Nursing homes › Colorado › Heights Care & Rehabilitation LLC
3131 S Federal Blvd, Denver, CO 80236 · 3037610260 · 110 certified beds
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).
Total nurse staffing: 3.30 (Colorado median: 3.49). RN hours: 0.48. Weekend total: 2.86. Nursing staff turnover: 76%.
All-time on record: 56 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2026-04-07 |
| 2026-04-06 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Health | corrected 2026-04-07 |
| 2026-04-06 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-04-07 |
| 2026-04-06 | Honor 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. | D | Health | corrected 2026-04-07 |
| 2026-04-06 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2026-04-07 |
| 2026-04-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-04-07 |
| 2026-04-06 | Ensure medication error rates are not 5 percent or greater. | D | complaint | corrected 2026-04-07 |
| 2026-04-06 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-04-07 |
| 2025-12-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-12-22 |
| 2025-05-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2025-05-30 |
| 2024-07-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-07-29 |
| 2024-05-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-06-07 |
| 2024-05-15 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-06-07 |
| 2024-03-19 | Allow residents to self-administer drugs if determined clinically appropriate. | D | complaint | corrected 2024-04-01 |
| 2024-03-19 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-04-01 |
| 2024-03-19 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-04-01 |
| 2024-01-11 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | complaint | corrected 2024-01-12 |
| 2024-01-11 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | Health | corrected 2024-03-18 |
| 2024-01-11 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Health | corrected 2024-02-02 |
| 2024-01-11 | 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. | E | Health | corrected 2024-03-13 |
| 2024-01-11 | Honor 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. | E | Health | corrected 2024-03-18 |
| 2024-01-11 | 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. | E | Health | corrected 2024-03-18 |
| 2024-01-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-03-18 |
| 2024-01-11 | 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. | E | Health | corrected 2024-02-06 |
| 2024-01-11 | Ensure 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. | E | Health | corrected 2024-02-07 |
| 2024-01-11 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-02-07 |
| 2024-01-11 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Health | corrected 2024-02-07 |
| 2024-01-11 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2024-03-13 |
| 2024-01-11 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | complaint | corrected 2024-02-09 |
| 2024-01-11 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2024-03-18 |
| 2024-01-11 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-02-09 |
| 2024-01-11 | Respond appropriately to all alleged violations. | D | Health | corrected 2024-02-09 |
| 2024-01-11 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | complaint | corrected 2024-03-13 |
| 2024-01-11 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2024-03-18 |
| 2024-01-11 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Health | corrected 2024-03-18 |
| 2024-01-11 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Health | corrected 2024-02-02 |
| 2024-01-11 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | Health | corrected 2024-02-02 |
| 2023-10-19 | Have 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. | F | complaint | corrected 2023-11-11 |
| 2023-10-19 | Ensure the activities program is directed by a qualified professional. | E | complaint | corrected 2023-11-15 |
| 2023-10-19 | 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. | E | complaint | corrected 2023-12-04 |
| Date | Type | Amount |
|---|---|---|
| 2024-05-15 | Fine | $28,912 |
| 2024-01-11 | Fine | $39,247 |
| 2024-01-11 | Payment Denial | 37 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CENTENNIAL MASTER TENANT, LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/10/2023 |
| PROVIDENCE GROUP NH, LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 06/30/2023 |
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 01/10/2023 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 01/10/2023 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/10/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065191. Corrections: data@carerecords.org.