Starfile

Starfile / Colorado

LAKEWOOD POST ACUTE AND REHABILITATION

7395 W EASTMAN PL, LAKEWOOD, CO 80227 · CCN 065400

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Limited Liability company
Certified beds
108
Avg residents/day
20.3
Phone
3037308000

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
12025-03-27118.79.5+2.3 worse
22023-09-28128.79.8+3.3 worse
32020-02-25117.59.3+3.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care3
Resident assessment and care planning2
Nursing and physician services1
Resident rights1
Nutrition and dietary1
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)6.6558.1%
RN staffing (reported)1.5477.8%
Total nurse staffing (adjusted)5.67

Fines & penalties

Total fines
$49,137
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 (34)3 actual harm

  1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  4. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  5. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  6. EF0730Observe each nurse aide's job performance and give regular training.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  7. 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.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  8. 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.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  9. DF0808Ensure 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.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  10. EF0880Provide and implement an infection prevention and control program.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  11. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-03-27 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  12. EF0578Honor 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.2023-09-28 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  13. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-28 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  14. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-28 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  15. GF0692Provide enough food/fluids to maintain a resident's health.2023-09-28 · Health · corrected 2023-10-22

    Actual harm

  16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-28 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  17. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-09-28 · Health · corrected 2023-12-19

    Actual harm

  18. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-09-28 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  19. DF0760Ensure that residents are free from significant medication errors.2023-09-28 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  20. FF0761Ensure 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.2023-09-28 · Health · corrected 2023-12-19

    Potential for more than minimal harm

  21. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-28 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  22. EF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  23. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-09-28 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  24. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-19 · Health · corrected 2023-05-19

    Actual harm

  25. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

  26. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

  27. 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.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

  28. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

  29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

  30. EF0695Provide safe and appropriate respiratory care for a resident when needed.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

  31. 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.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

  32. 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.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

  33. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

  34. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2020-02-25 · Health · corrected 2020-03-23

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PANTHER MASTER TENANT, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-09-01
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-09-01
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-09-01
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-09-01
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
APT, FREDERICKIndividualCORPORATE OFFICER2024-01-01
JERGENSEN, JOSHUAIndividualCORPORATE OFFICER2024-01-01
MITCHELL, JOHNIndividualCORPORATE OFFICER2024-01-01
JAVERY, SHAHIDIndividualCONTRACTED MANAGING EMPLOYEE2023-07-20
HANCOCK, MARKIndividualCORPORATE OFFICER2024-01-01
BIRRELL, AUSTINIndividualW-2 MANAGING EMPLOYEE2024-05-15

Other facilities in LAKEWOOD

NameOverallBeds
WESTERN HILLS HEALTH CARE CENTER★★★★★140
AHC OF LAKEWOOD, LLC★★★★★36
Edgewater Health and Rehabilitation★★★★☆67
VILLA MANOR CARE CENTER★★★★☆110
CAMBRIDGE CARE CENTER★★★★☆110

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