CareRecords.org

Nursing homesColorado › Mountain Vista Health Center

Mountain Vista Health Center

4800 Tabor St, Wheat Ridge, CO 80033 · 3034214161 · 168 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★☆☆☆ 2/5
Staffing★★★☆☆ 3/5
Quality measures★★★★☆ 4/5

Ownership group

Per CMS filings, this facility is affiliated with American Baptist Homes of the Midwest, a group operating 6 facilities in 5 states. Group record: average rating 2.3/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $273,201 in federal fines. This facility rates below its group average (2.3/5).

See all 6 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 4.08 (Colorado median: 3.49). RN hours: 0.83. Weekend total: 3.82. Nursing staff turnover: 66%.

Inspection deficiencies

All-time on record: 35 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-30Ensure 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. EHealthcorrected 2026-05-29
2026-04-30Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. EHealthcorrected 2026-05-30
2026-04-30Honor 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 2026-05-29
2026-04-30Provide and implement an infection prevention and control program. DHealthcorrected 2026-05-30
2026-04-30Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. DHealthcorrected 2026-05-30
2025-12-09Respond appropriately to all alleged violations. Dcomplaintcorrected 2026-01-02
2025-06-11Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Ecomplaintcorrected 2025-07-14
2025-03-24Administer the facility in a manner that enables it to use its resources effectively and efficiently. Fcomplaintcorrected 2025-03-25
2025-03-24Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2025-04-30
2025-03-24Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-04-30
2025-03-24Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2025-04-30
2025-03-24Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Dcomplaintcorrected 2025-04-30
2025-02-24Respond appropriately to all alleged violations. Dcomplaintcorrected 2025-03-21
2024-11-20Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2024-07-31
2024-03-20Provide enough food/fluids to maintain a resident's health. GHealthcorrected 2024-04-17
2024-03-20Provide and implement an infection prevention and control program. Fcomplaintcorrected 2024-04-17
2024-03-20Implement a program that monitors antibiotic use. FHealthcorrected 2024-04-17
2024-03-20Honor 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. Ecomplaintcorrected 2024-04-17
2024-03-20Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Ecomplaintcorrected 2024-04-17
2024-03-20Develop and implement policies and procedures for flu and pneumonia vaccinations. EHealthcorrected 2024-04-17
2024-03-20Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. EHealthcorrected 2024-04-17
2024-03-20Ensure that residents are fully informed and understand their health status, care and treatments. DHealthcorrected 2024-04-17
2024-03-20Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Dcomplaintcorrected 2024-04-17
2024-03-20Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). DHealthcorrected 2024-04-17
2024-03-20Provide 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. DHealthcorrected 2024-04-17
2024-03-20Provide safe, appropriate pain management for a resident who requires such services. DHealthcorrected 2024-04-17
2024-03-20Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Dcomplaintcorrected 2024-04-17
2024-03-20Keep all essential equipment working safely. DHealthcorrected 2024-04-17
2023-11-01Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2023-11-22
2023-09-25Develop and implement policies and procedures for flu and pneumonia vaccinations. EHealthcorrected 2023-10-30

Federal penalties

DateTypeAmount
2024-11-20Fine$7,718
2024-03-20Fine$23,319
2023-11-01Fine$8,190

Ownership & control records (CMS filings)

NameRoleType%Since
ALLEN, RYANCorporate DirectorIndividualNOT APPLICABLEsince 05/01/2012
DAVIDSON, ROGERCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2018
FORD, ASHLEYCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2018
HANSON, PHILLIPCorporate DirectorIndividualNOT APPLICABLEsince 05/01/2012
JOHNSON, DOROTHYCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2018
JOHNSON, JAMESCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2018
KILLIAN, GEORGECorporate DirectorIndividualNOT APPLICABLEsince 01/01/2018
PETERS, MARSHALLCorporate DirectorIndividualNOT APPLICABLEsince 05/01/2012
VANOSTRAM, STEVENCorporate DirectorIndividualNOT APPLICABLEsince 05/01/2012
WAGONER FORD, ANNECorporate DirectorIndividualNOT APPLICABLEsince 01/01/2018
WHITAKER, BRUCECorporate DirectorIndividualNOT APPLICABLEsince 05/01/2012
JOHNSON, LARSCorporate OfficerIndividualNOT APPLICABLEsince 06/05/2023
NEIMAN, RUTHCorporate OfficerIndividualNOT APPLICABLEsince 01/01/2021
VAN DER BEEK, BRUCECorporate OfficerIndividualNOT APPLICABLEsince 01/01/2021
VAUGHN-GRAY, STEPHANIECorporate OfficerIndividualNOT APPLICABLEsince 01/01/2021
BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAINS INCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 01/01/2020

Compare nearby (Jefferson County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065015. Corrections: data@carerecords.org.