Federal inspection record · CMS data as of October 1, 2026
Western Hills Health Care Center
1625 Carr St, Lakewood, CO · (303) 232-6881
- Certified beds
- 140
- Residents per day
- 91
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 18, 1985
1
How this home got 3 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
★★★★★no change
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Colorado homes
Western Hills Health Care Center carries 69 inspection points. That is fewer than 46% 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
18 health citations on record since 2022. 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
Quality of Life and Care4D
- D
Provide activities to meet all resident's needs.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights3D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Environmental1F
- F
Keep all essential equipment working safely.
Nursing and Physician Services1E
- E
Observe each nurse aide's job performance and give regular training.
Resident Assessment and Care Planning1D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2026-05-14
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-02-27
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2022-11-10
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 41 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 41 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 39% 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 vaccine0.2 pts worse | 93.2% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts better | 96.1% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 2.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2 pts better | 6.8% | 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 medication2.9 pts better | 8.7% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.6 pts better | 16.3% | 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 ability to walk independently worsened6.6 pts better | 5.1% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.5 pts better | 4.3% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.3% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts worse | 2.4% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse | 22.0% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts better | 1.1% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 83.3% | 77.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.7 pts better | 8.3% | 12.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.3% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.5 pts better | 89.1% | 73.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.9 pts worse | 29.4% | 20.5% | 23.4% |
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Who owns and runs it
29 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 |
|---|---|---|---|
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Denzler, Anna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dergance, Jeannae | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Dergance, Jeannae | Adp Of The SNF · Individual | 0% | 15 facilities |
| Fletcher, Todd | Corporate Director · Individual | 0% | 165 facilities |
| Fletcher, Todd | Corporate Officer · Individual | 0% | 165 facilities |
| Fletcher, Todd | Operational/Managerial Control · Individual | 0% | 165 facilities |
| Henry, Terry | Corporate Officer · Individual | 0% | 159 facilities |
| Lay, Lisa | Corporate Director · Individual | 0% | 166 facilities |
| Lay, Lisa | Corporate Officer · Individual | 0% | 166 facilities |
| Lay, Lisa | Operational/Managerial Control · Individual | 0% | 166 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Life Care Centers Of America, Inc. | Adp Of The SNF · Organization | 0% | 194 facilities |
| Linenberger, Charity | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Linenberger, Charity | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Linenberger, Charity | Adp Of The SNF · Individual | 0% | 2 facilities |
| Preston, Aubrey | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Preston, Forrest | Corporate Director · Individual | 0% | 170 facilities |
| Preston, Forrest | Corporate Officer · Individual | 0% | 170 facilities |
| Preston, Forrest | Operational/Managerial Control · Individual | 0% | 170 facilities |
| Schmidt, Derek | Managing Control - Governing Body · Individual | 0% | 22 facilities |
| Schmidt, Derek | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Swanker, Richard | Corporate Director · Individual | 0% | 168 facilities |
| Swanker, Richard | Corporate Officer · Individual | 0% | 168 facilities |
| Swanker, Richard | Operational/Managerial Control · Individual | 0% | 168 facilities |
| Thurmond, Joan | Corporate Officer · Individual | 0% | 191 facilities |
| Ziegler, James | Corporate Director · Individual | 0% | 165 facilities |
| Ziegler, James | Corporate Officer · Individual | 0% | 165 facilities |
| Ziegler, James | Operational/Managerial Control · Individual | 0% | 165 facilities |
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