MAPLETON POST ACUTE
115 INGALLS ST, LAKEWOOD, CO 80226 · CCN 065097
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 90
- Avg residents/day
- 66.7
- Phone
- 3032371325
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 | 2024-12-05 | 7 | 8.7 | 9.5 | -1.7 better |
| 2 | 2023-06-29 | 17 | 8.7 | 9.8 | +8.3 worse |
| 3 | 2019-08-29 | 7 | 7.5 | 9.3 | -0.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.88 | 46.9% |
| RN staffing (reported) | 0.50 | 25.0% |
| Total nurse staffing (adjusted) | 3.61 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (31)1 actual harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-06-17 · Health · corrected 2025-07-07
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-17 · Health · corrected 2025-07-07
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-05 · Health · corrected 2025-01-01
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-12-05 · Health · corrected 2025-01-01
Potential for more than minimal harm
- DF0688Provide 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.2024-12-05 · Health · corrected 2025-01-01
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.2024-12-05 · Health · corrected 2025-01-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2025-01-01
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-19 · Health · corrected 2024-04-09
Actual harm
- FF0760Ensure that residents are free from significant medication errors.2024-03-19 · Health · corrected 2024-04-09
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-19 · Health · corrected 2024-04-09
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-06-29 · Health · corrected 2023-07-24
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.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- 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.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-06-29 · Health · corrected 2023-07-24
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-04-19 · Health · corrected 2023-05-12
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.2023-04-19 · Health · corrected 2023-05-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-04-19 · Health · corrected 2023-05-17
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-08-29 · Health · corrected 2019-09-20
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2019-08-29 · Health · corrected 2019-09-20
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-08-29 · Health · corrected 2019-09-26
Potential for more than minimal harm
- 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.2019-08-29 · Health · corrected 2019-10-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ENDURA HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-09-19 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-03-01 |
| HORTON, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 |
| MCDONALD, DONTRE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 |
| JORGENSEN, DAVID | Individual | CORPORATE DIRECTOR | — | 2023-03-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2022-09-19 |
| DUNYON, DAVID | Individual | CORPORATE OFFICER | — | 2023-03-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| SATO, AMI | Individual | CORPORATE OFFICER | — | 2024-09-09 |
Other facilities in LAKEWOOD
| Name | Overall | Beds |
|---|---|---|
| AHC OF LAKEWOOD, LLC | ★★★★★ | 36 |
| WESTERN HILLS HEALTH CARE CENTER | ★★★★★ | 140 |
| VILLA MANOR CARE CENTER | ★★★★☆ | 110 |
| Edgewater Health and Rehabilitation | ★★★★☆ | 67 |
| 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.