Denver, CO

Amberwood Post Acute

2-star overall rating with 2-star inspections with $9,636 in total fines with 17 recent health deficiencies

4686 E Asbury Cir, Denver, CO

(303) 756-1566

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pacs Group

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

264 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.55

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

0.95

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.72

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.23

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

1.51

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

3.21

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.61

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

3.29

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

22%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,460

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

4.93

Composite VBP score used to determine payment impact.

Payment multiplier

0.9805

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0.99

Baseline 60.61% · Performance 59.65% · Measure score 0.99 · Achievement 0.99 · Improvement 0

Adjusted total nurse staffing

Baseline 3.66 hours · Performance 2.79 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.4%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 51 · Observed rate 11.76% · Lower 95% interval 7.26%
Discharge to community	48.97%	50.57% 1.6 pts worse	No Different than the National Rate · Eligible stays 27 · Observed rate 37.04% · Lower 95% interval 35.04%
Medicare spending per beneficiary	0.76	1.02 0.3 pts better
Drug regimen review with follow-up	96%	95.27% 0.7 pts better	Numerator 24 · Denominator 25
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 25
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 25 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	44.44%	8.2% 36.2 pts better	Numerator 36 · Denominator 81
Staff flu vaccination coverage	75.49%	42% 33.5 pts better	Numerator 77 · Denominator 102
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	1.3 0.3 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.2 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	1.7 0.1 pts worse	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.0%	93.5% 4.5 pts better	93.4% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 97.3% · Q3 98.8% · Q4 98.8% · 4Q avg 98.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.7% 5.3 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	3.4% 2.4 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 1.2% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.0%	7.4% 0.4 pts better	11.4% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.4% · Q3 11.1% · Q4 8.7% · 4Q avg 7.0%
Percentage of long-stay residents who lose too much weight	5.7%	5.0% 0.7 pts worse	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.5% · Q3 5.1% · Q4 10.7% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.0%	11.2% 1.2 pts better	19.6% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 10.3% · Q3 11.4% · Q4 8.9% · 4Q avg 10.0%
Percentage of long-stay residents who received an antipsychotic medication	12.7%	20.6% 7.9 pts better	16.7% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 15.4% · Q3 13.0% · Q4 11.3% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	15.1%	15.2% 0.1 pts better	16.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q2 4.4% · Q3 11.9% · Q4 5.4% · 4Q avg 15.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.6%	14.6% 6 pts better	14.9% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 1.6% · Q3 6.8% · Q4 4.1% · 4Q avg 8.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.6%	0.8% 0.8 pts worse	1.0% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.5% · Q3 1.1% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.5% 0.8 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.8%	22.4% 2.6 pts better	19.8% About the same	Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 30.7% · Q3 12.8% · Q4 12.0% · 4Q avg 19.8%
Percentage of long-stay residents with pressure ulcers	6.1%	3.7% 2.4 pts worse	5.1% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 9.6% · Q3 6.6% · Q4 4.6% · 4Q avg 6.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	76.4% 23 pts better	81.7% 17.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.0% · 4Q avg 99.4%
Percentage of short-stay residents who had an outpatient emergency department visit	14.2%	12.8% 1.4 pts worse	12.0% 2.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 20.8% · Expected 16.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.6%	1.5% 1.1 pts worse	1.6% 1 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.8% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.4%	75.6% 20.8 pts better	79.7% 16.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.1%	20.3% 2.8 pts worse	23.9% 0.8 pts better	Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 33.3% · Expected 34.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-15 · Fire 2024-10-15

17 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-05-18 · Fire 2023-05-18

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-02-15 · Fire 2022-02-15

8 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-08

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-12-11

E · Potential for more than minimal harm 2024-10-15

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-15

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-15

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-15

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F685 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-11-15

F · Potential for more than minimal harm 2023-05-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-07

E · Potential for more than minimal harm 2023-05-18