nursing home in Wheat Ridge, CO
Lakeside Post Acute
6270 W 38th Ave, Wheat Ridge, CO 80033 · (303) 421-2272
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★5
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lakeside Post Acute at a glance
Lakeside Post Acute is a 78-bed for-profit nursing home in Wheat Ridge, Colorado (Jefferson County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Colorado average of 3.2.
Residents receive about 3.2 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 (July 2, 2024) found 11 health citations. The Colorado average is 8.7.
Federal regulators fined it 2 times in the past three years, totaling $14,058.
Nursing staff turnover is 56.5% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 78
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Pacs Group
- Medicare-certified since
- January 26, 1990
- Resident/family council
- Resident
- County
- Jefferson County
- CMS Certification Number
- 065273
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 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) | 3.25 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.82 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.06 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.94 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 56.5% | 47.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 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) | 11 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 2 | 3 | Worse |
| 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) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,058 | $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 | 78 | 94 | 107 | |
| Average residents per day | 62 | 75 | 86 | |
| Occupancy | 79.6% | 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) | 5.5% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.4% | 3.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 6.9% | 20% | 15.4% | Better |
| 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% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 1.4% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 0% | 13.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.4% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 8.1% | 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) | 9.3% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 1.7% | 21.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.2% | 94.7% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 93.5% | 93.6% | Better |
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) | 95.7% | 75.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.4% | 76.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 26, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 10, 2026 |
| December 5, 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 | D Potential harm, isolated | Corrected December 19, 2025 |
| February 12, 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 January 14, 2025 |
| October 21, 2024 Complaint | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected November 7, 2024 |
| July 2, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 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 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected July 26, 2024 |
| July 2, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected July 26, 2024 |
| July 2, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 2024 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | F Potential harm, widespread | Corrected August 9, 2024 |
| July 2, 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 August 9, 2024 |
| July 2, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected July 26, 2024 |
| July 2, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 26, 2024 |
| July 2, 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 | E Potential harm, pattern | Corrected July 26, 2024 |
| July 2, 2024 Complaint | 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 July 26, 2024 |
| July 2, 2024 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 July 26, 2024 |
| July 2, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected July 26, 2024 |
| July 2, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected July 26, 2024 |
| July 2, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected July 26, 2024 |
| July 2, 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 July 25, 2024 |
| February 9, 2023 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected March 21, 2023 |
| February 9, 2023 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected March 1, 2023 |
| February 9, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected March 30, 2023 |
| February 9, 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 | D Potential harm, isolated | Corrected March 27, 2023 |
| February 9, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected March 8, 2023 |
| February 9, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 2, 2023 |
| February 9, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected March 2, 2023 |
| February 9, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 4, 2023 |
| February 9, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected March 23, 2023 |
| February 9, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 5, 2023 |
| February 9, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected February 27, 2023 |
| February 9, 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 February 27, 2023 |
| February 9, 2023 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 | E Potential harm, pattern | Corrected March 20, 2023 |
| February 9, 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 | D Potential harm, isolated | Corrected February 27, 2023 |
| February 9, 2023 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 27, 2023 |
| October 12, 2021 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 1, 2024 |
| October 12, 2021 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected October 14, 2021 |
| October 12, 2021 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 | D Potential harm, isolated | Corrected October 14, 2021 |
| October 12, 2021 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, 2021 |
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 $14,058 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 12, 2025 | Fine | $9,235 |
| October 21, 2024 | Fine | $4,823 |
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% | 10/11/2022 |
| PROVIDENCE GROUP NH, LLC Organization | 5% or greater indirect ownership interest | 100% | 06/30/2023 |
| DERGANCE, JEANNAE Individual | contracted managing employee | NOT APPLICABLE | 04/01/2023 |
| APT, FREDERICK Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| HANCOCK, MARK 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 |
| MCGINN, MICHELLE Individual | w-2 managing employee | NOT APPLICABLE | 11/20/2023 |
Other nursing homes near Lakeside Post Acute
Rehabilitation Center at Sandalwood, the
3835 Harlan St, Wheat Ridge, CO 80033 · under 1 mi
For-profit · 103 beds
★★★★★4Above averageWheatridge Care Center
2920 Fenton St, Wheat Ridge, CO 80214 · under 1 mi
For-profit · 65 beds · Part of Vivage Senior Living
★★★★★3Average- ★★★★★3Average
Edgewater Health and Rehabilitation
1655 Eaton St, Lakewood, CO 80214 · 1.9 mi
For-profit · 67 beds
- CMS high performer
★★★★★5Much above averageHarmony Pointe Care Center
1655 Yarrow St, Lakewood, CO 80214 · 1.9 mi
For-profit · 125 beds · Part of Long Peak Operating Company
★★★★★3AverageCedars Healthcare Center
1599 Ingalls St, Lakewood, CO 80214 · 2 mi
For-profit · 130 beds · Part of Stellar Senior Living
★★★★★2Below average
Frequently asked questions
What is Lakeside Post Acute's rating?
Lakeside Post Acute has 3 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 Lakeside Post Acute receive?
Its most recent standard health inspection found 11 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Lakeside 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 Lakeside Post Acute?
It is for profit - corporation and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lakeside Post Acute and how do I contact it?
Lakeside Post Acute is at 6270 W 38th Ave, Wheat Ridge, CO 80033. Phone: (303) 421-2272.
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.