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

Suites At Clermont Park Care Center, The

2480 S Clermont St, Denver, CO · (720) 974-3700

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
63
Residents per day
60
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 1, 1996

1

How this home got 5 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 (already 5)

    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

    no change

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

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Colorado homes

Suites At Clermont Park Care Center, The carries 14 inspection points. That is fewer than 95% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 14 pts · 5★

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 2022. 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 0 150 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 9 4 pts
E 3 8 pts
F 0 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 (1)

  1. G

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

    September 15, 2022 · Standard inspection · Quality of Life and Care · F692 · Corrected October 24, 2022

Everything else, by area of care

Resident Rights4E
  1. D

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

    February 18, 2026 · Standard · F561 · Corrected March 19, 2026

  2. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    January 11, 2024 · Standard · F565 · Corrected February 28, 2024

  3. D

    Keep residents' personal and medical records private and confidential.

    January 11, 2024 · Standard · F583 · Corrected February 15, 2024

  4. E

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

    September 15, 2022 · Standard · F561 · Corrected October 24, 2022

Quality of Life and Care3D
  1. D

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

    January 11, 2024 · Standard · F677 · Corrected February 15, 2024

  2. D

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

    January 11, 2024 · Standard · F689 · Corrected February 21, 2024

  3. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    January 11, 2024 · Standard · F744 · Corrected February 15, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    February 18, 2026 · Standard · F880 · Corrected March 19, 2026

  2. D

    Provide and implement an infection prevention and control program.

    January 11, 2024 · Standard · F880 · Corrected February 15, 2024

Pharmacy Service2E
  1. D

    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.

    January 11, 2024 · Standard · F761 · Corrected February 15, 2024

  2. E

    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.

    September 15, 2022 · Standard · F761 · Corrected October 24, 2022

Administration1D
  1. 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.

    September 15, 2022 · Standard · F849 · Corrected October 24, 2022

Inspection history

  1. 2026-02-18

    2 health deficiencies · 6 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-01-11

    7 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2022-09-15

    4 health deficiencies · 1 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 22 min of nursing staff time a day, 1 h 1 min of it from a registered nurse.

This home

4 h 22 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 32% of nursing staff and 21% of registered nurses left in the past year, along with 1 administrator.

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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts better0.61.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better0.21.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better95.0%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better95.8%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better0.0%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms7 pts better1.8%8.8%13.5%
Percentage of long-stay residents who lose too much weight0.1 pts better4.7%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.1 pts worse19.7%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.1 pts worse27.0%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 worsened17.6 pts worse29.3%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased19.5 pts worse32.3%12.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.5%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts worse1.7%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.9 pts worse32.5%20.6%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts worse3.5%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.3 pts worse53.7%77.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5 pts better7.0%12.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better0.3%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.9 pts worse47.7%73.6%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission10.8 pts worse31.3%20.5%23.4%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Childs, BryonCorporate Officer · Individual0%4 facilities
Childs, BryonTrustee Of The SNF · Individual0%4 facilities
Childs, BryonAdp Of The SNF · Individual0%4 facilities
Christian Living NeighborhoodsDirect Ownership Interest · Organization0%3 facilities
Christian Living NeighborhoodsOperational/Managerial Control · Organization0%3 facilities
Christian Living NeighborhoodsAdp Of The SNF · Organization0%3 facilities
Fralick, TraciCorporate Director · Individual0%3 facilities
Fralick, TraciTrustee Of The SNF · Individual0%3 facilities
Fralick, TraciAdp Of The SNF · Individual0%3 facilities
Franken, JanOperational/Managerial Control · Individual0%4 facilities
Franken, JanAdp Of The SNF · Individual0%4 facilities
Keller, JayneCorporate Officer · Individual0%3 facilities
Keller, JayneTrustee Of The SNF · Individual0%3 facilities
Keller, JayneAdp Of The SNF · Individual0%3 facilities
Vitale-Aussem, JillCorporate Officer · Individual0%3 facilities
Vitale-Aussem, JillTrustee Of The SNF · Individual0%3 facilities
Vitale-Aussem, JillAdp Of The SNF · Individual0%3 facilities

·

Fire safety

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

Smoke4F
  1. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    February 18, 2026 · K321 · Corrected March 30, 2026

  2. F

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

    February 18, 2026 · K345 · Corrected March 23, 2026

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 18, 2026 · K353 · Corrected April 10, 2026

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 11, 2024 · K353 · Corrected February 9, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    February 18, 2026 · K914 · Corrected March 30, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 18, 2026 · K918 · Corrected March 30, 2026

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    September 15, 2022 · K918 · Corrected November 23, 2022

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    February 18, 2026 · K712 · Corrected March 30, 2026

·

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