18 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
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
10201 E 3rd Ave, Aurora, CO
(303) 364-3364
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
108
Certified beds
Average residents
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sweetwater Care
Operator or chain grouping
Approved since
1968-09-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.57
Registered nurse staffing
LPN hours / resident day
0.70
Licensed practical nurse staffing
Aide hours / resident day
2.21
Nurse aide staffing
Weekend hours
3.25
Weekend nurse staffing
RN turnover
67%
Annual RN turnover
Total nurse turnover
42%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.3
0.5 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.8% |
93.5%
1.7 pts worse
|
93.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.7% |
94.7%
1 pts better
|
95.5%
0.2 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.4%
3.4 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 5.3% |
7.4%
2.1 pts better
|
11.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.0%
1.2 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.1% |
11.2%
0.1 pts better
|
19.6%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 28.6% |
20.6%
8 pts worse
|
16.7%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.5% |
15.2%
6.7 pts better
|
16.3%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.2% |
14.6%
7.4 pts better
|
14.9%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.8%
0.8 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.5%
0.5 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.9% |
22.4%
10.5 pts better
|
19.8%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
3.7%
1.1 pts worse
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.2% |
76.4%
5.8 pts better
|
81.7%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.1% |
12.8%
4.3 pts worse
|
12.0%
5.1 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.9% |
75.6%
15.3 pts better
|
79.7%
11.2 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.1% |
20.3%
9.8 pts worse
|
23.9%
6.2 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Install proper backup exit lighting.
Corrected 2024-06-18
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 2024-06-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-18
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-06-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-18
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-18
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-06-18
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-02-21
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-02-21
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-02-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-03-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-01-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-01-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-12-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-11-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-12-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-01-07
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-12-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-12-21
Fire Safety
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.
Corrected 2022-01-04
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-12-01
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 2021-12-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-12-01
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2022-01-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-12-01
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-01-07
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-12-01
Inspection history
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-06-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-27
Health
Provide activities to meet all resident's needs.
Corrected 2025-06-27
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-06-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-31
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-10
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-05-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-10
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-10
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-05-10
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-05-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-10
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-10
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 2024-05-10
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-05-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-21
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 2023-02-24
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 2023-02-21
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-02-23
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-02-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-02-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-21
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-02-21
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-21
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-24
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2021-11-12
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-11-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-01-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-01-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-11-12
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-11-12
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-01-06
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-06
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2021-11-12
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-01-06
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2021-11-12
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 2021-11-12
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-01-06
Health
Provide activities to meet all resident's needs.
Corrected 2022-01-06
Health
Respond appropriately to all alleged violations.
Corrected 2022-01-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-11-12
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 2021-11-12
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-11-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-11-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-11-12
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2021-11-12
Penalties and ownership
Fine · fine $2,516
Fine
Fine · fine $1,134
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Nearby options
Aurora, CO
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Denver, CO
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
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
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