C72

VILLAGE CARE AND REHABILITATION CENTER, THE

Grade C 72/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
3/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

60

Ownership

Non profit - Church related

Total Fines

$23,480

Last Survey

N/A

9221 WADSWORTH PKWY, WESTMINSTER, CO 80021
3034032900

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.91h
LPN
0.81h
CNA
2.87h
Total
4.59h
Facility
State Average

Turnover Rates

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

Ownership

COVENANT LIVING COMMUNITIES & SERVICES

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 1988

100%

HOLT, JODY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2017

BENTLEY, SARAH

IndividualCORPORATE DIRECTORSince Jul 2019

CHRISTENSEN, PAMELA

IndividualCORPORATE DIRECTORSince Jul 2013

DAVIS, KARA

IndividualCORPORATE DIRECTORSince Jul 2019

EASTBURG, MARK

IndividualCORPORATE DIRECTORSince Jul 2019

KINCANNON, KURT

IndividualCORPORATE DIRECTORSince Jul 2019

MANLOVE, MATT

IndividualCORPORATE DIRECTORSince Jul 2017

MARTIN, ROBERT

IndividualCORPORATE DIRECTORSince Jul 2019

NELSON, RICHARD

IndividualCORPORATE DIRECTORSince Jul 2019

OXENDALE, ROGER

IndividualCORPORATE DIRECTORSince Jul 2017

RINARD, DALE

IndividualCORPORATE DIRECTORSince Jul 2019

VANOVER, ANDREW

IndividualCORPORATE DIRECTORSince Jul 2019

WENRICH, JOHN

IndividualCORPORATE DIRECTORSince Jul 2019

CUNLIFFE, TERRI

IndividualCORPORATE OFFICERSince May 2015

ERICKSON, DAVID

IndividualCORPORATE OFFICERSince Jan 2008

ERICKSON, REBEKAH

IndividualCORPORATE OFFICERSince Jul 2019

HOLT, JODY

IndividualCORPORATE OFFICERSince Jun 2017

CUNLIFFE, TERRI

IndividualW-2 MANAGING EMPLOYEESince May 2015

HOLT, JODY

IndividualW-2 MANAGING EMPLOYEESince Jun 2017

Penalties & Fines (1)

$23,480total fines
DateTypeDescriptionAmount
Feb 28, 2023Fine$23,480

Health Inspection Deficiencies (23)

December 19, 2024Health3 deficiencies
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Jan 7, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 8, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 6, 2025
October 8, 2024Health1 deficiency1 severe
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 Nov 5, 2024
June 21, 2023Health6 deficiencies
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 21, 2023
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 28, 2023
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jul 7, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 27, 2023
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Jul 24, 2023
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 14, 2023
February 28, 2023Health8 deficiencies2 severe
0607FMinimal harm, Widespread

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 16, 2023
0678JImmediate jeopardy, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Mar 7, 2023
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 Mar 22, 2023
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 Mar 16, 2023
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 22, 2023
0843FMinimal harm, Widespread

Have 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.

Administration Deficiencies

Corrected Mar 20, 2023
0867FMinimal harm, Widespread

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Mar 13, 2023
0947FMinimal harm, Widespread

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies

Corrected Mar 16, 2023
August 29, 2019Health5 deficiencies
0638DMinimal harm, Isolated

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 11, 2019
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 11, 2019
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 11, 2019
0920EMinimal harm, Pattern

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Environmental Deficiencies

Corrected Oct 11, 2019
0947EMinimal harm, Pattern

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies

Corrected Oct 11, 2019

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Frequently Asked Questions

What is the CareGrader rating for VILLAGE CARE AND REHABILITATION CENTER, THE?

VILLAGE CARE AND REHABILITATION CENTER, THE in WESTMINSTER, Colorado has a CareGrader grade of C (Average), with a composite score of 72.3 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 VILLAGE CARE AND REHABILITATION CENTER, THE?

VILLAGE CARE AND REHABILITATION CENTER, THE has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does VILLAGE CARE AND REHABILITATION CENTER, THE have?

VILLAGE CARE AND REHABILITATION CENTER, THE has 23 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has VILLAGE CARE AND REHABILITATION CENTER, THE been fined?

Yes. VILLAGE CARE AND REHABILITATION CENTER, THE has $23,480 in total fines from CMS enforcement actions across 1 penalty.

How many beds does VILLAGE CARE AND REHABILITATION CENTER, THE have?

VILLAGE CARE AND REHABILITATION CENTER, THE has 60 certified beds with approximately 55 current residents (92% occupancy). The facility is located at 9221 WADSWORTH PKWY, WESTMINSTER, Colorado 80021. It is a non profit - church related 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.