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

Grandview Health And Rehab LLC

4800 Tabor St, Wheat Ridge, CO · (303) 421-4161

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
168
Residents per day
87
Ownership
Non-Profit
Chain
American Baptist Homes Of The Midwest
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1967

1

How this home got 2 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

    no change

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

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Colorado homes

Grandview Health And Rehab LLC carries 73 inspection points. That is fewer than 40% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 73 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

34 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 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 21 4 pts
E 7 8 pts
F 3 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 (3)

  1. G

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

    November 20, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected July 31, 2024

  2. G

    Provide enough food/fluids to maintain a resident's health.

    March 20, 2024 · Standard inspection · Quality of Life and Care · F692 · Corrected April 17, 2024

  3. G

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

    November 1, 2023 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 22, 2023

Everything else, by area of care

Resident Rights5E
  1. 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.

    April 30, 2026 · Standard · F585 · Corrected May 29, 2026

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 24, 2025 · Complaint · F550 · Corrected April 30, 2025

  3. E

    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.

    March 20, 2024 · Complaint · F585 · Corrected April 17, 2024

  4. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 20, 2024 · Standard · F552 · Corrected April 17, 2024

  5. D

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

    March 20, 2024 · Complaint · F561 · Corrected April 17, 2024

Infection Control5F
  1. D

    Provide and implement an infection prevention and control program.

    April 30, 2026 · Standard · F880 · Corrected May 30, 2026

  2. F

    Provide and implement an infection prevention and control program.

    March 20, 2024 · Complaint · F880 · Corrected April 17, 2024

  3. F

    Implement a program that monitors antibiotic use.

    March 20, 2024 · Standard · F881 · Corrected April 17, 2024

  4. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    March 20, 2024 · Standard · F883 · Corrected April 17, 2024

  5. D

    Implement a program that monitors antibiotic use.

    December 8, 2022 · Standard · F881 · Corrected January 16, 2023

Quality of Life and Care5D
  1. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    March 24, 2025 · Complaint · F744 · Corrected April 30, 2025

  2. D

    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.

    March 20, 2024 · Standard · F688 · Corrected April 17, 2024

  3. D

    Provide safe, appropriate pain management for a resident who requires such services.

    March 20, 2024 · Standard · F697 · Corrected April 17, 2024

  4. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    March 20, 2024 · Complaint · F700 · Corrected April 17, 2024

  5. D

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

    December 8, 2022 · Standard · F695 · Corrected January 16, 2023

Freedom from Abuse, Neglect, and Exploitation4D
  1. D

    Respond appropriately to all alleged violations.

    December 9, 2025 · Complaint · F610 · Corrected January 2, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 24, 2025 · Complaint · F609 · Corrected April 30, 2025

  3. D

    Respond appropriately to all alleged violations.

    February 24, 2025 · Complaint · F610 · Corrected March 21, 2025

  4. D

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    March 20, 2024 · Standard · F603 · Corrected April 17, 2024

Pharmacy Service3E
  1. E

    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.

    April 30, 2026 · Standard · F761 · Corrected May 29, 2026

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 8, 2022 · Standard · F755 · Corrected January 16, 2023

  3. D

    Ensure medication error rates are not 5 percent or greater.

    December 8, 2022 · Standard · F759 · Corrected January 16, 2023

Nursing and Physician Services3E
  1. D

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    April 30, 2026 · Standard · F947 · Corrected May 30, 2026

  2. E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    March 20, 2024 · Complaint · F726 · Corrected April 17, 2024

  3. E

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    March 20, 2024 · Standard · F947 · Corrected April 17, 2024

Nutrition and Dietary2E
  1. E

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    April 30, 2026 · Standard · F805 · Corrected May 30, 2026

  2. E

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

    June 11, 2025 · Complaint · F812 · Corrected July 14, 2025

Resident Assessment and Care Planning2D
  1. D

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

    March 24, 2025 · Complaint · F658 · Corrected April 30, 2025

  2. D

    Ensure each resident receives an accurate assessment.

    December 8, 2022 · Standard · F641 · Corrected January 16, 2023

Administration1F
  1. F

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    March 24, 2025 · Complaint · F835 · Corrected March 25, 2025

Environmental1D
  1. D

    Keep all essential equipment working safely.

    March 20, 2024 · Standard · F908 · Corrected April 17, 2024

Inspection history

  1. 2026-04-30

    6 health deficiencies · 18 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  2. 2024-03-20

    22 health deficiencies · 13 fire-safety deficiencies

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

  3. 2022-12-08

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 59 min of nursing staff time a day, 43 min of it from a registered nurse.

This home

3 h 59 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 62% of nursing staff and 75% of registered nurses left in the past year, along with 1 administrator.

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

$39,227 in federal fines on record over the past three years.

