WESTWOOD POST ACUTE
3185 W ARKANSAS AVE, DENVER, CO 80219 · CCN 065274
SFF Candidate
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 85
- Avg residents/day
- 68.0
- Phone
- 3039221169
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 | 2025-04-25 | 21 | 8.7 | 9.5 | +12.3 worse |
| 2 | 2023-09-28 | 22 | 8.7 | 9.8 | +13.3 worse |
| 3 | 2020-02-27 | 7 | 7.5 | 9.3 | -0.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 8 |
| Resident assessment and care planning | 2 |
| Resident rights | 4 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.44 | 36.2% |
| RN staffing (reported) | 0.61 | 54.5% |
| Total nurse staffing (adjusted) | 3.93 | — |
Fines & penalties
- Total fines
- $65,470
- Number of fines
- 3
- Number of penalties
- 5
- Payment denials
- 2
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (50)2 immediate jeopardy4 actual harm
- EF0567Honor the resident's right to manage his or her financial affairs.2025-04-25 · Health · corrected 2025-05-09
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-04-25 · Health · corrected 2025-05-01
Potential for minimal harm
- 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.2025-04-25 · Health · corrected 2025-05-01
Potential for more than minimal harm
- DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0659Provide care by qualified persons according to each resident's written plan of care.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-25 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-25 · Health · corrected 2025-04-30
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- EF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2025-04-25 · Health · corrected 2025-05-01
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- FF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2025-04-25 · Health · corrected 2025-05-12
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.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-04-25 · Health · corrected 2025-05-15
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- 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.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0585Honor 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.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-07 · Health · corrected 2024-04-30
Actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-07 · Health · corrected 2024-04-30
Actual harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2024-03-07 · Health · corrected 2024-04-05
Actual 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.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2024-03-07 · Health · corrected 2024-04-30
Immediate jeopardy
- 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.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-07 · Health · corrected 2024-04-30
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.2024-03-07 · Health · corrected 2024-04-30
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.2024-03-07 · Health · corrected 2024-04-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-07 · Health · corrected 2024-04-30
Potential for more than minimal harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-09-28 · Health · corrected 2023-10-21
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.2023-09-28 · Health · corrected 2023-10-21
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2023-09-28 · Health · corrected 2023-10-21
Actual 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.2023-09-28 · Health · corrected 2023-10-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-10-21
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2020-02-27 · Health · corrected 2020-04-10
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2020-02-27 · Health · corrected 2020-03-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-02-27 · Health · corrected 2020-03-27
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2020-02-27 · Health · corrected 2020-03-27
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2020-02-27 · Health · corrected 2020-03-27
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.2020-02-27 · Health · corrected 2020-04-11
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2020-02-27 · Health · corrected 2020-04-02
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 | — | 2022-10-11 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2022-10-11 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2022-10-11 |
| HORTON, CHRISTOPHER | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-04-20 |
| CONNOR, ANGELA | Individual | W-2 MANAGING EMPLOYEE | — | 2024-02-12 |
Other facilities in DENVER
| Name | Overall | Beds |
|---|---|---|
| SUITES AT CLERMONT PARK CARE CENTER, THE | ★★★★★ | 63 |
| SOUTH VALLEY POST ACUTE REHABILITATION | ★★★★★ | 106 |
| PARKVIEW CARE CENTER | ★★★★★ | 73 |
| BERKLEY MANOR CARE CENTER | ★★★★★ | 118 |
| SLOAN'S LAKE REHABILITATION CENTER | ★★★★★ | 42 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.