COAL CREEK POST ACUTE & ASSISTED LIVING
329 EXEMPLA CIR, LAFAYETTE, CO 80026 · CCN 065414
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 70
- Avg residents/day
- 36.3
- Phone
- 7206392200
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 | 2025-08-21 | 5 | 8.7 | 9.5 | -3.7 better |
| 2 | 2024-02-29 | 10 | 8.7 | 9.8 | +1.3 worse |
| 3 | 2019-11-25 | 7 | 7.5 | 9.3 | -0.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 7.33 | 70.0% |
| RN staffing (reported) | 1.33 | 81.3% |
| Total nurse staffing (adjusted) | 6.06 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 1
- Payment denials
- 1
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (22)1 actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-21 · Health · corrected 2025-09-20
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.2025-08-21 · Health · corrected 2025-09-11
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.2025-08-21 · Health · corrected 2025-09-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-08-21 · Health · corrected 2025-09-20
Potential for more than minimal harm
- DF0887Educate 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.2025-08-21 · Health · corrected 2025-09-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-13 · Health · corrected 2024-12-16
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-13 · Health · corrected 2024-12-16
Actual harm
- DF0760Ensure that residents are free from significant medication errors.2024-11-13 · Health · corrected 2024-12-16
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.2024-08-27 · Health · corrected 2024-09-26
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.2024-02-29 · Health · corrected 2024-03-23
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.2024-02-29 · Health · corrected 2024-03-23
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-29 · Health · corrected 2024-03-23
Potential for more than minimal harm
- DF0761Ensure 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.2024-02-29 · Health · corrected 2024-03-23
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-02-29 · Health · corrected 2024-03-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-29 · Health · corrected 2024-03-23
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.2019-11-25 · Health · corrected 2019-12-29
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2019-11-25 · Health · corrected 2020-01-31
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-11-25 · Health · corrected 2019-12-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-11-25 · Health · corrected 2019-12-29
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-11-25 · Health · corrected 2020-01-31
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-11-25 · Health · corrected 2019-12-29
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-11-25 · Health · corrected 2019-12-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PANTHER MASTER TENANT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-09-01 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-09-01 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-09-01 |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-09-01 |
| 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 |
| ESFAHANI, REZA | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2015-03-01 |
| BADER, CARLY | Individual | W-2 MANAGING EMPLOYEE | — | 2023-09-01 |
Other facilities in LAFAYETTE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.