Starfile

Starfile / Colorado

IRONDALE POST ACUTE

7150 POPLAR ST, COMMERCE CITY, CO 80022 · CCN 065318

SFF Candidate

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★☆☆☆ 2
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
95
Avg residents/day
77.3
Phone
3032897110

Inspection history vs Colorado & national averages

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

CycleInspection dateThis facilityColorado avgNational avgvs state
12023-12-14138.79.5+4.3 worse
22022-09-0138.79.8-5.7 better
32020-02-13117.59.3+3.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care6
Nutrition and dietary1
Pharmacy service2
Administration2
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1656.1%
RN staffing (reported)0.5081.8%
Total nurse staffing (adjusted)3.69

Fines & penalties

Total fines
$97,055
Number of fines
4
Number of penalties
5
Payment denials
1

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (27)2 immediate jeopardy3 actual harm

  1. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-12-08 · Health · corrected 2025-12-23

    Potential for more than minimal harm

  2. LF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-09 · Health · corrected 2025-11-11

    Immediate jeopardy

  3. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-10-09 · Health · corrected 2025-11-11

    Potential for more than minimal harm

  4. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-30 · Health · corrected 2025-01-28

    Immediate jeopardy

  5. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-20 · Health · corrected 2024-09-12

    Actual harm

  6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-14 · Health · corrected 2024-01-04

    Potential for more than minimal harm

  7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-14 · Health · corrected 2024-01-04

    Potential for more than minimal harm

  8. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-12-14 · Health · corrected 2024-01-04

    Actual harm

  9. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-14 · Health · corrected 2024-01-04

    Potential for more than minimal harm

  10. 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.2023-12-14 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  11. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-14 · Health · corrected 2024-01-04

    Potential for more than minimal harm

  12. 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.2023-12-14 · Health · corrected 2024-01-04

    Potential for more than minimal harm

  13. EF0880Provide and implement an infection prevention and control program.2023-12-14 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  14. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-12-14 · Health · corrected 2024-01-04

    Potential for more than minimal harm

  15. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-09-13 · Health · corrected 2023-10-23

    Potential for more than minimal harm

  16. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-06 · Health · corrected 2023-04-03

    Potential for more than minimal harm

  17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-06 · Health · corrected 2023-04-03

    Potential for more than minimal harm

  18. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-06 · Health · corrected 2023-04-03

    Potential for more than minimal harm

  19. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-03-06 · Health · corrected 2023-04-03

    Potential for more than minimal harm

  20. GF0692Provide enough food/fluids to maintain a resident's health.2022-09-01 · Health · corrected 2022-09-09

    Actual harm

  21. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-01 · Health · corrected 2022-09-09

    Potential for more than minimal harm

  22. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-02-13 · Health · corrected 2020-03-19

    Potential for more than minimal harm

  23. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2020-02-13 · Health · corrected 2020-03-24

    Potential for more than minimal harm

  24. DF0660Plan the resident's discharge to meet the resident's goals and needs.2020-02-13 · Health · corrected 2020-03-19

    Potential for more than minimal harm

  25. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-02-13 · Health · corrected 2020-03-24

    Potential for more than minimal harm

  26. DF0695Provide safe and appropriate respiratory care for a resident when needed.2020-02-13 · Health · corrected 2020-03-19

    Potential for more than minimal harm

  27. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2020-02-13 · Health · corrected 2020-03-19

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
ENDURA HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-08-14
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2014-06-18
KARE TECHNOLOGIES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2020-03-01
PRIME TIME HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2020-03-01
ENGLADE, KEITHIndividualOPERATIONAL/MANAGERIAL CONTROL2020-03-01
HORTON, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL2020-03-01
JORGENSEN, DAVIDIndividualCORPORATE DIRECTOR2020-03-01
BURNAM, SOONIndividualCORPORATE OFFICER2019-08-14
GRAHAM, JOSEPHIndividualCORPORATE OFFICER2020-03-01
KEETCH, CHADIndividualCORPORATE OFFICER2011-03-01
SATO, AMIIndividualCORPORATE OFFICER2024-09-09

Other facilities in COMMERCE CITY

NameOverallBeds
RIDGEVIEW POST ACUTE★★★☆☆112

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