Cycle 1
Health 2023-12-21 · Fire 2023-12-21
7 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Lakewood, CO
Ahc Of Lakewood, LLC
5-star overall rating with 4-star inspections with $72,634 in total fines with 7 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
11155 W 15th Pl, Lakewood, CO
(720) 866-8400
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
36
Certified beds
Average residents
30
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2022-08-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
1.63
Registered nurse staffing
LPN hours / resident day
1.14
Licensed practical nurse staffing
Aide hours / resident day
3.48
Nurse aide staffing
Weekend hours
5.21
Weekend nurse staffing
RN turnover
59%
Annual RN turnover
Total nurse turnover
72%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.9% |
76.4%
13.5 pts better
|
81.7%
8.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
12.8%
2.3 pts better
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.1% |
75.6%
20.5 pts better
|
79.7%
16.4 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
20.3%
5.9 pts worse
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-31 · Fire 2022-08-31
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-12-21
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-12-22
F · Potential for more than minimal harm
2023-12-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-26
F · Potential for more than minimal harm
2023-12-21
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-03-23
F · Potential for more than minimal harm
2023-12-21
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-03-23
F · Potential for more than minimal harm
2023-12-21
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-27
F · Potential for more than minimal harm
2023-12-21
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-22
E · Potential for more than minimal harm
2023-12-21
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-14
E · Potential for more than minimal harm
2023-12-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-21
E · Potential for more than minimal harm
2023-12-21
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-03-05
D · Potential for more than minimal harm
2023-12-21
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-03-05
D · Potential for more than minimal harm
2023-12-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-05
Inspection history
Recent health citations
F · Potential for more than minimal harm
2023-12-21
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2023-12-22
E · Potential for more than minimal harm
2023-12-21
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-12-22
D · Potential for more than minimal harm
2023-12-21
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-01-02
D · Potential for more than minimal harm
2023-12-21
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-01-08
D · Potential for more than minimal harm
2023-12-21
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-12-22
D · Potential for more than minimal harm
2023-12-21
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-12-22
D · Potential for more than minimal harm
2023-12-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-31
Penalties and ownership
What sits behind the stars
$4,545
2023-11-06
Fine
Fine · fine $4,545
Fine
$4,545
2023-10-30
Fine
Fine · fine $4,545
Fine
$4,545
2023-10-23
Fine
Fine · fine $4,545
Fine
$4,545
2023-10-17
Fine
Fine · fine $4,545
Fine
$4,545
2023-10-10
Fine
Fine · fine $4,545
Fine
$4,545
2023-10-02
Fine
Fine · fine $4,545
Fine
$4,587
2023-09-25
Fine
Fine · fine $4,587
Fine
$4,587
2023-09-18
Fine
Fine · fine $4,587
Fine
$4,545
2023-09-11
Fine
Fine · fine $4,545
Fine
$4,545
2023-09-05
Fine
Fine · fine $4,545
Fine
$4,235
2023-08-28
Fine
Fine · fine $4,235
Fine
$3,846
2023-08-21
Fine
Fine · fine $3,846
Fine
$3,496
2023-08-14
Fine
Fine · fine $3,496
Fine
$3,176
2023-08-07
Fine
Fine · fine $3,176
Fine
$7,409
2023-07-17
Fine
Fine · fine $7,409
Fine
$1,764
2023-06-26
Fine
Fine · fine $1,764
Fine
$3,174
2023-06-05
Fine
Fine · fine $3,174
Fine
Ownership
New Ahc Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Advanced Health Care - Larry H Miller Corporation
5% Or Greater Indirect Ownership Interest · Organization
Barnes, Deborah
Operational/Managerial Control · Individual
Karen Gail Miller Irrev Tr Fbo Zane Miller
5% Or Greater Indirect Ownership Interest · Organization
Oxnam, Nathan
Corporate Officer · Individual
The Gail Miller Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Karen R. Wi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Roger L. Mi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Stephen F.
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Lakewood Villa
Lakewood, CO
3-star overall rating with 2-star inspections with abuse icon flag with $40,006 in total fines with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Western Hills Health Care Center
Lakewood, CO
5-star overall rating with 5-star inspections with 5 recent health deficiencies
#3
Allison Care Center
Lakewood, CO
2-star overall rating with 2-star inspections with abuse icon flag with $34,580 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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