nursing home in Castle Rock, CO
Silver Heights Skilled Nursing and Rehabilitation
4001 Home St, Castle Rock, CO 80108 · (303) 688-3174
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Silver Heights Skilled Nursing and Rehabilitation at a glance
Silver Heights Skilled Nursing and Rehabilitation is a 91-bed for-profit nursing home in Castle Rock, Colorado (Douglas 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 2.9 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (April 3, 2025) found 9 health citations. The Colorado average is 8.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 46.5% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 91
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Madison Creek Partners
- Medicare-certified since
- December 1, 1990
- Resident/family council
- Resident
- County
- Douglas County
- CMS Certification Number
- 065285
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) | 4 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| 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) | 2.90 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.84 hrs | 0.82 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.58 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.67 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 46.5% | 47.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 44.6% | 42.9% | Better |
| 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) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 56 | 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 | 91 | 94 | 107 | |
| Average residents per day | 58 | 75 | 86 | |
| Occupancy | 63.8% | 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) | 4.7% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.7% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 22.5% | 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% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17% | 13.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11.9% | 13.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.2% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 6.8% | 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) | 1.2% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 30.8% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 86.9% | 94.7% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 76.4% | 93.5% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.9% | 1.6% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 81.3% | 75.6% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 60.7% | 76.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 30 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 3, 2025 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 June 16, 2025 |
| April 3, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected June 16, 2025 |
| April 3, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 16, 2025 |
| April 3, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 16, 2025 |
| April 3, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 16, 2025 |
| April 3, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected June 16, 2025 |
| April 3, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected June 16, 2025 |
| April 3, 2025 Fire safety | Meet other general requirements. Egress Deficiencies · Tag K0200 | F Potential harm, widespread | Corrected June 16, 2025 |
| April 3, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected June 16, 2025 |
| April 3, 2025 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 June 16, 2025 |
| April 3, 2025 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected September 16, 2025 |
| April 3, 2025 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 June 16, 2025 |
| April 3, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected June 16, 2025 |
| April 3, 2025 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected May 16, 2025 |
| April 3, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 16, 2025 |
| April 3, 2025 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 May 16, 2025 |
| April 3, 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 May 16, 2025 |
| April 3, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 16, 2025 |
| April 3, 2025 Complaint | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected May 16, 2025 |
| April 3, 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 May 16, 2025 |
| April 3, 2025 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 May 16, 2025 |
| April 3, 2025 Complaint | 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 May 16, 2025 |
| April 3, 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 May 16, 2025 |
| November 7, 2024 Complaint | 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 December 13, 2024 |
| November 7, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 7, 2024 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 December 13, 2024 |
| November 7, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 13, 2024 |
| November 7, 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 December 13, 2024 |
| October 19, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 13, 2023 |
| October 19, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected December 13, 2023 |
| October 19, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 30, 2024 |
| October 19, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 30, 2024 |
| October 19, 2023 Fire safety | Provide large enough exits. Egress Deficiencies · Tag K0231 | F Potential harm, widespread | Corrected April 30, 2024 |
| October 19, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 13, 2023 |
| October 19, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 2, 2023 |
| October 19, 2023 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 December 2, 2023 |
| October 19, 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 December 2, 2023 |
| October 19, 2023 Standard | 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 December 2, 2023 |
| October 19, 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 December 2, 2023 |
| October 19, 2023 Standard | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | D Potential harm, isolated | Corrected December 2, 2023 |
| October 19, 2023 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected December 2, 2023 |
| October 19, 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 | D Potential harm, isolated | Corrected December 2, 2023 |
| July 21, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected September 27, 2022 |
| July 21, 2022 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 September 21, 2022 |
| July 21, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected October 7, 2022 |
| July 21, 2022 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected September 21, 2022 |
| July 21, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected September 21, 2022 |
| July 21, 2022 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 | D Potential harm, isolated | Corrected July 21, 2022 |
| July 21, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected December 31, 2022 |
| July 21, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected September 21, 2022 |
| July 21, 2022 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected October 7, 2022 |
| July 21, 2022 Standard | 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 | F Potential harm, widespread | Corrected August 26, 2022 |
| July 21, 2022 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected August 26, 2022 |
| July 21, 2022 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 August 26, 2022 |
| July 21, 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 August 26, 2022 |
| July 21, 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 August 26, 2022 |
| July 21, 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 | D Potential harm, isolated | Corrected August 26, 2022 |
| July 21, 2022 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected August 26, 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 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 |
|---|---|---|---|
| CHIEF JOSEPH TRAIL, LLC Organization | 5% or greater direct ownership interest | 100% | 03/02/2026 |
| CLEGG, MICHAEL Individual | 5% or greater indirect ownership interest | — | 03/02/2026 |
| TIPPET, LLC Organization | 5% or greater indirect ownership interest | — | 03/02/2026 |
| WHITE CANYON, LLC Organization | 5% or greater indirect ownership interest | — | 03/02/2026 |
| CHRISTENSEN, COVEY Individual | adp of the snf | NOT APPLICABLE | 12/22/2022 |
| CLEGG, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 06/26/2023 |
| HOPKINS, AMBER Individual | adp of the snf | NOT APPLICABLE | 12/22/2022 |
| HOWE, ROBERT Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| IKERD, JOHN Individual | adp of the snf | NOT APPLICABLE | 12/22/2022 |
| KNECHT, ANDREW Individual | adp of the snf | NOT APPLICABLE | 05/19/2025 |
| MADISON CREEK PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 12/22/2022 |
| CLEGG, MICHAEL Individual | managing control - governing body | NOT APPLICABLE | 06/26/2023 |
| IKERD, JOHN Individual | managing control - governing body | NOT APPLICABLE | 03/02/2026 |
| CHRISTENSEN, COVEY Individual | operational/managerial control | NOT APPLICABLE | 12/22/2022 |
| CLEGG, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 06/26/2023 |
| HOPKINS, AMBER Individual | operational/managerial control | NOT APPLICABLE | 12/22/2022 |
| HOWE, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| IKERD, JOHN Individual | operational/managerial control | NOT APPLICABLE | 12/22/2022 |
| KNECHT, ANDREW Individual | operational/managerial control | NOT APPLICABLE | 05/19/2025 |
| MADISON CREEK PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 12/22/2022 |
Other nursing homes near Silver Heights Skilled Nursing and Rehabilitation
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★★★★★2Below averageLife Care Center of Stonegate
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★★★★★4Above averageVi at Highlands Ranch Skilled Nursing
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★★★★★5Much above averageParker Post Acute
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★★★★★2Below averageBrookdale Greenwood Village
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★★★★★3Average
Frequently asked questions
What is Silver Heights Skilled Nursing and Rehabilitation's rating?
Silver Heights Skilled Nursing and Rehabilitation 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 Silver Heights Skilled Nursing and Rehabilitation 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 Silver Heights Skilled Nursing and Rehabilitation 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 Silver Heights Skilled Nursing and Rehabilitation?
It is for profit - limited liability company and part of Madison Creek Partners. The ownership section on this page lists the owners and managers reported to CMS.
Where is Silver Heights Skilled Nursing and Rehabilitation and how do I contact it?
Silver Heights Skilled Nursing and Rehabilitation is at 4001 Home St, Castle Rock, CO 80108. Phone: (303) 688-3174.
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.