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Nursing homesColorado › Heights Care & Rehabilitation LLC

Heights Care & Rehabilitation LLC

3131 S Federal Blvd, Denver, CO 80236 · 3037610260 · 110 certified beds

Overall★★☆☆☆ 2/5
Health inspections★☆☆☆☆ 1/5
Staffing★★☆☆☆ 2/5
Quality measures★★★★★ 5/5

Ownership group

Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates below its group average (2.8/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.30 (Colorado median: 3.49). RN hours: 0.48. Weekend total: 2.86. Nursing staff turnover: 76%.

Inspection deficiencies

All-time on record: 56 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-06Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2026-04-07
2026-04-06Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. EHealthcorrected 2026-04-07
2026-04-06Provide and implement an infection prevention and control program. EHealthcorrected 2026-04-07
2026-04-06Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. DHealthcorrected 2026-04-07
2026-04-06Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. DHealthcorrected 2026-04-07
2026-04-06Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2026-04-07
2026-04-06Ensure medication error rates are not 5 percent or greater. Dcomplaintcorrected 2026-04-07
2026-04-06Ensure that residents are free from significant medication errors. Dcomplaintcorrected 2026-04-07
2025-12-09Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-12-22
2025-05-08Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Ecomplaintcorrected 2025-05-30
2024-07-09Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2024-07-29
2024-05-15Provide appropriate pressure ulcer care and prevent new ulcers from developing. Gcomplaintcorrected 2024-06-07
2024-05-15Provide and implement an infection prevention and control program. Dcomplaintcorrected 2024-06-07
2024-03-19Allow residents to self-administer drugs if determined clinically appropriate. Dcomplaintcorrected 2024-04-01
2024-03-19Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2024-04-01
2024-03-19Provide and implement an infection prevention and control program. Dcomplaintcorrected 2024-04-01
2024-01-11Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Jcomplaintcorrected 2024-01-12
2024-01-11Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. GHealthcorrected 2024-03-18
2024-01-11Ensure residents have reasonable access to and privacy in their use of communication methods. EHealthcorrected 2024-02-02
2024-01-11Honor 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. EHealthcorrected 2024-03-13
2024-01-11Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. EHealthcorrected 2024-03-18
2024-01-11Provide 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. EHealthcorrected 2024-03-18
2024-01-11Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. EHealthcorrected 2024-03-18
2024-01-11Ensure 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. EHealthcorrected 2024-02-06
2024-01-11Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. EHealthcorrected 2024-02-07
2024-01-11Provide and implement an infection prevention and control program. EHealthcorrected 2024-02-07
2024-01-11Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. EHealthcorrected 2024-02-07
2024-01-11Ensure that residents are fully informed and understand their health status, care and treatments. Dcomplaintcorrected 2024-03-13
2024-01-11Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Dcomplaintcorrected 2024-02-09
2024-01-11Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. DHealthcorrected 2024-03-18
2024-01-11Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2024-02-09
2024-01-11Respond appropriately to all alleged violations. DHealthcorrected 2024-02-09
2024-01-11Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Dcomplaintcorrected 2024-03-13
2024-01-11Assist a resident in gaining access to vision and hearing services. DHealthcorrected 2024-03-18
2024-01-11Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. DHealthcorrected 2024-03-18
2024-01-11Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. DHealthcorrected 2024-02-02
2024-01-11Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. CHealthcorrected 2024-02-02
2023-10-19Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Fcomplaintcorrected 2023-11-11
2023-10-19Ensure the activities program is directed by a qualified professional. Ecomplaintcorrected 2023-11-15
2023-10-19Provide 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. Ecomplaintcorrected 2023-12-04

Federal penalties

DateTypeAmount
2024-05-15Fine$28,912
2024-01-11Fine$39,247
2024-01-11Payment Denial37 days payment denial

Ownership & control records (CMS filings)

NameRoleType%Since
CENTENNIAL MASTER TENANT, LLC5% Or Greater Direct Ownership InterestOrganization100%since 01/10/2023
PROVIDENCE GROUP NH, LLC5% Or Greater Indirect Ownership InterestOrganization100%since 06/30/2023
APT, FREDERICKCorporate OfficerIndividualNOT APPLICABLEsince 01/10/2023
HANCOCK, MARKCorporate OfficerIndividualNOT APPLICABLEsince 01/10/2023
JERGENSEN, JOSHUACorporate OfficerIndividualNOT APPLICABLEsince 01/01/2024
MITCHELL, JOHNCorporate OfficerIndividualNOT APPLICABLEsince 01/10/2023

Compare nearby (Denver County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065191. Corrections: data@carerecords.org.