nursing home in Lakewood, CO
Lakewood Post Acute and Rehabilitation
7395 W Eastman Pl, Lakewood, CO 80227 · (303) 730-8000
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- 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
Lakewood Post Acute and Rehabilitation at a glance
Lakewood Post Acute and Rehabilitation is a 108-bed for-profit nursing home in Lakewood, 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 7 hours of nursing care per day (2 of them from registered nurses), better than the state average of 3.7 hours.
Its most recent standard health inspection (March 27, 2025) found 11 health citations. The Colorado average is 8.7.
Federal regulators fined it 1 time in the past three years, totaling $32,513.
Nursing staff turnover is 44.7% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 108
- Certified for
- Medicare
- Chain / affiliated entity
- Pacs Group
- Medicare-certified since
- July 16, 2010
- Resident/family council
- Resident
- County
- Jefferson County
- CMS Certification Number
- 065400
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) | 4 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| 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) | 6.95 hrs | 3.72 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 2.00 hrs | 0.82 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.25 hrs | 2.21 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.78 hrs | 3.29 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 44.7% | 47.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 80% | 44.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 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) | 11 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 88.5 | 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) | $32,513 | $22,802 | $30,972 | Average |
| 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 | 108 | 94 | 107 | |
| Average residents per day | 18 | 75 | 86 | |
| Occupancy | 16.9% | 80.7% | 80.9% |
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) | 89.6% | 75.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.5% | 76.4% | 82% | Average |
Inspection citations
State inspectors cited this home for 33 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 27, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 24, 2025 |
| March 27, 2025 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 April 24, 2025 |
| March 27, 2025 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 May 9, 2025 |
| March 27, 2025 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected May 9, 2025 |
| March 27, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 9, 2025 |
| March 27, 2025 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 May 9, 2025 |
| March 27, 2025 Standard | 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 May 9, 2025 |
| March 27, 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 May 9, 2025 |
| March 27, 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 May 9, 2025 |
| March 27, 2025 Complaint | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 27, 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 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 27, 2025 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 May 9, 2025 |
| March 27, 2025 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 May 9, 2025 |
| September 28, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected November 27, 2023 |
| September 28, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected November 27, 2023 |
| September 28, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected November 27, 2023 |
| September 28, 2023 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 November 27, 2023 |
| September 28, 2023 Fire safety | Have an externally vented heating system. Services Deficiencies · Tag K0522 | F Potential harm, widespread | Corrected October 26, 2023 |
| September 28, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 31, 2023 |
| September 28, 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 November 27, 2023 |
| September 28, 2023 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | F Potential harm, widespread | Corrected November 27, 2023 |
| September 28, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected November 1, 2023 |
| September 28, 2023 Fire safety | Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0001 | F Potential harm, widespread | Corrected October 22, 2023 |
| September 28, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected December 19, 2023 |
| September 28, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected October 22, 2023 |
| September 28, 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 | F Potential harm, widespread | Corrected December 19, 2023 |
| September 28, 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 | F Potential harm, widespread | Corrected October 22, 2023 |
| September 28, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected October 22, 2023 |
| September 28, 2023 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 | E Potential harm, pattern | Corrected October 22, 2023 |
| September 28, 2023 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 | E Potential harm, pattern | Corrected October 22, 2023 |
| September 28, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 22, 2023 |
| September 28, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected October 22, 2023 |
| September 28, 2023 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 22, 2023 |
| September 28, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected October 22, 2023 |
| September 28, 2023 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 22, 2023 |
| February 25, 2020 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 14, 2020 |
| February 25, 2020 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected October 13, 2020 |
| February 25, 2020 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 18, 2020 |
| February 25, 2020 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 16, 2020 |
| February 25, 2020 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 14, 2020 |
| February 25, 2020 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected September 16, 2020 |
| February 25, 2020 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected September 5, 2020 |
| February 25, 2020 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected September 14, 2020 |
| February 25, 2020 Fire safety | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Tag K0751 | D Potential harm, isolated | Corrected October 16, 2020 |
| February 25, 2020 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 September 14, 2020 |
| February 25, 2020 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected September 23, 2020 |
| February 25, 2020 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 March 23, 2020 |
| February 25, 2020 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 March 23, 2020 |
| February 25, 2020 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 March 23, 2020 |
| February 25, 2020 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected March 23, 2020 |
| February 25, 2020 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 March 23, 2020 |
| February 25, 2020 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 | D Potential harm, isolated | Corrected March 23, 2020 |
| February 25, 2020 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 March 23, 2020 |
| February 25, 2020 Standard | 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 March 23, 2020 |
| February 25, 2020 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | D Potential harm, isolated | Corrected March 23, 2020 |
| February 25, 2020 Standard | 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 March 23, 2020 |
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 $32,513 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 28, 2023 | Payment Denial | 53 days from October 27, 2023 |
| September 28, 2023 | Fine | $32,513 |
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% | 09/01/2023 |
| PROVIDENCE GROUP NH, LLC Organization | 5% or greater indirect ownership interest | 100% | 09/01/2023 |
| JAVERY, SHAHID Individual | contracted managing employee | NOT APPLICABLE | 07/20/2023 |
| 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 |
| BIRRELL, AUSTIN Individual | w-2 managing employee | NOT APPLICABLE | 05/15/2024 |
Other nursing homes near Lakewood Post Acute and Rehabilitation
Hallmark Nursing Center
3701 W Radcliff Ave, Denver, CO 80236 · 2.6 mi
For-profit · 143 beds · Part of Life Care Centers of America
★★★★★5Much above averageHeights Care & Rehabilitation LLC
3131 S Federal Blvd, Denver, CO 80236 · 2.7 mi
For-profit · 110 beds · Part of Pacs Group
★★★★★2Below averageVilla Manor Care Center
7950 W Mississippi Ave, Lakewood, CO 80226 · 2.7 mi
For-profit · 110 beds · Part of Life Care Centers of America
★★★★★4Above averageParkview Care Center
3105 W Arkansas Ave, Denver, CO 80219 · 3.5 mi
For-profit · 73 beds · Part of Long Peak Operating Company
- CMS high performer
★★★★★5Much above averageWestwood Post Acute
3185 W Arkansas Ave, Denver, CO 80219 · 3.5 mi
For-profit · 85 beds · Part of Pacs Group
- Special Focus candidate
★★★★★2Below averageLittleton Care and Rehabilitation Center
5822 S Lowell Way, Littleton, CO 80123 · 4.2 mi
For-profit · 35 beds · Part of The Ensign Group
★★★★★5Much above average
Frequently asked questions
What is Lakewood Post Acute and Rehabilitation's rating?
Lakewood Post Acute and Rehabilitation 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 Lakewood Post Acute and Rehabilitation 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 Lakewood Post Acute and Rehabilitation 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 Lakewood Post Acute and Rehabilitation?
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 Lakewood Post Acute and Rehabilitation and how do I contact it?
Lakewood Post Acute and Rehabilitation is at 7395 W Eastman Pl, Lakewood, CO 80227. Phone: (303) 730-8000.
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.