Wheat Ridge, CO

Wheatridge Care Center

3-star overall rating with 2-star inspections with $41,722 in total fines with 10 recent health deficiencies

2920 Fenton St, Wheat Ridge, CO

(303) 238-0481

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Vivage Senior Living

Operator or chain grouping

Approved since

1993-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

17 facilities

Chain averages 3 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

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

0.60

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

0.69

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.25

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.64

CMS adjusted RN staffing hours

Adjusted total hours

3.46

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

62%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,590

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

Performance score

26.27

Composite VBP score used to determine payment impact.

Payment multiplier

0.9841

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

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

Healthcare-associated infections

Not reported

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

Total nurse turnover

3.88

Baseline 47.73% · Performance 47.83% · Measure score 3.88 · Achievement 3.88 · Improvement 0

Adjusted total nurse staffing

1.38

Baseline 3.32 hours · Performance 3.47 hours · Measure score 1.38 · Achievement 1.38 · Improvement 0.12

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.66%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 4.55% · Lower 95% interval 6.75%
Discharge to community	61.15%	50.57% 10.6 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 60% · Lower 95% interval 49.27%
Medicare spending per beneficiary	0.81	1.02 0.2 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	15.87%	8.2% 7.7 pts better	Numerator 10 · Denominator 63
Staff flu vaccination coverage	95.45%	42% 53.5 pts better	Numerator 63 · Denominator 66
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.3%	93.5% 0.8 pts better	93.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 98.0% · Q3 90.6% · Q4 90.9% · 4Q avg 94.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.7%	94.7% 4 pts worse	95.5% 4.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.7%
Percentage of long-stay residents experiencing one or more falls with major injury	3.3%	3.4% 0.1 pts better	3.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.1% · Q3 3.8% · Q4 1.8% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.5%	7.4% 3.9 pts better	11.4% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.1% · Q3 5.9% · Q4 1.9% · 4Q avg 3.5%
Percentage of long-stay residents who lose too much weight	8.3%	5.0% 3.3 pts worse	5.4% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 6.7% · Q3 10.4% · Q4 5.9% · 4Q avg 8.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	0.0%	11.2% 11.2 pts better	19.6% 19.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antipsychotic medication	21.1%	20.6% 0.5 pts worse	16.7% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 22.5% · Q3 20.9% · Q4 22.2% · 4Q avg 21.1% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.8%	15.2% 5.4 pts better	16.3% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q3 9.5% · Q4 8.0% · 4Q avg 9.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.7%	14.6% 9.9 pts better	14.9% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 6.2% · Q4 8.0% · 4Q avg 4.7% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	1.5% 0.5 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 1.9% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.5%	22.4% 1.1 pts worse	19.8% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 20.5% · Q3 21.5% · Q4 27.7% · 4Q avg 23.5%
Percentage of long-stay residents with pressure ulcers	1.9%	3.7% 1.8 pts better	5.1% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 2.1% · Q4 3.5% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.9%	76.4% 0.5 pts better	81.7% 4.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 75.3% · Q3 65.4% · Q4 75.0% · 4Q avg 76.9%
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	59.0%	75.6% 16.6 pts worse	79.7% 20.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 59.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-12 · Fire 2025-06-12

10 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-10-19 · Fire 2023-10-19

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-07-12 · Fire 2022-07-12

6 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

G · Actual harm 2025-06-12

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-16

F · Potential for more than minimal harm 2025-06-12

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-06-16

E · Potential for more than minimal harm 2025-06-12

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-06-16

E · Potential for more than minimal harm 2025-06-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-16

E · Potential for more than minimal harm 2025-06-12

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-06-16

E · Potential for more than minimal harm 2025-06-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-06-12

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-06-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-06-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-16

F · Potential for more than minimal harm 2023-10-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-11

F · Potential for more than minimal harm 2023-10-19

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-10-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-19

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-11-09

J · Immediate jeopardy 2023-05-10