SKYLAKE POST ACUTE
12080 BELLAIRE WY, THORNTON, CO 80241 · CCN 065238
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 242
- Avg residents/day
- 177.6
- Phone
- 3034502700
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 | 2025-12-01 | 11 | 8.7 | 9.5 | +2.3 worse |
| 2 | 2024-01-09 | 22 | 8.7 | 9.8 | +13.3 worse |
| 3 | 2022-09-16 | 4 | 7.5 | 9.3 | -3.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.99 | 39.4% |
| RN staffing (reported) | 0.53 | 20.0% |
| Total nurse staffing (adjusted) | 3.46 | — |
Fines & penalties
- Total fines
- $25,572
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (37)2 immediate jeopardy
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-01 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2025-12-01 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-01 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-12-01 · Health · corrected 2025-12-15
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-12-01 · Health · corrected 2025-12-11
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.2025-12-01 · Health · corrected 2025-12-11
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.2025-12-01 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-12-01 · Health · corrected 2025-12-11
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.2025-12-01 · Health · corrected 2025-12-11
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-12-01 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-07 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-06-14 · Health · corrected 2024-07-19
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-14 · Health · corrected 2024-07-19
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-14 · Health · corrected 2024-07-19
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-06-14 · Health · corrected 2024-07-19
Potential for more than minimal harm
- FF0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.2024-06-14 · Health · corrected 2024-07-19
Potential for more than minimal harm
- EF0585Honor 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.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal 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.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- EF0803Ensure 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.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-01-09 · Health · corrected 2024-02-20
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-01-09 · Health · corrected 2024-02-03
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.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-09 · Health · corrected 2024-02-07
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2024-01-09 · Health · corrected 2024-02-03
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.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-01-09 · Health · corrected 2024-02-27
Potential for more than minimal harm
- EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-01-09 · Health · corrected 2024-02-03
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2022-09-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-09-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-16 · Health · corrected 2022-09-16
Immediate jeopardy
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-16 · Health · corrected 2022-09-19
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PANTHER MASTER TENANT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-11-03 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2024-01-01 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2024-01-01 |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-11-03 |
| GOLDHAMMER, GRADY | Individual | W-2 MANAGING EMPLOYEE | — | 2023-11-03 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-11-03 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| FRASER, MALCOLM | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-11-03 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-11-03 |
Other facilities in THORNTON
| Name | Overall | Beds |
|---|---|---|
| VILLAS AT SUNNY ACRES, THE | ★★★★☆ | 160 |
| THORNTON CARE CENTER | ★★☆☆☆ | 101 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.