nursing home in Thornton, CO
Skylake Post Acute
12080 Bellaire Wy, Thornton, CO 80241 · (303) 450-2700
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Skylake Post Acute at a glance
Skylake Post Acute is a 242-bed for-profit nursing home in Thornton, Colorado (Adams County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Colorado average of 3.2.
Residents receive about 2.9 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 1, 2025) found 15 health citations. The Colorado average is 8.7.
Federal regulators fined it 1 time in the past three years, totaling $25,572.
Nursing staff turnover is 35% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 242
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Pacs Group
- Medicare-certified since
- January 1, 1988
- Resident/family council
- Both
- County
- Adams County
- CMS Certification Number
- 065238
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 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) | 4 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.91 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.61 hrs | 0.82 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.57 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.62 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 35% | 47.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 19% | 44.6% | 42.9% | Better |
| 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) | 15 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 188 | 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) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $25,572 | $22,802 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 242 | 94 | 107 | |
| Average residents per day | 191 | 75 | 86 | |
| Occupancy | 78.9% | 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) | 4.3% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 3.4% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 22.1% | 20% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 1.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.1% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.4% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.3% | 13.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.2% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 6.4% | 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) | 12% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 18.6% | 21.2% | 19% | Average |
| 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) | 97.3% | 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) | 1.3% | 1.6% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 87.5% | 75.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 76.4% | 76.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 42 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 11, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected May 28, 2026 |
| May 11, 2026 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 28, 2026 |
| March 4, 2026 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 4, 2026 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 March 26, 2026 |
| March 4, 2026 Complaint | 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 March 26, 2026 |
| December 1, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 11, 2025 |
| December 1, 2025 Standard | 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 December 11, 2025 |
| December 1, 2025 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 December 11, 2025 |
| December 1, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected December 11, 2025 |
| December 1, 2025 Standard | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected December 11, 2025 |
| December 1, 2025 Complaint | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | D Potential harm, isolated | Corrected December 11, 2025 |
| December 1, 2025 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 December 11, 2025 |
| December 1, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected December 15, 2025 |
| December 1, 2025 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 December 11, 2025 |
| December 1, 2025 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected December 11, 2025 |
| May 7, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 2, 2025 |
| June 14, 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 | J Immediate jeopardy, isolated | Corrected July 19, 2024 |
| June 14, 2024 Complaint | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Administration Deficiencies · Tag F0843 | F Potential harm, widespread | Corrected July 19, 2024 |
| June 14, 2024 Complaint | 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 July 19, 2024 |
| June 14, 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 July 19, 2024 |
| June 14, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 19, 2024 |
| January 9, 2024 Fire safety | Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0001 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Standard | 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 February 3, 2024 |
| January 9, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected February 3, 2024 |
| January 9, 2024 Standard | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | E Potential harm, pattern | Corrected February 3, 2024 |
| January 9, 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 27, 2024 |
| January 9, 2024 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | E Potential harm, pattern | Corrected February 3, 2024 |
| January 9, 2024 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 | E Potential harm, pattern | Corrected February 3, 2024 |
| January 9, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected February 20, 2024 |
| January 9, 2024 Complaint | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected February 3, 2024 |
| January 9, 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 | E Potential harm, pattern | Corrected February 3, 2024 |
| January 9, 2024 Complaint | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected February 3, 2024 |
| January 9, 2024 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected February 3, 2024 |
| January 9, 2024 Complaint | 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 February 3, 2024 |
| January 9, 2024 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 February 3, 2024 |
| January 9, 2024 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 February 3, 2024 |
| January 9, 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 3, 2024 |
| January 9, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected February 7, 2024 |
| September 16, 2022 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 | J Immediate jeopardy, isolated | Corrected September 16, 2022 |
| September 16, 2022 Standard | 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 September 19, 2022 |
| September 16, 2022 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected September 19, 2022 |
| September 16, 2022 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected September 19, 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 2 federal penalties in the past three years, including $25,572 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 14, 2024 | Payment Denial | 2 days from July 17, 2024 |
| June 14, 2024 | Fine | $25,572 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PANTHER MASTER TENANT, LLC Organization | 5% or greater direct ownership interest | 100% | 11/03/2023 |
| PROVIDENCE GROUP NH, LLC Organization | 5% or greater indirect ownership interest | — | 11/03/2023 |
| FRASER, MALCOLM Individual | contracted managing employee | NOT APPLICABLE | 11/03/2023 |
| APT, FREDERICK Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| JERGENSEN, JOSHUA Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| MITCHELL, JOHN Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| GOLDHAMMER, GRADY Individual | w-2 managing employee | NOT APPLICABLE | 11/03/2023 |
Other nursing homes near Skylake Post Acute
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★★★★★2Below averageCenter at Northridge, LLC, the
12285 Pecos St, Westminster, CO 80234 · 3.2 mi
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★★★★★5Much above averageThornton Care Center
501 Thornton Pkwy, Thornton, CO 80229 · 3.8 mi
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★★★★★1Much below average- ★★★★★2Below average
Irondale Post Acute
7150 Poplar St, Commerce City, CO 80022 · 6.4 mi
For-profit · 95 beds · Part of The Ensign Group
- Special Focus candidate
★★★★★2Below average
Frequently asked questions
What is Skylake Post Acute's rating?
Skylake Post Acute has 1 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 Skylake Post Acute receive?
Its most recent standard health inspection found 15 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Skylake 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 Skylake Post Acute?
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 Skylake Post Acute and how do I contact it?
Skylake Post Acute is at 12080 Bellaire Wy, Thornton, CO 80241. Phone: (303) 450-2700.
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.