Federal inspection record · CMS data as of October 1, 2026
Holly Heights Care And Rehabilitation
6000 E Iliff Ave, Denver, CO · (303) 757-5441
- Certified beds
- 133
- Residents per day
- 100
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1974
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.
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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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Colorado homes
Holly Heights Care And Rehabilitation carries 82 inspection points. That is fewer than 33% of Colorado's 208 rated homes.
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
23 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (2)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care8E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights3E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Nutrition and Dietary3F
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
Environmental2F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service2F
- F
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Inspection history
2025-08-21
13 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-01-09
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2022-09-14
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 52 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
2 h 52 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 50% 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
$9,249 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-11 | Fine | $9,249 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts better | 0.3 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better | 0.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts worse | 92.0% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine47.3 pts worse | 46.4% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 1.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.3 pts worse | 21.1% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 7.4% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts worse | 12.5% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.6 pts worse | 27.5% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.5 pts worse | 14.2% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts worse | 13.2% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.4 pts worse | 2.9% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 0.9% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse | 22.7% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 1.8% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts better | 81.2% | 77.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts worse | 66.7% | 73.6% | 80.1% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Abbott, Swati | Corporate Director · Individual | 0% | 5 facilities |
| Agwunobi, John | Corporate Director · Individual | 0% | 5 facilities |
| Blouin, Ann | Corporate Director · Individual | 0% | 5 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Burton, Spencer | Corporate Officer · Individual | 0% | 10 facilities |
| Christensen, Christopher | Corporate Director · Individual | 0% | 8 facilities |
| Graham, Joseph | Corporate Officer · Individual | 0% | 15 facilities |
| Horton, Christopher | Adp Of The SNF · Individual | 0% | 17 facilities |
| Hughes, Heath | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hughes, Heath | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jorgensen, David | Corporate Officer · Individual | 0% | 56 facilities |
| Parkinson, Mark | Corporate Director · Individual | 0% | 5 facilities |
| Port, Barry | Corporate Director · Individual | 0% | 203 facilities |
| Port, Barry | Corporate Officer · Individual | 0% | 203 facilities |
| Sato, Ami | Corporate Officer · Individual | 0% | 151 facilities |
| Shaw, Daren | Corporate Director · Individual | 0% | 5 facilities |
| Smith, Barry | Corporate Director · Individual | 0% | 5 facilities |
| Snapper, Suzanne | Corporate Director · Individual | 0% | 8 facilities |
| Snapper, Suzanne | Corporate Officer · Individual | 0% | 8 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress6F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have exits that are accessible at all times.
- D
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.
- E
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have proper medical gas storage and administration areas.
Services3F
- E
Have properly installed electrical wiring and gas equipment.
- F
Install properly constructed and protected linen or trash chutes.
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Highline Post Acute
Denver, CO · Pacs Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 55 min
- Fines
- $79,956
-
Brookshire Post Acute
Denver, CO · Pacs Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 4 min
- Fines
- $46,638
-
Amberwood Post Acute
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 49 min
- Fines
- $9,636