Federal inspection record · CMS data as of October 1, 2026
Neurorestorative Colorado
5945 S Wright St, Littleton, CO · (303) 390-3000
- Certified beds
- 36
- Residents per day
- 19
- Ownership
- For-Profit
- Chain
- Neurorestorative
- Medicare / Medicaid
- Medicare
- Certified since
- August 16, 2012
1
How this home got 4 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.
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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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Colorado homes
Neurorestorative Colorado carries 49 inspection points. That is fewer than 61% 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
13 health citations on record since 2020. 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 (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Administration2D
- D
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.
- D
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.
Quality of Life and Care1E
- E
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.
Pharmacy Service1D
- D
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.
Inspection history
2025-05-01
7 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2023-08-31
3 health deficiencies · 13 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2020-02-12
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 9 h 16 min of nursing staff time a day, 2 h 3 min of it from a registered nurse.
This home
9 h 16 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 56% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better | 98.6% | 93.4% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.2 pts better | 1.6% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts better | 1.6% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication24.3 pts worse | 35.9% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15.4 pts better | 4.5% | 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 need for help with daily activities has increased2.5 pts better | 10.3% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder5.7 pts worse | 6.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts better | 13.8% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers6.3 pts worse | 9.7% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts better | 92.5% | 77.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication5.5 pts worse | 7.1% | 1.6% | 1.5% |
·
Who owns and runs it
15 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 |
|---|---|---|---|
| Caremeridian LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 5 facilities |
| Celtic Intermediate Corp. | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Cohen, Brett | Corporate Officer · Individual | 0% | 4 facilities |
| Duffy, William | Corporate Officer · Individual | 0% | 4 facilities |
| Duffy, William | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Gladitsch, Peter | Corporate Officer · Individual | 0% | 4 facilities |
| Kuluris, Bruce | W-2 Managing Employee · Individual | 0% | 4 facilities |
| Kuluris, Bruce | Corporate Director · Individual | 0% | 4 facilities |
| Martin, Gina | Corporate Officer · Individual | 0% | 4 facilities |
| Mckinney, William | Corporate Officer · Individual | 0% | 4 facilities |
| Mckinney, William | Operational/Managerial Control · Individual | 0% | 4 facilities |
| National Mentor Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 5 facilities |
| National Mentor Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| National Mentor Holdings, Inc. | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| National Mentor LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure medical gas and vacuum systems have documented maintenance programs.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- D
Meet requirements for the installation and maintenance of electrical systems.
Egress3F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- D
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
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