nursing home in Denver, CO
Heights Care & Rehabilitation LLC
3131 S Federal Blvd, Denver, CO 80236 · (303) 761-0260
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- 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
Heights Care & Rehabilitation LLC at a glance
Heights Care & Rehabilitation LLC is a 110-bed for-profit nursing home in Denver, Colorado (Denver County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Colorado average of 3.2.
Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (April 6, 2026) found 9 health citations. The Colorado average is 8.7.
Federal regulators fined it 2 times in the past three years, totaling $68,159.
Nursing staff turnover is 75.9% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 110
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Pacs Group
- Medicare-certified since
- August 1, 1984
- Resident/family council
- Resident
- County
- Denver County
- CMS Certification Number
- 065191
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| 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) | 3.30 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.48 hrs | 0.82 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.03 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.86 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 75.9% | 47.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 58.3% | 44.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 106.5 | 74 | 80.6 | Worse |
Penalties
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $68,159 | $22,802 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 110 | 94 | 107 | |
| Average residents per day | 90 | 75 | 86 | |
| Occupancy | 81.5% | 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) | 1.5% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 9.6% | 3.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 21.8% | 20% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 1.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 4% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.4% | 13.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.8% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.4% | 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) | 10% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 17.4% | 21.2% | 19% | Better |
| 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% | 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) | 4.3% | 1.6% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 75% | 75.6% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 78% | 76.4% | 82% | Average |
Inspection citations
State inspectors cited this home for 49 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 6, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 7, 2026 |
| April 6, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 7, 2026 |
| April 6, 2026 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected April 7, 2026 |
| April 6, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected April 7, 2026 |
| April 6, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected April 7, 2026 |
| April 6, 2026 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 7, 2026 |
| April 6, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 7, 2026 |
| April 6, 2026 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected April 7, 2026 |
| December 9, 2025 Complaint | 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 December 22, 2025 |
| May 8, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected May 30, 2025 |
| July 9, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected July 29, 2024 |
| May 15, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected June 7, 2024 |
| May 15, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 7, 2024 |
| March 19, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 1, 2024 |
| March 19, 2024 Complaint | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected April 1, 2024 |
| March 19, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 1, 2024 |
| January 11, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected February 2, 2024 |
| January 11, 2024 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected February 2, 2024 |
| January 11, 2024 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | F Potential harm, widespread | Corrected February 2, 2024 |
| January 11, 2024 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | J Immediate jeopardy, isolated | Corrected January 12, 2024 |
| January 11, 2024 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | G Actual harm, isolated | Corrected March 18, 2024 |
| January 11, 2024 Standard | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected February 7, 2024 |
| January 11, 2024 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Corrected February 2, 2024 |
| January 11, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 13, 2024 |
| January 11, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected March 18, 2024 |
| January 11, 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 | E Potential harm, pattern | Corrected March 18, 2024 |
| January 11, 2024 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 March 18, 2024 |
| January 11, 2024 Standard | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Tag F0808 | E Potential harm, pattern | Corrected February 6, 2024 |
| January 11, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 7, 2024 |
| January 11, 2024 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected February 7, 2024 |
| January 11, 2024 Standard | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | D Potential harm, isolated | Corrected February 2, 2024 |
| January 11, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 9, 2024 |
| January 11, 2024 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 February 9, 2024 |
| January 11, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected March 18, 2024 |
| January 11, 2024 Complaint | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Tag F0559 | D Potential harm, isolated | Corrected February 9, 2024 |
| January 11, 2024 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected March 13, 2024 |
| January 11, 2024 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected March 18, 2024 |
| January 11, 2024 Complaint | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Tag F0626 | D Potential harm, isolated | Corrected March 13, 2024 |
| January 11, 2024 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected March 18, 2024 |
| January 11, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | C No harm, widespread | Corrected February 2, 2024 |
| October 19, 2023 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected November 11, 2023 |
| October 19, 2023 Complaint | 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 | E Potential harm, pattern | Corrected December 4, 2023 |
| October 19, 2023 Complaint | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected November 15, 2023 |
| September 16, 2022 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected October 14, 2022 |
| September 16, 2022 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected November 23, 2022 |
| September 16, 2022 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected October 14, 2022 |
| September 16, 2022 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected October 14, 2022 |
| September 16, 2022 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected October 26, 2022 |
| September 16, 2022 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected October 14, 2022 |
| September 16, 2022 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected October 14, 2022 |
| September 16, 2022 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 | D Potential harm, isolated | Corrected October 14, 2022 |
| September 16, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 14, 2022 |
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 3 federal penalties in the past three years, including $68,159 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 15, 2024 | Fine | $28,912 |
| January 11, 2024 | Payment Denial | 37 days from February 10, 2024 |
| January 11, 2024 | Fine | $39,247 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CENTENNIAL MASTER TENANT, LLC Organization | 5% or greater direct ownership interest | 100% | 01/10/2023 |
| PROVIDENCE GROUP NH, LLC Organization | 5% or greater indirect ownership interest | 100% | 06/30/2023 |
| PLACHTA, MICHAEL Individual | contracted managing employee | NOT APPLICABLE | 03/01/2023 |
| APT, FREDERICK Individual | corporate officer | NOT APPLICABLE | 01/10/2023 |
| HANCOCK, MARK Individual | corporate officer | NOT APPLICABLE | 01/10/2023 |
| JERGENSEN, JOSHUA Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| MITCHELL, JOHN Individual | corporate officer | NOT APPLICABLE | 01/10/2023 |
| KROMMENHOEK, SAMUEL Individual | w-2 managing employee | NOT APPLICABLE | 06/18/2024 |
Other nursing homes near Heights Care & Rehabilitation LLC
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★★★★★5Much above averageParkview Care Center
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★★★★★5Much above averageWestwood Post Acute
3185 W Arkansas Ave, Denver, CO 80219 · 2.3 mi
For-profit · 85 beds · Part of Pacs Group
- Special Focus candidate
★★★★★2Below averageLakewood Post Acute and Rehabilitation
7395 W Eastman Pl, Lakewood, CO 80227 · 2.7 mi
For-profit · 108 beds · Part of Pacs Group
★★★★★3AverageEnglewood Post Acute and Rehabilitation
3575 S Washington St, Englewood, CO 80113 · 2.7 mi
For-profit · 82 beds · Part of The Ensign Group
★★★★★4Above averageWellsprings Care Center
3636 S Pearl St, Englewood, CO 80113 · 2.7 mi
For-profit · 81 beds
- Abuse citation
★★★★★3Average
Frequently asked questions
What is Heights Care & Rehabilitation LLC's rating?
Heights Care & Rehabilitation LLC has 2 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 Heights Care & Rehabilitation LLC receive?
Its most recent standard health inspection found 9 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Heights Care & Rehabilitation LLC 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 Heights Care & Rehabilitation LLC?
It is for profit - limited liability company and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Heights Care & Rehabilitation LLC and how do I contact it?
Heights Care & Rehabilitation LLC is at 3131 S Federal Blvd, Denver, CO 80236. Phone: (303) 761-0260.
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.