Starfile / Colorado

LAKEWOOD VILLA

1625 SIMMS ST, LAKEWOOD, CO 80215 · CCN 065408

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

$40,006

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

MADISON CREEK PARTNERS

Facilities in chain

12

Chain avg overall

3.20 / 5

Inspection citations (22)1 immediate jeopardy4 actual harm

1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-07 · Health · corrected 2025-07-27

   Potential for more than minimal harm

2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-25 · Health · corrected 2025-04-25

   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.2024-12-19 · Health · corrected 2025-01-17

   Potential for more than minimal harm

4. DF0759Ensure medication error rates are not 5 percent or greater.2024-12-19 · Health · corrected 2025-01-17

   Potential for more than minimal harm

5. DF0760Ensure that residents are free from significant medication errors.2024-12-19 · Health · corrected 2025-01-17

   Potential for more than minimal harm

6. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-19 · Health · corrected 2025-01-17

   Potential for more than minimal harm

7. EF0880Provide and implement an infection prevention and control program.2024-12-19 · Health · corrected 2025-01-17

   Potential for more than minimal harm

8. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-01 · Health · corrected 2024-02-07

   Immediate jeopardy

9. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-01-25 · Health · corrected 2024-02-19

   Potential for more than minimal harm

10. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-01-25 · Health · corrected 2024-02-21

    Potential for more than minimal harm

11. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-07-17 · Health · corrected 2023-08-09

    Potential for more than minimal harm

12. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-17 · Health · corrected 2023-08-09

    Potential for more than minimal harm

13. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-17 · Health · corrected 2023-08-09

    Actual harm

14. GF0692Provide enough food/fluids to maintain a resident's health.2023-07-17 · Health · corrected 2023-08-09

    Actual harm

15. 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.2023-07-17 · Health · corrected 2023-08-09

    Potential for more than minimal harm

16. 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.2023-07-17 · Health · corrected 2023-08-09

    Potential for more than minimal harm

17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-17 · Health · corrected 2023-08-09

    Potential for more than minimal harm

18. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-22 · Health · corrected 2023-03-27

    Potential for more than minimal harm

19. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2019-10-31 · Health · corrected 2019-11-22

    Actual harm

20. DF0625Notify 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.2019-10-31 · Health · corrected 2019-11-15

    Potential for more than minimal harm

21. GF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2019-10-31 · Health · corrected 2019-12-02

    Actual harm

22. EF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2019-10-31 · Health · corrected 2019-11-10

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in LAKEWOOD

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