13 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Parker, CO
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
12230 Lioness Wy, Parker, CO
(720) 214-7777
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
75
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Veritas Management Group
Operator or chain grouping
Approved since
2012-10-04
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.17
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
1.31
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.57
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.04
All reported nurse hours · state 3.70 · national 3.89
Licensed hours
2.48
RN + LPN hours · state 1.51 · national 1.54
Weekend hours
4.41
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.81
Weekend registered nurse coverage · state 0.60 · national 0.47
Physical therapist
0.27
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.94
CMS adjusted RN staffing hours
Adjusted total hours
4.04
CMS adjusted total nurse staffing hours
Case-mix index
1.71
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
3,210
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9987
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.24
Baseline 21.08% · Performance 19.93% · Measure score 3.24 · Achievement 3.24 · Improvement 2.33
Healthcare-associated infections
6.50
Baseline 5.94% · Performance 5.89% · Measure score 6.50 · Achievement 6.50 · Improvement 0
Total nurse turnover
5.32
Baseline 57.93% · Performance 41.94% · Measure score 5.32 · Achievement 5.32 · Improvement 4.34
Adjusted total nurse staffing
3.13
Baseline 4.46 hours · Performance 3.97 hours · Measure score 3.13 · Achievement 3.13 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.04% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 493 · Observed rate 9.74% · Lower 95% interval 8.62% |
| Discharge to community | 50.81% |
50.57%
0.2 pts better
|
No Different than the National Rate · Eligible stays 518 · Observed rate 48.84% · Lower 95% interval 46.62% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.27% |
95.27%
4 pts better
|
Numerator 272 · Denominator 274 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 274 |
| Discharge self-care score | 61.88% |
53.69%
8.2 pts better
|
Numerator 125 · Denominator 202 |
| Discharge mobility score | 49.01% |
50.94%
1.9 pts worse
|
Numerator 99 · Denominator 202 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 274 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.89% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 287 · Observed rate 4.53% · Lower 95% interval 4.02% |
| Staff COVID-19 vaccination coverage | 2.82% |
8.2%
5.4 pts worse
|
Numerator 6 · Denominator 213 |
| Staff flu vaccination coverage | 58.59% |
42%
16.6 pts better
|
Numerator 150 · Denominator 256 |
| Discharge function score | 51.98% |
56.45%
4.5 pts worse
|
Numerator 105 · Denominator 202 |
| Transfer of health information to provider | 96.05% |
95.95%
0.1 pts better
|
Numerator 73 · Denominator 76 |
| Transfer of health information to patient | 96.95% |
96.28%
0.7 pts better
|
Numerator 191 · Denominator 197 |
| Resident COVID-19 vaccinations up to date | 1.96% |
25.2%
23.2 pts worse
|
Numerator 3 · Denominator 153 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
76.4%
22.8 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.8% · Q3 99.5% · Q4 99.4% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.2% |
12.8%
0.4 pts worse
|
12.0%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 12.8% · Expected 10.8% · Used in QM five-star |
| 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 · Q1 0.2% · Q2 0.6% · Q3 0.4% · Q4 0.2% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.6% |
75.6%
20 pts better
|
79.7%
15.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.6% |
20.3%
5.3 pts worse
|
23.9%
1.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.6% · Observed 27.0% · Expected 25.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-01-16
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-01-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-12
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-06-06
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-07-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-28
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-06-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-03
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-11-30
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-06
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-22
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-11-22
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-11-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-22
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-11-22
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-11-22
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-11-22
Health
Provide activities to meet all resident's needs.
Corrected 2024-11-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-22
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-11-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-05
Health
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.
Corrected 2023-06-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-06-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-06-06
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 2023-07-03
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-06-06
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-06-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-10-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-10-16
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-10-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-11-13
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2019-10-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-11-21
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
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