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.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-27 | 11 | 8.7 | 9.5 | +2.3 worse |
| 2 | 2023-09-28 | 12 | 8.7 | 9.8 | +3.3 worse |
| 3 | 2020-02-25 | 11 | 7.5 | 9.3 | +3.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 6.65 | 58.1% |
| RN staffing (reported) | 1.54 | 77.8% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-03-27 · Health · corrected 2025-05-09
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- GF0692Provide enough food/fluids to maintain a resident's health.2023-09-28 · Health · corrected 2023-10-22
Actual harm
- 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
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-09-28 · Health · corrected 2023-12-19
Actual harm
- 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
- DF0760Ensure that residents are free from significant medication errors.2023-09-28 · Health · corrected 2023-10-22
Potential for more than minimal harm
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-10-22
Potential for more than minimal harm
- 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
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-19 · Health · corrected 2023-05-19
Actual harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
| 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 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JAVERY, SHAHID | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-07-20 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| BIRRELL, AUSTIN | Individual | W-2 MANAGING EMPLOYEE | — | 2024-05-15 |
Other facilities in LAKEWOOD
| Name | Overall | Beds |
|---|---|---|
| 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.