nursing home in Centennial, CO
Suites at Holly Creek Care Center, the
5590 E Peakview Ave, Centennial, CO 80121 · (720) 266-5888
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Suites at Holly Creek Care Center, the at a glance
Suites at Holly Creek Care Center, the is a 25-bed non-profit nursing home in Centennial, Colorado (Arapahoe County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Colorado average of 3.2.
Residents receive about 5.7 hours of nursing care per day (1.6 of them from registered nurses), better than the state average of 3.7 hours.
Its most recent standard health inspection (November 21, 2024) found 3 health citations. The Colorado average is 8.7.
Federal regulators fined it 1 time in the past three years, totaling $21,678.
Nursing staff turnover is 25.8% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 25
- Certified for
- Medicare
- Medicare-certified since
- March 27, 2009
- Continuing care retirement community
- Yes
- Resident/family council
- Both
- County
- Arapahoe County
- CMS Certification Number
- 065395
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 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) | 4 / 5 | 4.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.3 / 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) | 5.75 hrs | 3.72 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.60 hrs | 0.82 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.22 hrs | 2.21 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.08 hrs | 3.29 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 25.8% | 47.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 12.5% | 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) | 3 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 29 | 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) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $21,678 | $22,802 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 25 | 94 | 107 | |
| Average residents per day | 25 | 75 | 86 | |
| Occupancy | 100% | 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) | 10.6% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.3% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 10.3% | 20% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 1.4% | 1.6% | Average |
| 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) | 32.4% | 13.4% | 13.9% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.6% | 4.7% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 12.8% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 30.1% | 21.2% | 19% | Worse |
| 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) | 98.5% | 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) | 0.6% | 1.6% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 75.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 67.1% | 76.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 7 health deficiencies and 37 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 21, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected January 6, 2025 |
| November 21, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 23, 2024 |
| November 21, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 8, 2025 |
| November 21, 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 | E Potential harm, pattern | Corrected January 8, 2025 |
| November 21, 2024 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 November 29, 2024 |
| November 21, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 17, 2024 |
| November 21, 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 December 17, 2024 |
| July 31, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected September 6, 2023 |
| July 31, 2023 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 September 6, 2023 |
| July 31, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 26, 2023 |
| July 31, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 26, 2023 |
| July 31, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected September 6, 2023 |
| July 31, 2023 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected September 6, 2023 |
| July 31, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected September 26, 2023 |
| July 31, 2023 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 | E Potential harm, pattern | Corrected September 26, 2023 |
| July 31, 2023 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 | E Potential harm, pattern | Corrected September 26, 2023 |
| July 31, 2023 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | E Potential harm, pattern | Corrected September 6, 2023 |
| July 31, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected September 6, 2023 |
| July 31, 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 | G Actual harm, isolated | Corrected August 31, 2023 |
| May 25, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | K Immediate jeopardy, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | D Potential harm, isolated | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | D Potential harm, isolated | Corrected August 3, 2022 |
| May 25, 2022 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 | D Potential harm, isolated | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | D Potential harm, isolated | Corrected August 3, 2022 |
| May 25, 2022 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | D Potential harm, isolated | Corrected August 3, 2022 |
| May 25, 2022 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 August 3, 2022 |
| May 25, 2022 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | D Potential harm, isolated | Corrected August 3, 2022 |
| May 25, 2022 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 June 24, 2022 |
| May 25, 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 June 24, 2022 |
| May 25, 2022 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 24, 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 1 federal penalty in the past three years, including $21,678 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 21, 2024 | Fine | $21,678 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CHAPMAN, MADELYN Individual | adp of the snf | NOT APPLICABLE | 10/23/2020 |
| CHILDS, BRYON Individual | adp of the snf | NOT APPLICABLE | 05/28/2007 |
| CHRISTIAN LIVING NEIGHBORHOODS Organization | adp of the snf | NOT APPLICABLE | 03/26/2025 |
| FRALICK, TRACI Individual | adp of the snf | NOT APPLICABLE | 11/05/2018 |
| FRANKEN, JAN Individual | adp of the snf | NOT APPLICABLE | 07/09/2007 |
| KELLER, JAYNE Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| VITALE-AUSSEM, JILL Individual | adp of the snf | NOT APPLICABLE | 11/01/2020 |
| FRALICK, TRACI Individual | corporate director | NOT APPLICABLE | 11/05/2018 |
| VITALE-AUSSEM, JILL Individual | corporate director | NOT APPLICABLE | 11/01/2020 |
| CHILDS, BRYON Individual | corporate officer | NOT APPLICABLE | 05/28/2007 |
| KELLER, JAYNE Individual | corporate officer | NOT APPLICABLE | 04/01/2021 |
| CHRISTIAN LIVING NEIGHBORHOODS Organization | direct ownership interest | NOT APPLICABLE | 09/01/2011 |
| CHAPMAN, MADELYN Individual | operational/managerial control | NOT APPLICABLE | 10/23/2020 |
| CHRISTIAN LIVING NEIGHBORHOODS Organization | operational/managerial control | NOT APPLICABLE | 09/01/2011 |
| FRANKEN, JAN Individual | operational/managerial control | NOT APPLICABLE | 07/09/2007 |
| CHILDS, BRYON Individual | trustee of the snf | NOT APPLICABLE | 05/28/2007 |
| FRALICK, TRACI Individual | trustee of the snf | NOT APPLICABLE | 11/05/2018 |
| KELLER, JAYNE Individual | trustee of the snf | NOT APPLICABLE | 04/01/2021 |
| VITALE-AUSSEM, JILL Individual | trustee of the snf | NOT APPLICABLE | 11/01/2020 |
Other nursing homes near Suites at Holly Creek Care Center, the
Suites at Someren Glen Care Center, the
5000 E Arapahoe Rd, Centennial, CO 80122 · under 1 mi
Non-profit · 109 beds
★★★★★2Below averageOrchard Park Health Care Center
6005 S Holly St, Littleton, CO 80121 · under 1 mi
For-profit · 133 beds · Part of Clear Choice Healthcare
★★★★★4Above averageBrookdale Greenwood Village
6450 S Boston St, Greenwood Village, CO 80111 · 2.1 mi
For-profit · 90 beds · Part of Brookdale Senior Living
★★★★★3AverageCherrelyn Healthcare Center
5555 S Elati St, Littleton, CO 80120 · 3.9 mi
For-profit · 190 beds · Part of Stellar Senior Living
★★★★★4Above averageVi at Highlands Ranch Skilled Nursing
9085 Ranch River Cir, Highlands Ranch, CO 80126 · 3.9 mi
For-profit · 24 beds · Part of Vi Living
★★★★★5Much above averageJulia Temple Healthcare Center
3401 S Lafayette St, Englewood, CO 80113 · 4.7 mi
For-profit · 128 beds · Part of The Ensign Group
★★★★★3Average
Frequently asked questions
What is Suites at Holly Creek Care Center, the's rating?
Suites at Holly Creek Care Center, the has 5 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 Suites at Holly Creek Care Center, the receive?
Its most recent standard health inspection found 3 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Suites at Holly Creek Care Center, the accept Medicare and Medicaid?
CMS lists it as certified for: Medicare. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Suites at Holly Creek Care Center, the?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Suites at Holly Creek Care Center, the and how do I contact it?
Suites at Holly Creek Care Center, the is at 5590 E Peakview Ave, Centennial, CO 80121. Phone: (720) 266-5888.
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.