Starfile / Colorado

Heights Care & Rehabilitation LLC

3131 S FEDERAL BLVD, DENVER, CO 80236 · CCN 065191

Abuse icon

Inspection history vs Colorado & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$77,665

Number of fines

3

Number of penalties

4

Payment denials

1

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (57)1 immediate jeopardy4 actual harm

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-09 · Health · corrected 2025-12-22

   Potential for more than minimal harm

2. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

3. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-09 · Health · corrected 2024-07-29

   Potential for more than minimal harm

4. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-15 · Health · corrected 2024-06-07

   Actual harm

5. DF0880Provide and implement an infection prevention and control program.2024-05-15 · Health · corrected 2024-06-07

   Potential for more than minimal harm

6. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-03-19 · Health · corrected 2024-04-01

   Potential for more than minimal harm

7. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-19 · Health · corrected 2024-04-01

   Potential for more than minimal harm

8. DF0880Provide and implement an infection prevention and control program.2024-03-19 · Health · corrected 2024-04-01

   Potential for more than minimal harm

9. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-01-11 · Health · corrected 2024-03-13

   Potential for more than minimal harm

10. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-01-11 · Health · corrected 2024-02-09

    Potential for more than minimal harm

11. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-01-11 · Health · corrected 2024-02-02

    Potential for more than minimal harm

12. CF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-01-11 · Health · corrected 2024-02-02

    Potential for minimal harm

13. 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.2024-01-11 · Health · corrected 2024-03-13

    Potential for more than minimal harm

14. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-01-11 · Health · corrected 2024-03-18

    Potential for more than minimal harm

15. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-11 · Health · corrected 2024-03-18

    Potential for more than minimal harm

16. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-11 · Health · corrected 2024-02-09

    Potential for more than minimal harm

17. DF0610Respond appropriately to all alleged violations.2024-01-11 · Health · corrected 2024-02-09

    Potential for more than minimal harm

18. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-01-11 · Health · corrected 2024-03-13

    Potential for more than minimal harm

19. DF0685Assist a resident in gaining access to vision and hearing services.2024-01-11 · Health · corrected 2024-03-18

    Potential for more than minimal harm

20. EF0688Provide 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.2024-01-11 · Health · corrected 2024-03-18

    Potential for more than minimal harm

21. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-11 · Health · corrected 2024-03-18

    Potential for more than minimal harm

22. JF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-01-11 · Health · corrected 2024-01-12

    Immediate jeopardy

23. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-01-11 · Health · corrected 2024-03-18

    Potential for more than minimal harm

24. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2024-01-11 · Health · corrected 2024-02-02

    Potential for more than minimal harm

25. EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-01-11 · Health · corrected 2024-02-06

    Potential for more than minimal harm

26. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-01-11 · Health · corrected 2024-02-07

    Potential for more than minimal harm

27. GF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-01-11 · Health · corrected 2024-03-18

    Actual harm

28. EF0880Provide and implement an infection prevention and control program.2024-01-11 · Health · corrected 2024-02-07

    Potential for more than minimal harm

29. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-01-11 · Health · corrected 2024-02-07

    Potential for more than minimal harm

30. EF0680Ensure the activities program is directed by a qualified professional.2023-10-19 · Health · corrected 2023-11-15

    Potential for more than minimal harm

31. EF0688Provide 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.2023-10-19 · Health · corrected 2023-12-04

    Potential for more than minimal harm

32. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-10-19 · Health · corrected 2023-11-11

    Potential for more than minimal harm

33. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-08-16 · Health · corrected 2023-09-08

    Potential for more than minimal harm

34. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-16 · Health · corrected 2023-09-08

    Actual harm

35. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-16 · Health · corrected 2023-09-08

    Potential for more than minimal harm

36. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-16 · Health · corrected 2023-09-08

    Actual harm

37. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-08-16 · Health · corrected 2023-09-08

    Potential for more than minimal harm

38. EF0880Provide and implement an infection prevention and control program.2023-08-16 · Health · corrected 2023-09-08

    Potential for more than minimal harm

39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-25 · Health · corrected 2023-08-14

    Potential for more than minimal harm

40. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-15 · Health · corrected 2023-08-04

    Potential for more than minimal harm

41. 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.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

42. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

43. DF0610Respond appropriately to all alleged violations.2022-09-16 · Health · corrected 2022-10-26

    Potential for more than minimal harm

44. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

45. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

46. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

47. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

48. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-16 · Health · corrected 2022-10-14

    Potential for more than minimal harm

49. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-09-16 · Health · corrected 2022-11-23

    Potential for more than minimal harm

50. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2019-11-21 · Health · corrected 2019-12-23

    Potential for more than minimal harm

51. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-11-21 · Health · corrected 2019-12-23

    Potential for more than minimal harm

52. DF0610Respond appropriately to all alleged violations.2019-11-21 · Health · corrected 2019-12-23

    Potential for more than minimal harm

53. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-11-21 · Health · corrected 2019-12-23

    Potential for more than minimal harm

54. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-11-21 · Health · corrected 2019-12-23

    Potential for more than minimal harm

55. DF0759Ensure medication error rates are not 5 percent or greater.2019-11-21 · Health · corrected 2020-01-06

    Potential for more than minimal harm

56. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-11-21 · Health · corrected 2019-12-23

    Potential for more than minimal harm

57. EF0880Provide and implement an infection prevention and control program.2019-11-21 · Health · corrected 2019-12-23

    Potential for more than minimal harm

Ownership

Other facilities in DENVER

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.