Cycle 1
Health 2024-11-07 · Fire 2024-11-07
14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Littleton, CO
Life Care Center Of Littleton
3-star overall rating with 2-star inspections with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1500 W Mineral Ave, Littleton, CO
(303) 795-7300
Overall
3 / 5
CMS overall stars
Health inspections
2 / 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
120
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1998-06-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 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
Hours and turnover
RN hours / resident day
0.72
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.14
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.03
All reported nurse hours · state 3.70 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.51 · national 1.54
Weekend hours
3.69
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.60 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
4.32
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
59%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,748
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.79
Composite VBP score used to determine payment impact.
Payment multiplier
0.9839
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.19% · Performance 21.32% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.85
Baseline 7.33% · Performance 6.39% · Measure score 4.85 · Achievement 4.85 · Improvement 3.55
Total nurse turnover
2.01
Baseline 63.21% · Performance 55.45% · Measure score 2.01 · Achievement 2.01 · Improvement 1.52
Adjusted total nurse staffing
3.45
Baseline 4 hours · Performance 4.06 hours · Measure score 3.45 · Achievement 3.45 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.51% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 356 · Observed rate 7.87% · Lower 95% interval 7.17% |
| Discharge to community | 71.44% |
50.57%
20.9 pts better
|
Better than the National Rate · Eligible stays 356 · Observed rate 67.42% · Lower 95% interval 66.96% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.09% |
95.27%
3.8 pts better
|
Numerator 217 · Denominator 219 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 219 |
| Discharge self-care score | 65.31% |
53.69%
11.6 pts better
|
Numerator 96 · Denominator 147 |
| Discharge mobility score | 48.98% |
50.94%
2 pts worse
|
Numerator 72 · Denominator 147 |
| Pressure ulcers or injuries, new or worsened | 0.91% |
2.29%
1.4 pts better
|
Numerator 2 · Denominator 219 · Adjusted rate 1.04% |
| Healthcare-associated infections requiring hospitalization | 6.38% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 212 · Observed rate 5.19% · Lower 95% interval 3.65% |
| Staff COVID-19 vaccination coverage | 28.65% |
8.2%
20.4 pts better
|
Numerator 55 · Denominator 192 |
| Staff flu vaccination coverage | 69.62% |
42%
27.6 pts better
|
Numerator 165 · Denominator 237 |
| Discharge function score | 65.31% |
56.45%
8.9 pts better
|
Numerator 96 · Denominator 147 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 128 · Denominator 128 |
| Transfer of health information to patient | 98.31% |
96.28%
2 pts better
|
Numerator 58 · Denominator 59 |
| Resident COVID-19 vaccinations up to date | 30.77% |
25.2%
5.6 pts better
|
Numerator 32 · Denominator 104 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.3
About the same
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.7
1.3 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
93.5%
1.1 pts better
|
93.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 88.2% · Q2 92.6% · Q3 97.1% · Q4 100.0% · 4Q avg 94.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.7% |
94.7%
4 pts worse
|
95.5%
4.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.4%
2.3 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.4% |
7.4%
5 pts better
|
11.4%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.6% · Q3 1.6% · Q4 4.6% · 4Q avg 2.4% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
5.0%
2.1 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 4.9% · Q4 4.5% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.9% |
11.2%
0.7 pts worse
|
19.6%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 13.6% · Q3 12.9% · Q4 8.7% · 4Q avg 11.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.8% |
20.6%
7.8 pts better
|
16.7%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 14.5% · Q3 12.3% · Q4 12.3% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.4% |
15.2%
2.2 pts worse
|
16.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 15.7% · Q3 10.9% · Q4 24.7% · 4Q avg 17.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.5% |
14.6%
1.1 pts better
|
14.9%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 12.5% · Q3 10.0% · Q4 13.1% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.8%
0.5 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.5%
0.7 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.5% · Q3 2.9% · Q4 1.4% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
22.4%
1.5 pts worse
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 22.5% · Q3 26.8% · Q4 29.3% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 1.6% |
3.7%
2.1 pts better
|
5.1%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 1.3% · Q4 2.4% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.8% |
76.4%
12.4 pts better
|
81.7%
7.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.9% · Q2 84.8% · Q3 93.8% · Q4 91.9% · 4Q avg 88.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.0% |
