nursing home in Denver, CO

Brookshire Post Acute

4660 E Asbury Cir, Denver, CO 80222 · (303) 756-1546

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★3
  • Quality measures★★★★★4
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Brookshire Post Acute at a glance

Brookshire Post Acute is a 67-bed for-profit nursing home in Denver, Colorado (Denver 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 3.3 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.7 hours.

Its most recent standard health inspection (January 16, 2025) found 15 health citations. The Colorado average is 8.7.

Federal regulators fined it 2 times in the past three years, totaling $75,713.

Nursing staff turnover is 57.8% per year (state average 47.1%).

Facility details

Type
Nursing home
Ownership
For Profit - Individual
Beds
67
Certified for
Medicare and Medicaid
Chain / affiliated entity
Pacs Group
Medicare-certified since
October 1, 1988
Resident/family council
Resident
County
Denver County
CMS Certification Number
065242

Ratings

MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 53.2 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)4 / 54.1 / 53.6 / 5Average
Long-stay quality rating (higher is better)4 / 54.1 / 53.8 / 5Average

Staffing

This facility3.27 hrsColorado average3.72 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.27 hrs3.72 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.71 hrs0.82 hrs0.69 hrsAverage
Nurse aide hours per resident per day (higher is better)2.10 hrs2.21 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.05 hrs3.29 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)57.8%47.1%45.8%Worse
Registered nurse turnover (yearly) (lower is better)61.5%44.6%42.9%Worse
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility15Colorado average9U.S. average9
Health citations in the most recent inspection: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1599Worse
Citations from complaint investigations (latest cycle) (lower is better)523Worse
Weighted health inspection score ⓘ (lower is better)162.37480.6Worse

Penalties

This facility2Colorado average1U.S. average1
Fines in the past 3 years: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$75,713$22,802$30,972Worse
All federal penalties in the past 3 years (lower is better)311Worse

Size

MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Certified beds6794107
Average residents per day587586
Occupancy86.1%80.7%80.9%

Long-stay residents

This facility4.3%Colorado average3.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado 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)3.1%3.4%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)27.6%20%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.4%1.4%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.4%0.6%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)8.3%13.4%13.9%Better
Long-stay residents whose walking worsened (lower is better)4.3%13.3%14.1%Better
Long-stay residents who lose too much weight (lower is better)1.5%4.7%5.2%Better
Long-stay residents with depressive symptoms (lower is better)5.9%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)4.9%11.5%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)27.3%21.2%19%Worse
Long-stay residents given a flu vaccine (higher is better)95.5%94.7%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)94.4%93.5%93.6%Average

Short-stay residents

This facility27.9%Colorado average76.4%U.S. average82%
Short-stay residents given a pneumonia vaccine: this facility vs. Colorado and U.S. averages
MeasureThis facilityColorado avg.U.S. avg.vs. U.S.
Short-stay residents given a pneumonia vaccine (higher is better)27.9%76.4%82%Worse

Inspection citations

State inspectors cited this home for 45 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 5 citations involved actual harm, including 2 rated "immediate jeopardy".

