Federal inspection record · CMS data as of October 1, 2026

Cambridge Care Center

1685 Eaton St, Lakewood, CO · (303) 232-4405

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

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Certified beds
110
Residents per day
90
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 1991

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Colorado homes

Cambridge Care Center carries 34 inspection points. That is fewer than 80% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 34 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–22 pts
  • 4★ 22–44 pts
  • 3★ 44–70.75 pts
  • 2★ 70.75–104 pts
  • 1★ over 104 pts

Bars show every rated home in Colorado by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

20 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 13 4 pts
E 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    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.

    April 2, 2024 · Complaint inspection · Resident Rights · F622 · Corrected April 3, 2024

Everything else, by area of care

Quality of Life and Care8E
  1. D

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

    June 11, 2026 · Standard · F685 · Corrected June 15, 2026

  2. D

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

    June 11, 2026 · Standard · F695 · Corrected June 15, 2026

  3. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    February 12, 2025 · Complaint · F698 · Corrected March 12, 2025

  4. D

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

    April 2, 2024 · Standard · F678 · Corrected April 3, 2024

  5. D

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

    April 2, 2024 · Standard · F685 · Corrected April 3, 2024

  6. D

    Provide or obtain dental services for each resident.

    April 2, 2024 · Standard · F791 · Corrected April 3, 2024

  7. E

    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.

    December 15, 2022 · Standard · F742 · Corrected January 9, 2023

  8. D

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

    December 15, 2022 · Standard · F689 · Corrected January 9, 2023

Resident Rights3D
  1. D

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

    June 11, 2026 · Standard · F561 · Corrected June 15, 2026

  2. D

    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.

    June 11, 2026 · Standard · F585 · Corrected June 15, 2026

  3. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    April 2, 2024 · Complaint · F623 · Corrected April 3, 2024

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    June 11, 2026 · Standard · F880 · Corrected June 15, 2026

  2. E

    Provide and implement an infection prevention and control program.

    December 15, 2022 · Standard · F880 · Corrected January 9, 2023

Freedom from Abuse, Neglect, and Exploitation2E
  1. D

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

    June 11, 2026 · Complaint · F600 · Corrected June 15, 2026

  2. E

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

    June 17, 2025 · Complaint · F600 · Corrected June 18, 2025

Resident Assessment and Care Planning2D
  1. D

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

    August 21, 2024 · Complaint · F660 · Corrected August 22, 2024

  2. D

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

    December 15, 2022 · Standard · F660 · Corrected January 9, 2023

Nutrition and Dietary2E
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    December 15, 2022 · Standard · F804 · Corrected January 9, 2023

  2. E

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

    December 15, 2022 · Standard · F812 · Corrected January 14, 2023

Inspection history

  1. 2026-06-11

    6 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-04-02

    7 health deficiencies · 9 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2022-12-15

    7 health deficiencies · 8 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 4 min of nursing staff time a day, 47 min of it from a registered nurse.

This home

3 h 4 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 25% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$8,151 in federal fines on record over the past three years.

DatePenaltyAmount
2024-04-02Fine$8,151

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better98.8%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better1.5%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms3 pts better5.8%8.8%13.5%
Percentage of long-stay residents who lose too much weight1.1 pts better3.7%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts better10.2%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.8 pts worse28.7%19.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened10 pts better1.7%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased10.9 pts better1.9%12.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection1.4 pts better0.0%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.3 pts better8.3%20.6%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts better1.7%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.6 pts worse61.4%77.0%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse3.2%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.7 pts worse65.9%73.6%80.1%

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke10F
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    June 11, 2026 · K353 · Corrected July 16, 2026

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 2, 2024 · K345 · Corrected May 9, 2024

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 2, 2024 · K353 · Corrected May 8, 2024

  4. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 2, 2024 · K321 · Corrected May 16, 2024

  5. E

    Provide properly protected cooking facilities.

    April 2, 2024 · K324 · Corrected May 11, 2024

  6. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    April 2, 2024 · K355 · Corrected May 11, 2024

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 15, 2022 · K353 · Corrected February 3, 2023

  8. F

    Install corridor and hallway doors that block smoke.

    December 15, 2022 · K363 · Corrected January 2, 2023

  9. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    December 15, 2022 · K372 · Corrected February 3, 2023

  10. D

    Install a fire alarm system that can be heard throughout the facility.

    December 15, 2022 · K341 · Corrected February 3, 2023

Services4F
  1. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    June 11, 2026 · K521 · Corrected July 16, 2026

  2. F

    Have properly installed electrical wiring and gas equipment.

    April 2, 2024 · K511 · Corrected May 13, 2024

  3. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    April 2, 2024 · K521 · Corrected May 10, 2024

  4. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    December 15, 2022 · K521 · Corrected February 3, 2023

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 2, 2024 · K918 · Corrected May 29, 2024

  2. F

    Ensure proper usage of power strips and extension cords.

    December 15, 2022 · K920 · Corrected February 3, 2023

Egress2F
  1. E

    Install proper backup exit lighting.

    April 2, 2024 · K281 · Corrected May 9, 2024

  2. F

    Install emergency lighting that can last at least 1 1/2 hours.

    December 15, 2022 · K291 · Corrected February 3, 2023

Miscellaneous1F
  1. F

    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

    December 15, 2022 · K700 · Corrected February 3, 2023

·

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