BROOKSHIRE POST ACUTE
4660 E ASBURY CIR, DENVER, CO 80222 · CCN 065242
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 67
- Avg residents/day
- 56.9
- Phone
- 3037561546
Inspection history vs Colorado & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-16 | 15 | 8.7 | 9.5 | +6.3 worse |
| 2 | 2024-01-25 | 13 | 8.7 | 9.8 | +4.3 worse |
| 3 | 2022-09-29 | 17 | 7.5 | 9.3 | +9.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Environmental | 1 |
| Administration | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.48 | 58.2% |
| RN staffing (reported) | 0.87 | 80.0% |
| Total nurse staffing (adjusted) | 4.01 | — |
Fines & penalties
- Total fines
- $75,713
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (45)2 immediate jeopardy3 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2026-01-06 · Health · corrected 2026-01-30
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-16 · Health · corrected 2025-11-13
Immediate jeopardy
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-10-16 · Health · corrected 2025-11-13
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-01-16 · Health · corrected 2025-02-07
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-01-16 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-01-16 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2025-01-16 · Health · corrected 2025-02-07
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-01-16 · Health · corrected 2025-02-12
Potential for more than minimal harm
- EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- EF0584Honor 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.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0688Provide 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.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- EF0761Ensure 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.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-01-25 · Health · corrected 2024-02-15
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-12 · Health · corrected 2023-11-08
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-12 · Health · corrected 2023-11-22
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-10-12 · Health · corrected 2023-11-13
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-12 · Health · corrected 2023-11-13
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-12 · Health · corrected 2023-11-13
Actual harm
- GF0688Provide 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.2023-10-12 · Health · corrected 2023-11-22
Actual harm
- DF0578Honor 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.2022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-09-29 · Health · corrected 2022-10-04
Immediate jeopardy
- EF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
- EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
- EF0888Ensure staff are vaccinated for COVID-192022-09-29 · Health · corrected 2022-10-04
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CENTENNIAL MASTER TENANT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-10-11 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HORTON, CHRISTOPHER | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-04-20 |
| MBIDA, ZACHARIE | Individual | W-2 MANAGING EMPLOYEE | — | 2023-11-27 |
Other facilities in DENVER
| Name | Overall | Beds |
|---|---|---|
| SUITES AT CLERMONT PARK CARE CENTER, THE | ★★★★★ | 63 |
| SOUTH VALLEY POST ACUTE REHABILITATION | ★★★★★ | 106 |
| PARKVIEW CARE CENTER | ★★★★★ | 73 |
| BERKLEY MANOR CARE CENTER | ★★★★★ | 118 |
| SLOAN'S LAKE REHABILITATION CENTER | ★★★★★ | 42 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.