Cycle 1
Health 2024-02-23 · Fire 2024-02-23
8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Denver, CO
Center At Lowry, LLC
2-star overall rating with 1-star inspections with $17,933 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
8550 E Lowry Blvd, Denver, CO
(303) 676-4000
Overall
2 / 5
CMS overall stars
Health inspections
1 / 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
96
Certified beds
Average residents
72
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2016-10-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
1.09
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.59
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.83
All reported nurse hours · state 3.70 · national 3.89
Licensed hours
2.24
RN + LPN hours · state 1.51 · national 1.54
Weekend hours
3.96
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.83
Weekend registered nurse coverage · state 0.60 · national 0.47
Physical therapist
0.29
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
4.20
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,918
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.95
Composite VBP score used to determine payment impact.
Payment multiplier
1.0004
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.08
Baseline 18.05% · Performance 17.22% · Measure score 9.08 · Achievement 9.08 · Improvement 7.62
Healthcare-associated infections
5.32
Baseline 7.01% · Performance 6.24% · Measure score 5.32 · Achievement 5.32 · Improvement 3.29
Total nurse turnover
1.21
Baseline 65.81% · Performance 58.82% · Measure score 1.21 · Achievement 1.19 · Improvement 1.21
Adjusted total nurse staffing
3.17
Baseline 3.26 hours · Performance 3.98 hours · Measure score 3.17 · Achievement 3.17 · Improvement 2.36
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.25% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 443 · Observed rate 10.61% · Lower 95% interval 8.24% |
| Discharge to community | 71.18% |
50.57%
20.6 pts better
|
Better than the National Rate · Eligible stays 432 · Observed rate 63.43% · Lower 95% interval 66.64% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 222 · Denominator 222 |
| Falls with major injury | 0.9% |
0.77%
0.1 pts worse
|
Numerator 2 · Denominator 222 |
| Discharge self-care score | 89.02% |
53.69%
35.3 pts better
|
Numerator 154 · Denominator 173 |
| Discharge mobility score | 85.55% |
50.94%
34.6 pts better
|
Numerator 148 · Denominator 173 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 222 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.24% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 237 · Observed rate 5.49% · Lower 95% interval 3.85% |
| Staff COVID-19 vaccination coverage | 21.02% |
8.2%
12.8 pts better
|
Numerator 33 · Denominator 157 |
| Staff flu vaccination coverage | 88.83% |
42%
46.8 pts better
|
Numerator 350 · Denominator 394 |
| Discharge function score | 86.13% |
56.45%
29.7 pts better
|
Numerator 149 · Denominator 173 |
| Transfer of health information to provider | 96.15% |
95.95%
0.2 pts better
|
Numerator 50 · Denominator 52 |
| Transfer of health information to patient | 98.24% |
96.28%
2 pts better
|
Numerator 167 · Denominator 170 |
| Resident COVID-19 vaccinations up to date | 82.76% |
25.2%
57.6 pts better
|
Numerator 72 · Denominator 87 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.9% |
76.4%
17.5 pts better
|
81.7%
12.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.2% · Q2 94.7% · Q3 94.8% · Q4 97.4% · 4Q avg 93.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.6% |
12.8%
7.2 pts better
|
12.0%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 5.7% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.4% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.0% |
75.6%
15.4 pts better
|
79.7%
11.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
20.3%
2.1 pts worse
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 22.8% · Expected 24.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-10-27 · Fire 2022-10-27
6 health deficiencies
Top issue: Resident Rights (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2021-07-13 · Fire 2021-07-13
2 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-02-23
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-03-15
F · Potential for more than minimal harm
2024-02-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-18
F · Potential for more than minimal harm
2024-02-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-23
F · Potential for more than minimal harm
2024-02-23
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-05
F · Potential for more than minimal harm
2024-02-23
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 2024-03-18
F · Potential for more than minimal harm
2024-02-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-18
D · Potential for more than minimal harm
2024-02-23
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-03-15
E · Potential for more than minimal harm
2022-10-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-25
E · Potential for more than minimal harm
2022-10-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-27
D · Potential for more than minimal harm
2022-10-27
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-11-29
D · Potential for more than minimal harm
2022-10-27
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-12-06
D · Potential for more than minimal harm
2022-10-27
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-11-29
D · Potential for more than minimal harm
2022-10-27
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-06
F · Potential for more than minimal harm
2021-07-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-08-06
F · Potential for more than minimal harm
2021-07-13
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-08-16
E · Potential for more than minimal harm
2021-07-13
K371 · Smoke Deficiencies
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2021-08-02
E · Potential for more than minimal harm
2021-07-13
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-08-25
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-07
D · Potential for more than minimal harm
2025-12-10
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-07
G · Actual harm
2025-07-15
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.
Not marked corrected
L · Immediate jeopardy
2024-02-23
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-24
E · Potential for more than minimal harm
2024-02-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-24
D · Potential for more than minimal harm
2024-02-23
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-24
D · Potential for more than minimal harm
2024-02-23
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 2024-02-24
C · Minimal harm
2024-02-23
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-02-24
D · Potential for more than minimal harm
2023-09-07
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-10-12
E · Potential for more than minimal harm
2022-10-27
F566 · Resident Rights Deficiencies
Health
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
Corrected 2022-12-10
D · Potential for more than minimal harm
2022-10-27
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-12-10
D · Potential for more than minimal harm
2022-10-27
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-12-10
D · Potential for more than minimal harm
2022-10-27
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-12-10
D · Potential for more than minimal harm
2022-10-27
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-12-10
D · Potential for more than minimal harm
2022-10-27
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 2022-12-10
D · Potential for more than minimal harm
2021-07-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-11
Penalties and ownership
What sits behind the stars
$17,933
2024-02-23
Fine
Fine · fine $17,933
Fine
Ownership
Nearby options
Other facilities in reach
#1
Lowry Hills Care And Rehabilitation
Aurora, CO
2-star overall rating with 2-star inspections with $3,650 in total fines with 18 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Highland Park Rehabilitation & Care Center
Aurora, CO
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Hilltop Park Post Acute
Denver, CO
2-star overall rating with 1-star inspections with $66,307 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out