Nursing homes › Colorado › Lakewood › Mapleton Post Acute
115 Ingalls St, Lakewood, CO 80226 · (303) 237-1325 · 90 certified beds
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Open your comparisonCMS overall star rating: this provider 4/5; median among 209 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 342 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 6 facilities on the Special Focus list, $7,057,363 in federal fines. This facility rates above its group average (3.2/5).
Total nurse staffing: 3.18 (Colorado median: 3.49). RN hours: 0.56. Weekend total: 2.70. Nursing staff turnover: 50%.
In the downloaded CMS dataset: 28 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-06-17 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | complaint | corrected 2025-07-07 |
| 2025-06-17 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-07-07 |
| 2024-12-05 | 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. | F | Health | corrected 2025-01-01 |
| 2024-12-05 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2025-01-01 |
| 2024-12-05 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-01-01 |
| 2024-12-05 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2025-01-01 |
| 2024-12-05 | 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. | D | Health | corrected 2025-01-01 |
| 2024-03-19 | Provide safe, appropriate pain management for a resident who requires such services. | G | complaint | corrected 2024-04-09 |
| 2024-03-19 | Ensure that residents are free from significant medication errors. | F | complaint | corrected 2024-04-09 |
| 2024-03-19 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | complaint | corrected 2024-04-09 |
| 2023-06-29 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2023-07-24 |
| 2023-06-29 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2023-07-24 |
| 2023-06-29 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-07-24 |
| 2023-06-29 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2023-07-24 |
| 2023-06-29 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-07-24 |
| 2023-06-29 | 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 2023-07-24 |
| 2023-06-29 | Respond appropriately to all alleged violations. | D | Health | corrected 2023-07-24 |
| 2023-06-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-07-24 |
| 2023-06-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-07-24 |
| 2023-06-29 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-07-24 |
| 2023-06-29 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-07-24 |
| 2023-06-29 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-07-24 |
| 2023-06-29 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2023-07-24 |
| 2023-06-29 | 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. | D | Health | corrected 2023-07-24 |
No federal fines or payment denials in this downloaded dataset.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HORTON, CHRISTOPHER | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2023 |
| MCDONALD, DONTRE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2023 |
| JORGENSEN, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2023 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 09/19/2022 |
| DUNYON, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2023 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| SATO, AMI | Corporate Officer | Individual | NOT APPLICABLE | since 09/09/2024 |
| HORTON, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
| MCDONALD, DONTRE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
How to cite this page: CareRecords, “Mapleton Post Acute — compliance, penalty and ownership record” (CCN 065097), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/mapleton-post-acute-lakewood-co/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065097. Corrections: data@carerecords.org.