Nursing homes › Colorado › Lakewood Villa
1625 Simms St, Lakewood, CO 80215 · 3032388161 · 57 certified beds
Per CMS filings, this facility is affiliated with Madison Creek Partners, a group operating 13 facilities in 2 states. Group record: average rating 3.2/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $142,669 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.10 (Colorado median: 3.49). RN hours: 0.62. Weekend total: 2.91. Nursing staff turnover: 46%.
All-time on record: 21 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-07-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-07-27 |
| 2025-03-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-04-25 |
| 2024-12-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-01-17 |
| 2024-12-19 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-01-17 |
| 2024-12-19 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-01-17 |
| 2024-12-19 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-01-17 |
| 2024-12-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-01-17 |
| 2024-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-02-07 |
| 2024-01-25 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | complaint | corrected 2024-02-21 |
| 2024-01-25 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | complaint | corrected 2024-02-19 |
| 2023-07-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2023-08-09 |
| 2023-07-17 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2023-08-09 |
| 2023-07-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-08-09 |
| 2023-07-17 | 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. | E | Health | corrected 2023-08-09 |
| 2023-07-17 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2023-08-09 |
| 2023-07-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2023-08-09 |
| 2023-07-17 | 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. | D | Health | corrected 2023-08-09 |
| Date | Type | Amount |
|---|---|---|
| 2024-05-01 | Fine | $16,801 |
| 2023-08-08 | Payment Denial | 6 days payment denial |
| 2023-07-17 | Fine | $23,205 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CHIEF JOSEPH TRAIL, LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/02/2026 |
| TIPPET, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| WHITE CANYON, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| CLEGG, MICHAEL | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| CLEGG, MICHAEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/26/2023 |
| IKERD, JOHN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/02/2026 |
| MADISON CREEK PARTNERS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/01/2013 |
| CHRISTENSEN, COVEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2013 |
| CLEGG, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/26/2023 |
| HOPKINS, AMBER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2021 |
| HOWE, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2018 |
| IKERD, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/25/2022 |
| JAMES, KENDRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065408. Corrections: data@carerecords.org.