DateCitationSeverityStatus
January 6, 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
D
Potential harm, isolated
Corrected January 30, 2026
October 16, 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
J
Immediate jeopardy, isolated
Corrected November 13, 2025
October 16, 2025
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 November 13, 2025
January 16, 2025
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected February 20, 2025
January 16, 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 February 14, 2025
January 16, 2025
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected February 12, 2025
January 16, 2025
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected February 14, 2025
January 16, 2025
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
E
Potential harm, pattern
Corrected February 12, 2025
January 16, 2025
Standard
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Tag F0940
E
Potential harm, pattern
Corrected February 14, 2025
January 16, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected February 14, 2025
January 16, 2025
Standard
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Tag F0791
D
Potential harm, isolated
Corrected February 7, 2025
January 16, 2025
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
D
Potential harm, isolated
Corrected February 14, 2025
January 16, 2025
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 February 14, 2025
January 16, 2025
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected February 7, 2025
January 16, 2025
Complaint
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 February 14, 2025
January 16, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected February 7, 2025
January 25, 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
E
Potential harm, pattern
Corrected February 15, 2024
January 25, 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
E
Potential harm, pattern
Corrected February 15, 2024
January 25, 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 February 15, 2024
January 25, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected February 15, 2024
January 25, 2024
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
D
Potential harm, isolated
Corrected February 15, 2024
January 25, 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 February 15, 2024
January 25, 2024
Standard
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603
D
Potential harm, isolated
Corrected February 15, 2024
January 25, 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 15, 2024
January 25, 2024
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected February 15, 2024
January 25, 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 February 15, 2024
January 25, 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 February 15, 2024
January 25, 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
D
Potential harm, isolated
Corrected February 15, 2024
January 25, 2024
Standard
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.
Quality of Life and Care Deficiencies · Tag F0742
D
Potential harm, isolated
Corrected February 15, 2024
October 12, 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
G
Actual harm, isolated
Corrected November 22, 2023
October 12, 2023
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 November 13, 2023
October 12, 2023
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
G
Actual harm, isolated
Corrected November 8, 2023
October 12, 2023
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected November 13, 2023
October 12, 2023
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 November 13, 2023
October 12, 2023
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 November 22, 2023
September 29, 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
J
Immediate jeopardy, isolated
Corrected October 4, 2022
September 29, 2022
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 October 4, 2022
September 29, 2022
Standard
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603
E
Potential harm, pattern
Corrected October 4, 2022
September 29, 2022
Standard
Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · Tag F0888
E
Potential harm, pattern
Corrected October 4, 2022
September 29, 2022
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 October 4, 2022
September 29, 2022
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected October 4, 2022
September 29, 2022
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 October 4, 2022
September 29, 2022
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected October 4, 2022
September 29, 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 4, 2022
September 29, 2022
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 4, 2022
September 29, 2022
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected October 4, 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 $75,713 in fines.

DatePenaltyAmount / length
October 16, 2025Fine$46,638
October 12, 2023Payment Denial12 days from November 10, 2023
October 12, 2023Fine$29,075

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CENTENNIAL MASTER TENANT, LLC
Organization
5% or greater direct ownership interest100%10/11/2022
PROVIDENCE GROUP NH, LLC
Organization
5% or greater indirect ownership interest100%06/30/2023
HORTON, CHRISTOPHER
Individual
contracted managing employeeNOT APPLICABLE04/20/2023
APT, FREDERICK
Individual
corporate officerNOT APPLICABLE01/01/2024
HANCOCK, MARK
Individual
corporate officerNOT APPLICABLE01/01/2024
JERGENSEN, JOSHUA
Individual
corporate officerNOT APPLICABLE01/01/2024
MITCHELL, JOHN
Individual
corporate officerNOT APPLICABLE01/01/2024
MBIDA, ZACHARIE
Individual
w-2 managing employeeNOT APPLICABLE11/27/2023

Other nursing homes near Brookshire Post Acute

  1. Amberwood Post Acute

    4686 E Asbury Cir, Denver, CO 80222 · under 1 mi

    For-profit · 88 beds · Part of Pacs Group

    ★★★★★2Below average
  2. Rowan Community, INC

    4601 E Asbury Cir, Denver, CO 80222 · under 1 mi

    For-profit · 65 beds · Part of Vivage Senior Living

    ★★★★★4Above average
  3. South Valley Post Acute Rehabilitation

    4450 E Jewell Ave, Denver, CO 80222 · under 1 mi

    For-profit · 106 beds · Part of The Ensign Group

    ★★★★★4Above average
  4. Holly Heights Care and Rehabilitation

    6000 E Iliff Ave, Denver, CO 80222 · under 1 mi

    For-profit · 133 beds · Part of The Ensign Group

    ★★★★★3Average
  5. Highline Post Acute

    6060 E Iliff Ave, Denver, CO 80222 · under 1 mi

    For-profit · 125 beds · Part of Pacs Group

    ★★★★★1Much below average
  6. Suites at Clermont Park Care Center, the

    2480 S Clermont St, Denver, CO 80222 · under 1 mi

    Non-profit · 63 beds

    • CMS high performer
    ★★★★★5Much above average

All nursing homes in Denver, CO · Compare side by side

Frequently asked questions

What is Brookshire Post Acute's rating?

Brookshire 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 Brookshire 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 Brookshire 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 Brookshire Post Acute?

It is for profit - individual and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Brookshire Post Acute and how do I contact it?

Brookshire Post Acute is at 4660 E Asbury Cir, Denver, CO 80222. Phone: (303) 756-1546.

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.