D68

SIERRA POST ACUTE

Grade D 68/100 composite score

For profit - Limited Liability companyAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
1/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

102

Ownership

For profit - Limited Liability company

Total Fines

$12,874

Last Survey

N/A

1432 DEPEW ST, LAKEWOOD, CO 80214
3032381375

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.69h
LPN
1.04h
CNA
2.66h
Total
4.39h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CENTENNIAL MASTER TENANT, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2022

100%

PACS GROUP, INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

PACS HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

PROVIDENCE GROUP NH, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

HANCOCK, MARK

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2024

MURRAY, JASON

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2024

APT, FREDERICK

IndividualCORPORATE OFFICERSince Jan 2024

HANCOCK, MARK

IndividualCORPORATE OFFICERSince Jan 2024

JERGENSEN, JOSHUA

IndividualCORPORATE OFFICERSince Jan 2024

MITCHELL, JOHN

IndividualCORPORATE OFFICERSince Jan 2024

HORTON, CHRISTOPHER

IndividualCONTRACTED MANAGING EMPLOYEESince Feb 2023

EBERHARD, JAROM

IndividualW-2 MANAGING EMPLOYEESince Apr 2024

Penalties & Fines (3)

$12,874total fines
DateTypeDescriptionAmount
Sep 5, 2024Fine$10,358
Oct 24, 2023Payment Denial
May 4, 2023Fine$2,516

Health Inspection Deficiencies (34)

October 20, 2025Health1 deficiency1 severe
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 13, 2025
February 26, 2025Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 17, 2025
September 5, 2024Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 21, 2024
March 20, 2024Health2 deficiencies
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Apr 7, 2024
0925FMinimal harm, Widespread

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies

Corrected Apr 7, 2024
October 24, 2023Health12 deficiencies1 severe
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Nov 17, 2023
0585FMinimal harm, Widespread

Honor 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.

Resident Rights Deficiencies

Corrected Nov 17, 2023
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Nov 17, 2023
0691DMinimal harm, Isolated

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Dec 13, 2023
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Nov 17, 2023
0761DMinimal harm, Isolated

Ensure 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.

Pharmacy Service Deficiencies

Corrected Nov 17, 2023
0908EMinimal harm, Pattern

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Nov 17, 2023
0925FMinimal harm, Widespread

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies

Corrected Nov 17, 2023
0584EMinimal harm, Pattern

Honor 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.

Resident Rights Deficiencies

Corrected Nov 17, 2023
0727FMinimal harm, Widespread

Have 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.

Nursing and Physician Services Deficiencies

Corrected Nov 17, 2023
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Nov 17, 2023
0692GActual harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Nov 17, 2023
May 4, 2023Health1 deficiency1 severe
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 6, 2023
September 15, 2022Health13 deficiencies2 severe
0561DMinimal harm, Isolated

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Resident Rights Deficiencies

Corrected Sep 22, 2022
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 22, 2022
0676DMinimal harm, Isolated

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0685DMinimal harm, Isolated

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0692GActual harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0742DMinimal harm, Isolated

Provide 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.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0758DMinimal harm, Isolated

Implement 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.

Pharmacy Service Deficiencies

Corrected Sep 22, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 22, 2022
June 10, 2021Health3 deficiencies1 severe
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 6, 2021
0688DMinimal harm, Isolated

Provide 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.

Quality of Life and Care Deficiencies

Corrected Jul 23, 2021
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 27, 2021

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Frequently Asked Questions

What is the CareGrader rating for SIERRA POST ACUTE?

SIERRA POST ACUTE in LAKEWOOD, Colorado has a CareGrader grade of D (Below Average), with a composite score of 67.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for SIERRA POST ACUTE?

SIERRA POST ACUTE has an overall CMS star rating of 2 out of 5, a health inspection rating of 1/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does SIERRA POST ACUTE have?

SIERRA POST ACUTE has 34 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has SIERRA POST ACUTE been fined?

Yes. SIERRA POST ACUTE has $12,874 in total fines from CMS enforcement actions across 3 penalties.

How many beds does SIERRA POST ACUTE have?

SIERRA POST ACUTE has 102 certified beds with approximately 86 current residents (84% occupancy). The facility is located at 1432 DEPEW ST, LAKEWOOD, Colorado 80214. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.