DatePenaltyAmount
2024-11-20Fine$7,718
2024-03-20Fine$23,319
2023-11-01Fine$8,190

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 vaccine0.8 pts worse92.6%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better97.4%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse3.7%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms2.6 pts better6.2%8.8%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts better3.1%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.1 pts better10.5%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.7 pts better16.2%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 worsened5.9 pts worse17.6%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.6 pts worse21.4%12.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.3%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection1 pts worse2.4%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.4 pts worse30.0%20.6%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts better2.0%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9 pts worse68.0%77.0%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse2.0%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.9 pts worse69.7%73.6%80.1%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Allen, RyanCorporate Director · Individual0%6 facilities
Baptist Home Association Of The Rocky Mountains IncOperational/Managerial Control · Organization0%1 facilities
Blatnik, AndreaW-2 Managing Employee · Individual0%6 facilities
Davidson, RogerCorporate Director · Individual0%6 facilities
Ford, AshleyCorporate Director · Individual0%7 facilities
Hanson, PhillipCorporate Director · Individual0%8 facilities
Johnson, DorothyCorporate Director · Individual0%6 facilities
Johnson, JamesCorporate Director · Individual0%8 facilities
Johnson, LarsCorporate Officer · Individual0%5 facilities
Killian, GeorgeCorporate Director · Individual0%6 facilities
Neiman, RuthCorporate Officer · Individual0%6 facilities
Peters, MarshallCorporate Director · Individual0%6 facilities
Van Der Beek, BruceCorporate Officer · Individual0%6 facilities
Vanostram, StevenCorporate Director · Individual0%6 facilities
Vaughn-Gray, StephanieCorporate Officer · Individual0%6 facilities
Wagoner Ford, AnneCorporate Director · Individual0%6 facilities
Whitaker, BruceCorporate Director · Individual0%6 facilities

·

Fire safety

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

Smoke10F
  1. F

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

    April 30, 2026 · K321 · Corrected June 1, 2026

  2. F

    Provide properly protected cooking facilities.

    April 30, 2026 · K324 · Corrected June 1, 2026

  3. F

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

    April 30, 2026 · K345 · Corrected June 19, 2026

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 30, 2026 · K353 · Corrected June 19, 2026

  5. F

    Install corridor and hallway doors that block smoke.

    April 30, 2026 · K363 · Corrected June 1, 2026

  6. F

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

    March 20, 2024 · K345 · Corrected May 19, 2024

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 20, 2024 · K353 · Corrected May 19, 2024

  8. D

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

    March 20, 2024 · K321 · Corrected May 19, 2024

  9. E

    Inspect, test, and maintain automatic sprinkler systems.

    December 8, 2022 · K353 · Corrected January 30, 2023

  10. D

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

    December 8, 2022 · K345 · Corrected January 25, 2023

Egress7F
  1. F

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    April 30, 2026 · K222 · Corrected June 1, 2026

  2. F

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

    April 30, 2026 · K291 · Corrected June 1, 2026

  3. F

    Have properly located and lighted "Exit" signs.

    April 30, 2026 · K293 · Corrected June 1, 2026

  4. F

    Meet other general requirements that are deficient.

    April 30, 2026 · K300 · Corrected June 1, 2026

  5. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    March 20, 2024 · K222 · Corrected May 19, 2024

  6. E

    Have properly located and lighted "Exit" signs.

    March 20, 2024 · K293 · Corrected May 19, 2024

  7. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    December 8, 2022 · K211 · Corrected February 27, 2023

Gas, Vacuum, and Electrical Systems7F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    April 30, 2026 · K914 · Corrected June 19, 2026

  2. F

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

    April 30, 2026 · K918 · Corrected June 1, 2026

  3. F

    Ensure proper usage of power strips and extension cords.

    April 30, 2026 · K920 · Corrected June 1, 2026

  4. F

    Have proper medical gas storage and administration areas.

    April 30, 2026 · K923 · Corrected June 1, 2026

  5. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    March 20, 2024 · K914 · Corrected May 19, 2024

  6. F

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

    March 20, 2024 · K918 · Corrected May 19, 2024

  7. D

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    March 20, 2024 · K927 · Corrected May 19, 2024

Services4F
  1. F

    Have properly installed electrical wiring and gas equipment.

    April 30, 2026 · K511 · Corrected June 1, 2026

  2. F

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

    April 30, 2026 · K521 · Corrected February 19, 2027

  3. F

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

    March 20, 2024 · K521 · Corrected May 19, 2024

  4. E

    Have elevators that firefighters can control in the event of a fire.

    December 8, 2022 · K531 · Corrected January 31, 2023

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    April 30, 2026 · K712 · Corrected June 1, 2026

  2. F

    Have restrictions on the use of portable space heaters.

    April 30, 2026 · K781 · Corrected May 29, 2026

  3. F

    Have simulated fire drills held at unexpected times.

    March 20, 2024 · K712 · Corrected May 19, 2024

Emergency Preparedness3F
  1. F

    Develop Emergency Preparedness policies and procedures.

    March 20, 2024 · E13 · Corrected April 17, 2024

  2. F

    Establish staff and initial training requirements.

    March 20, 2024 · E37 · Corrected April 17, 2024

  3. F

    Develop and maintain an Emergency Preparedness Program (EP).

    March 20, 2024 · E4 · Corrected April 17, 2024

Construction1F
  1. F

    Use approved construction type or materials.

    April 30, 2026 · K161 · Corrected May 29, 2026

·

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