SIERRA POST ACUTE
1432 DEPEW ST, LAKEWOOD, CO 80214 · CCN 065272
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 102
- Avg residents/day
- 86.0
- Phone
- 3032381375
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 | 2023-10-24 | 14 | 8.7 | 9.5 | +5.3 worse |
| 2 | 2022-09-15 | 17 | 8.7 | 9.8 | +8.3 worse |
| 3 | 2021-06-10 | 6 | 7.5 | 9.3 | -1.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Nursing and physician services | 1 |
| Resident rights | 3 |
| Pharmacy service | 2 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.38 | 50.0% |
| RN staffing (reported) | 0.53 | 46.2% |
| Total nurse staffing (adjusted) | 4.39 | — |
Fines & penalties
- Total fines
- $12,874
- 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 (37)1 immediate jeopardy7 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2026-01-29 · Health · corrected 2026-02-09
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-29 · Health · corrected 2026-02-07
Actual harm
- FF0880Provide and implement an infection prevention and control program.2026-01-29 · Health · corrected 2026-02-04
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-10-20 · Health · corrected 2025-11-13
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-26 · Health · corrected 2025-03-17
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-05 · Health · corrected 2024-08-21
Immediate jeopardy
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-03-20 · Health · corrected 2024-04-07
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-03-20 · Health · corrected 2024-04-07
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-24 · Health · corrected 2023-11-17
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.2023-10-24 · Health · corrected 2023-11-17
Potential for more than minimal harm
- FF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-10-24 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-10-24 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-24 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-10-24 · Health · corrected 2023-12-13
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2023-10-24 · Health · corrected 2023-11-17
Actual harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-10-24 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-10-24 · Health · corrected 2023-11-17
Potential for more than minimal harm
- 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.2023-10-24 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2023-10-24 · Health · corrected 2023-11-17
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-10-24 · Health · corrected 2023-11-17
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-04 · Health · corrected 2023-05-06
Actual harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-09-15 · Health · corrected 2022-09-22
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-09-15 · Health · corrected 2022-09-22
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-09-15 · Health · corrected 2022-09-22
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-15 · Health · corrected 2022-09-22
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2022-09-15 · Health · corrected 2022-09-22
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-15 · Health · corrected 2022-09-22
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2022-09-15 · Health · corrected 2022-09-22
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-15 · Health · corrected 2022-09-22
Actual harm
- GF0692Provide enough food/fluids to maintain a resident's health.2022-09-15 · Health · corrected 2022-09-22
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-15 · Health · corrected 2022-09-22
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.2022-09-15 · Health · corrected 2022-09-22
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.2022-09-15 · Health · corrected 2022-09-22
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-09-15 · Health · corrected 2022-09-22
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2021-06-10 · Health · corrected 2021-05-06
Actual 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.2021-06-10 · Health · corrected 2021-07-23
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2021-06-10 · Health · corrected 2021-07-27
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CENTENNIAL MASTER TENANT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-10-11 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| 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 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HORTON, CHRISTOPHER | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-02-01 |
| EBERHARD, JAROM | Individual | W-2 MANAGING EMPLOYEE | — | 2024-04-08 |
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.