nursing home in Lakewood, CO
Mapleton Post Acute
115 Ingalls St, Lakewood, CO 80226 · (303) 237-1325
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Mapleton Post Acute at a glance
Mapleton Post Acute is a 90-bed for-profit nursing home in Lakewood, Colorado (Jefferson County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Colorado average of 3.2.
Residents receive about 3.2 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (December 5, 2024) found 5 health citations. The Colorado average is 8.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 50% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- April 1, 1968
- Resident/family council
- Resident
- County
- Jefferson County
- CMS Certification Number
- 065097
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.18 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.82 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.19 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.70 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 50% | 47.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 44.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 70 | 74 | 80.6 | Better |
Penalties
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,802 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 94 | 107 | |
| Average residents per day | 76 | 75 | 86 | |
| Occupancy | 84.4% | 80.7% | 80.9% |
Long-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.9% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.2% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 12.9% | 20% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 1.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 12.7% | 13.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.6% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.2% | 8.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.7% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 24% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.7% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.7% | 93.5% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.6% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 76.8% | 75.6% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 68.1% | 76.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 33 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 17, 2025 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected July 7, 2025 |
| June 17, 2025 Complaint | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected July 7, 2025 |
| December 5, 2024 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | F Potential harm, widespread | Corrected February 5, 2025 |
| December 5, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected January 29, 2025 |
| December 5, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected January 29, 2025 |
| December 5, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 5, 2025 |
| December 5, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 29, 2025 |
| December 5, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 29, 2025 |
| December 5, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected January 29, 2025 |
| December 5, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected January 29, 2025 |
| December 5, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected January 29, 2025 |
| December 5, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected January 29, 2025 |
| December 5, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | F Potential harm, widespread | Corrected January 1, 2025 |
| December 5, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected January 1, 2025 |
| December 5, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 1, 2025 |
| December 5, 2024 Complaint | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Tag F0660 | D Potential harm, isolated | Corrected January 1, 2025 |
| December 5, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected January 1, 2025 |
| March 19, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected April 9, 2024 |
| March 19, 2024 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected April 9, 2024 |
| March 19, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | F Potential harm, widespread | Corrected April 9, 2024 |
| June 29, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | F Potential harm, widespread | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | F Potential harm, widespread | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected September 25, 2023 |
| June 29, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected September 25, 2023 |
| June 29, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected July 24, 2023 |
| June 29, 2023 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected July 24, 2023 |
| June 29, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected July 24, 2023 |
| June 29, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected July 24, 2023 |
| June 29, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected July 24, 2023 |
| June 29, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected July 24, 2023 |
| June 29, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 24, 2023 |
| June 29, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 24, 2023 |
| June 29, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 24, 2023 |
| June 29, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected July 24, 2023 |
| June 29, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected July 24, 2023 |
| June 29, 2023 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected July 24, 2023 |
| June 29, 2023 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected July 24, 2023 |
| June 29, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 24, 2023 |
| August 29, 2019 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected October 18, 2019 |
| August 29, 2019 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 18, 2019 |
| August 29, 2019 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected October 18, 2019 |
| August 29, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 10, 2019 |
| August 29, 2019 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected October 18, 2019 |
| August 29, 2019 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected October 18, 2019 |
| August 29, 2019 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected October 18, 2019 |
| August 29, 2019 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected April 17, 2020 |
| August 29, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected October 18, 2019 |
| August 29, 2019 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected November 1, 2019 |
| August 29, 2019 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected October 18, 2019 |
| August 29, 2019 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected September 26, 2019 |
| August 29, 2019 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 20, 2019 |
| August 29, 2019 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected October 9, 2019 |
| August 29, 2019 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected September 20, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 09/19/2022 |
| GARDEN INVESTMENT CO., LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| HORTON, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| MCDONALD, DONTRE Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| JORGENSEN, DAVID Individual | corporate director | NOT APPLICABLE | 03/01/2023 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 09/19/2022 |
| DUNYON, DAVID Individual | corporate officer | NOT APPLICABLE | 03/01/2023 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| SATO, AMI Individual | corporate officer | NOT APPLICABLE | 09/09/2024 |
| PORT, BARRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/05/2025 |
| HORTON, CHRISTOPHER Individual | managing control - governing body | NOT APPLICABLE | 03/01/2023 |
| MCDONALD, DONTRE Individual | managing control - governing body | NOT APPLICABLE | 03/01/2023 |
| HORTON, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| MCDONALD, DONTRE Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
Other nursing homes near Mapleton Post Acute
Oakwood Care and Rehabilitation
5301 W 1st Ave, Lakewood, CO 80226 · under 1 mi
For-profit · 170 beds · Part of The Ensign Group
- Abuse citation
★★★★★1Much below averageSierra Post Acute
1432 Depew St, Lakewood, CO 80214 · 1.4 mi
For-profit · 102 beds · Part of Pacs Group
- Abuse citation
★★★★★2Below averageCedars Healthcare Center
1599 Ingalls St, Lakewood, CO 80214 · 1.6 mi
For-profit · 130 beds · Part of Stellar Senior Living
★★★★★2Below averageEdgewater Health and Rehabilitation
1655 Eaton St, Lakewood, CO 80214 · 1.7 mi
For-profit · 67 beds
- CMS high performer
★★★★★5Much above average- ★★★★★3Average
Harmony Pointe Care Center
1655 Yarrow St, Lakewood, CO 80214 · 2 mi
For-profit · 125 beds · Part of Long Peak Operating Company
★★★★★3Average
Frequently asked questions
What is Mapleton Post Acute's rating?
Mapleton Post Acute has 4 out of 5 stars on the CMS overall star rating. The average for Colorado nursing homes is 3.2 stars.
How many inspection citations did Mapleton Post Acute receive?
Its most recent standard health inspection found 5 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Mapleton Post Acute accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Mapleton Post Acute?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Mapleton Post Acute and how do I contact it?
Mapleton Post Acute is at 115 Ingalls St, Lakewood, CO 80226. Phone: (303) 237-1325.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.