Highlands Ranch, CO

Vi At Highlands Ranch Skilled Nursing

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

9085 Ranch River Cir, Highlands Ranch, CO

(720) 348-7900

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

24

Certified beds

Average residents

28

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Vi Living

Operator or chain grouping

Approved since

2010-02-01

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

10 facilities

Chain averages 5 overall / 4 health / 5 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

2.14

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

0.32

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

3.43

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

5.88

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

2.45

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

5.53

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

1.63

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

2.26

CMS adjusted RN staffing hours

Adjusted total hours

6.21

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

14%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,561

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.04

Composite VBP score used to determine payment impact.

Payment multiplier

1.0029

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.17

Performance 18.57% · Measure score 6.17 · Achievement 6.17 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

4.26

Performance 6.56% · Measure score 4.26 · Achievement 4.26 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

4.29

Baseline 39.02% · Performance 46.15% · Measure score 4.29 · Achievement 4.29 · Improvement 0

Adjusted total nurse staffing

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.91%	10.72% 0.2 pts worse	No Different than the National Rate · Eligible stays 57 · Observed rate 8.77% · Lower 95% interval 7.1%
Discharge to community	58.4%	50.57% 7.8 pts better	No Different than the National Rate · Eligible stays 52 · Observed rate 61.54% · Lower 95% interval 49.71%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 33 · Denominator 33
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 33
Discharge self-care score	68.97%	53.69% 15.3 pts better	Numerator 20 · Denominator 29
Discharge mobility score	48.28%	50.94% 2.7 pts worse	Numerator 14 · Denominator 29
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 33 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.56%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 38 · Observed rate 2.63% · Lower 95% interval 2.99%
Staff COVID-19 vaccination coverage	9.28%	8.2% 1.1 pts better	Numerator 9 · Denominator 97
Staff flu vaccination coverage	98.85%	42% 56.8 pts better	Numerator 257 · Denominator 260
Discharge function score	65.52%	56.45% 9.1 pts better	Numerator 19 · Denominator 29
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	1.3 0.7 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.3	1.7 1.4 pts better	1.8 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.2 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	93.5% 5.2 pts better	93.4% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q3 100.0% · Q4 95.7% · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	3.4% 0.8 pts better	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.3%	7.4% 6.1 pts better	11.4% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q3 5.0% · Q4 0.0% · 4Q avg 1.3%
Percentage of long-stay residents who lose too much weight	2.0%	5.0% 3 pts better	5.4% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.7%	11.2% 3.5 pts better	19.6% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.7%
Percentage of long-stay residents who received an antipsychotic medication	17.8%	20.6% 2.8 pts better	16.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.8% · 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 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	29.1%	15.2% 13.9 pts worse	16.3% 12.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 29.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.6%	14.6% 7 pts worse	14.9% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 21.6% · Used in QM five-star
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.6%	1.5% 1.1 pts worse	1.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 9.1% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.6%	22.4% 3.2 pts worse	19.8% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 25.6%
Percentage of long-stay residents with pressure ulcers	0.0%	3.7% 3.7 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.3%	76.4% 7.9 pts better	81.7% 2.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.0% · Q3 80.0% · Q4 66.7% · 4Q avg 84.3%
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.0%	75.6% 9.4 pts better	79.7% 5.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-19 · Fire 2024-09-19

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-03-29 · Fire 2023-03-29

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-12-14 · Fire 2021-12-14

2 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-19

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-01-17

F · Potential for more than minimal harm 2024-09-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-12-02

F · Potential for more than minimal harm 2023-03-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-03-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-25

E · Potential for more than minimal harm 2023-03-29

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-05-25

E · Potential for more than minimal harm 2023-03-29

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-05-25

F · Potential for more than minimal harm 2021-12-14

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-02-28

F · Potential for more than minimal harm 2021-12-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-02-28

E · Potential for more than minimal harm 2021-12-14

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-04-11

E · Potential for more than minimal harm 2021-12-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-02-28

D · Potential for more than minimal harm 2021-12-14

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-02-28

D · Potential for more than minimal harm 2021-12-14

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-02-28

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-09-19

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-10-19

D · Potential for more than minimal harm 2021-12-14

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-12-14

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-01-10

Penalties and ownership

What sits behind the stars

Ownership

Cc-Development Group, Inc.

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2009-09-25

Margot And Tom Pritzker Foundation