Starfile / Colorado

OAKWOOD CARE AND REHABILITATION

5301 W 1ST AVE, LAKEWOOD, CO 80226 · CCN 065248

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

$235,923

Number of fines

4

Number of penalties

6

Payment denials

2

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (69)2 immediate jeopardy9 actual harm

1. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-12-18 · Health · corrected 2025-12-31

   Potential for more than minimal harm

2. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-18 · Health · corrected 2026-01-15

   Potential for more than minimal harm

3. 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.2025-12-18 · Health · corrected 2025-12-23

   Potential for more than minimal harm

4. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-18 · Health · corrected 2026-01-15

   Potential for more than minimal harm

5. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-11 · Health · corrected 2025-10-10

   Potential for more than minimal harm

6. DF0679Provide activities to meet all resident's needs.2025-09-11 · Health · corrected 2025-10-10

   Potential for more than minimal harm

7. DF0730Observe each nurse aide's job performance and give regular training.2025-09-11 · Health · corrected 2025-10-10

   Potential for more than minimal harm

8. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-11 · Health · corrected 2025-10-10

   Potential for more than minimal harm

9. DF0880Provide and implement an infection prevention and control program.2025-09-11 · Health · corrected 2025-10-10

   Potential for more than minimal harm

10. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-09-11 · Health · corrected 2025-10-10

    Potential for more than minimal harm

11. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-12 · Health · corrected 2025-07-04

    Potential for more than minimal harm

12. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-12 · Health · corrected 2025-07-04

    Potential for more than minimal harm

13. DF0760Ensure that residents are free from significant medication errors.2025-06-12 · Health · corrected 2025-07-04

    Potential for more than minimal harm

14. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-29 · Health · corrected 2025-03-07

    Actual harm

15. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-29 · Health · corrected 2025-03-07

    Potential for more than minimal harm

16. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-01-29 · Health · corrected 2025-03-07

    Potential for more than minimal harm

17. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-29 · Health · corrected 2025-03-07

    Potential for more than minimal harm

18. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-29 · Health · corrected 2025-03-07

    Potential for more than minimal harm

19. DF0880Provide and implement an infection prevention and control program.2025-01-29 · Health · corrected 2025-03-07

    Potential for more than minimal harm

20. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-04-10 · Health · corrected 2024-05-02

    Potential for more than minimal harm

21. DF0584Honor 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.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

22. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-10 · Health · corrected 2024-05-05

    Actual harm

23. DF0610Respond appropriately to all alleged violations.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

24. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

25. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

26. EF0685Assist a resident in gaining access to vision and hearing services.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

27. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-10 · Health · corrected 2024-05-02

    Potential for more than minimal harm

28. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

29. EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

30. 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.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

31. 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.2024-04-10 · Health · corrected 2024-05-02

    Potential for more than minimal harm

32. EF0791Provide or obtain dental services for each resident.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

33. EF0880Provide and implement an infection prevention and control program.2024-04-10 · Health · corrected 2024-05-02

    Potential for more than minimal harm

34. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-04-10 · Health · corrected 2024-05-02

    Potential for more than minimal harm

35. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-04-10 · Health · corrected 2024-05-05

    Potential for more than minimal harm

36. GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-09 · Health · corrected 2023-11-09

    Actual harm

37. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-10-09 · Health · corrected 2023-11-09

    Potential for minimal harm

38. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-09 · Health · corrected 2023-11-24

    Immediate jeopardy

39. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-09 · Health · corrected 2023-11-28

    Potential for more than minimal harm

40. DF0610Respond appropriately to all alleged violations.2023-10-09 · Health · corrected 2023-11-09

    Potential for more than minimal harm

41. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-09 · Health · corrected 2023-11-09

    Actual harm

42. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-10-09 · Health · corrected 2023-11-09

    Actual harm

43. EF0730Observe each nurse aide's job performance and give regular training.2023-10-09 · Health · corrected 2023-11-09

    Potential for more than minimal harm

44. GF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-10-09 · Health · corrected 2023-11-09

    Actual harm

45. GF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-10-09 · Health · corrected 2023-11-09

    Actual harm

46. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-10-09 · Health · corrected 2023-11-09

    Potential for more than minimal harm

47. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-09 · Health · corrected 2023-11-09

    Potential for more than minimal harm

48. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-09 · Health · corrected 2023-11-09

    Potential for more than minimal harm

49. FF0814Dispose of garbage and refuse properly.2023-07-20 · Health · corrected 2023-08-11

    Potential for more than minimal harm

50. FF0880Provide and implement an infection prevention and control program.2023-07-20 · Health · corrected 2023-08-11

    Potential for more than minimal harm

51. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-04 · Health · corrected 2023-06-02

    Immediate jeopardy

52. DF0567Honor the resident's right to manage his or her financial affairs.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

53. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

54. 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.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

55. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

56. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

57. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

58. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

59. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

60. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

61. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-11-17 · Health · corrected 2022-12-23

    Actual harm

62. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-17 · Health · corrected 2022-12-22

    Actual harm

63. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

64. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

65. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

66. 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.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

67. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

68. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

69. 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.2022-11-17 · Health · corrected 2022-12-17

    Potential for more than minimal harm

Ownership

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.