12.8%
1.8 pts better
|
12.0%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.0% · Observed 10.8% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.5% · Q3 0.0% · Q4 0.7% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.9% |
75.6%
1.3 pts better
|
79.7%
2.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.0% |
20.3%
2.7 pts worse
|
23.9%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 23.0% · Expected 23.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-18 · Fire 2023-05-18
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-03-24 · Fire 2022-03-24
7 health deficiencies
Top issue: Resident Rights (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-07
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-20
F · Potential for more than minimal harm
2024-11-07
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-03
F · Potential for more than minimal harm
2024-11-07
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-05
F · Potential for more than minimal harm
2024-11-07
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-12-05
F · Potential for more than minimal harm
2024-11-07
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-12-05
E · Potential for more than minimal harm
2024-11-07
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 2024-12-05
F · Potential for more than minimal harm
2023-05-18
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-06-18
F · Potential for more than minimal harm
2023-05-18
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-06-18
F · Potential for more than minimal harm
2022-03-24
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-05-07
D · Potential for more than minimal harm
2022-03-24
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-05-13
D · Potential for more than minimal harm
2022-03-24
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-05-13
Inspection history
Recent health citations
G · Actual harm
2024-11-07
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.
Corrected 2024-11-27
F · Potential for more than minimal harm
2024-11-07
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 2024-11-27
E · Potential for more than minimal harm
2024-11-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
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 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-11-27
D · Potential for more than minimal harm
2024-11-07
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-11-27
E · Potential for more than minimal harm
2023-05-18
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-06-23
E · Potential for more than minimal harm
2023-05-18
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-06-21
E · Potential for more than minimal harm
2023-05-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-12
D · Potential for more than minimal harm
2023-05-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-26
D · Potential for more than minimal harm
2023-05-18
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-06-23
E · Potential for more than minimal harm
2022-03-24
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2022-05-07
E · Potential for more than minimal harm
2022-03-24
F726 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2022-05-07
E · Potential for more than minimal harm
2022-03-24
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-05-07
E · Potential for more than minimal harm
2022-03-24
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-05-07
E · Potential for more than minimal harm
2022-03-24
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2022-05-07
D · Potential for more than minimal harm
2022-03-24
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2022-05-07
D · Potential for more than minimal harm
2022-03-24
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-05-07
Penalties and ownership
What sits behind the stars
Ownership
Preston, Forrest
5% Or Greater Direct Ownership Interest · Individual
Arapahoe Ltc Investors, LLC
Operational/Managerial Control · Organization
Arapahoe Ltc, Inc.
Operational/Managerial Control · Organization
Batson, April
Operational/Managerial Control · Individual
Cross, Cindy
Corporate Officer · Individual
Dent, Sara
Operational/Managerial Control · Individual
Fletcher, Todd
Corporate Director · Individual
Fletcher, Todd
Corporate Officer · Individual
Gahm, Gregory
Operational/Managerial Control · Individual
Henry, Terry
Corporate Officer · Individual
Lay, Lisa
Corporate Director · Individual
Lay, Lisa
Corporate Officer · Individual
Life Care Centers Of America, Inc.
Operational/Managerial Control · Organization
Preston, Aubrey
Operational/Managerial Control · Individual
Preston, Forrest
Operational/Managerial Control · Individual
Schmidt, Derek
Operational/Managerial Control · Individual
Swanker, Richard
Corporate Director · Individual
Swanker, Richard
Corporate Officer · Individual
Thurmond, Joan
Corporate Officer · Individual
Ziegler, James
Corporate Director · Individual
Ziegler, James
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Continuing Care At Wind Crest
Highlands Ranch, CO
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Littleton Care And Rehabilitation Center
Littleton, CO
4-star overall rating with 4-star inspections with $7,781 in total fines with 3 recent health deficiencies
#3
Vi At Highlands Ranch Skilled Nursing
Highlands Ranch, CO
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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