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 4, 2018 |
| Chadwick White | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 9, 2018 |
| Lee Wielansky | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 23, 2015 |