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

Rehabilitation Center At Sandalwood, The

3835 Harlan St, Wheat Ridge, CO · (303) 422-1533

CMS overall rating

4 of 5

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Certified beds
103
Residents per day
83
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 1, 1990

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.

  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

    +1 star

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

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Colorado homes

Rehabilitation Center At Sandalwood, The carries 68.5 inspection points. That is fewer than 46% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 68.5 pts · 3★

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 2023. 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 1 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 18 4 pts
E 2 8 pts
F 1 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 (2)

  1. L

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    April 26, 2024 · Standard inspection · Pharmacy Service · F756 · Corrected May 24, 2024

  2. G

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

    April 26, 2024 · Standard inspection · Quality of Life and Care · F692 · Corrected May 24, 2024

Everything else, by area of care

Quality of Life and Care13E
  1. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    February 11, 2026 · Standard · F676 · Corrected March 11, 2026

  2. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    April 26, 2024 · Standard · F676 · Corrected May 24, 2024

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 26, 2024 · Standard · F684 · Corrected May 24, 2024

  4. 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.

    April 26, 2024 · Standard · F688 · Corrected May 24, 2024

  5. D

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

    April 26, 2024 · Standard · F689 · Corrected May 24, 2024

  6. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    April 26, 2024 · Standard · F698 · Corrected May 24, 2024

  7. D

    Provide or obtain dental services for each resident.

    April 26, 2024 · Standard · F791 · Corrected May 24, 2024

  8. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    January 31, 2024 · Complaint · F686 · Corrected March 7, 2024

  9. E

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

    January 11, 2023 · Standard · F689 · Corrected February 24, 2023

  10. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 11, 2023 · Standard · F677 · Corrected February 24, 2023

  11. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 11, 2023 · Standard · F684 · Corrected February 24, 2023

  12. D

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

    January 11, 2023 · Standard · F692 · Corrected February 24, 2023

  13. D

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

    January 11, 2023 · Standard · F697 · Corrected February 24, 2023

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    February 11, 2026 · Standard · F880 · Corrected March 11, 2026

  2. D

    Provide and implement an infection prevention and control program.

    January 11, 2023 · Standard · F880 · Corrected February 24, 2023

Resident Rights2D
  1. D

    Honor the resident's right to manage his or her financial affairs.

    February 11, 2026 · Standard · F567 · Corrected March 11, 2026

  2. D

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

    January 11, 2023 · Standard · F561 · Corrected February 24, 2023

Resident Assessment and Care Planning2D
  1. D

    Provide care by qualified persons according to each resident's written plan of care.

    February 11, 2026 · Standard · F659 · Corrected March 11, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 11, 2023 · Standard · F656 · Corrected February 24, 2023

Administration1F
  1. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    April 26, 2024 · Standard · F867 · Corrected May 24, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    January 11, 2023 · Standard · F600 · Corrected February 24, 2023

Inspection history

  1. 2026-02-11

    4 health deficiencies · 3 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-04-26

    9 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (7 deficiencies)

  3. 2023-01-11

    10 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 39 min of nursing staff time a day, 34 min of it from a registered nurse.

This home

3 h 39 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

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

$46,150 in federal fines on record over the past three years.

DatePenaltyAmount
2024-04-26Fine$46,150

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 vaccine1.5 pts worse91.9%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts better94.9%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse4.2%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms0.2 pts better8.6%8.8%13.5%
Percentage of long-stay residents who lose too much weight2.7 pts better2.1%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts better5.5%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.8 pts better5.1%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 worsened0.4 pts worse12.1%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.6 pts better8.2%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 infection0.7 pts worse2.1%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts better16.6%20.6%18.3%
Percentage of long-stay residents with pressure ulcers1.3 pts better2.1%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.5 pts worse68.5%77.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4 pts better8.0%12.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse2.4%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.5 pts worse61.1%73.6%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission8.8 pts better11.7%20.5%23.4%

·

Fire safety

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

Smoke4F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 11, 2026 · K353 · Corrected March 20, 2026

  2. F

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

    April 26, 2024 · K345 · Corrected December 31, 2024

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    April 26, 2024 · K353 · Corrected June 12, 2024

  4. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    April 26, 2024 · K372 · Corrected August 13, 2024

Construction1F
  1. F

    Use approved construction type or materials.

    February 11, 2026 · K161 · Corrected March 25, 2026

Services1F
  1. F

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

    February 11, 2026 · K521 · Corrected April 5, 2026

Egress1E
  1. E

    Have properly located and lighted "Exit" signs.

    January 11, 2023 · K293 · Corrected March 1, 2023

Miscellaneous1D
  1. D

    Have simulated fire drills held at unexpected times.

    January 11, 2023 · K712 · Corrected March 2, 2023

·

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