Nursing homes › Colorado › Oakwood Care and Rehabilitation
5301 W 1St Ave, Lakewood, CO 80226 · 3032388333 · 170 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.00 (Colorado median: 3.49). RN hours: 0.50. Weekend total: 2.81. Nursing staff turnover: 54%.
All-time on record: 74 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-26 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | complaint | corrected 2026-03-23 |
| 2026-02-26 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2026-03-23 |
| 2026-02-26 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | complaint | corrected 2026-03-23 |
| 2026-02-26 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | complaint | corrected 2026-03-23 |
| 2026-02-26 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-03-23 |
| 2026-02-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2026-03-23 |
| 2025-12-18 | 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 | complaint | corrected 2025-12-23 |
| 2025-12-18 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | complaint | corrected 2025-12-31 |
| 2025-12-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-01-15 |
| 2025-12-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-01-15 |
| 2025-09-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2025-10-10 |
| 2025-09-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-10-10 |
| 2025-09-11 | Provide activities to meet all resident's needs. | D | Health | corrected 2025-10-10 |
| 2025-09-11 | Observe each nurse aide's job performance and give regular training. | D | Health | corrected 2025-10-10 |
| 2025-09-11 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-10-10 |
| 2025-09-11 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Health | corrected 2025-10-10 |
| 2025-06-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-07-04 |
| 2025-06-12 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-07-04 |
| 2025-06-12 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-07-04 |
| 2025-01-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-03-07 |
| 2025-01-29 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2025-03-07 |
| 2025-01-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2025-03-07 |
| 2025-01-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-03-07 |
| 2025-01-29 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2025-03-07 |
| 2025-01-29 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-03-07 |
| 2024-04-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-05-05 |
| 2024-04-10 | Assist a resident in gaining access to vision and hearing services. | E | Health | corrected 2024-05-05 |
| 2024-04-10 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | complaint | corrected 2024-05-05 |
| 2024-04-10 | Provide or obtain dental services for each resident. | E | complaint | corrected 2024-05-05 |
| 2024-04-10 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-05-02 |
| 2024-04-10 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | complaint | corrected 2024-05-02 |
| 2024-04-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2024-05-05 |
| 2024-04-10 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 2024-05-02 |
| 2024-04-10 | 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. | D | complaint | corrected 2024-05-05 |
| 2024-04-10 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-05-05 |
| 2024-04-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-05-05 |
| 2024-04-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-05-05 |
| 2024-04-10 | 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 2024-05-02 |
| 2024-04-10 | 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 2024-05-05 |
| 2024-04-10 | 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. | D | Health | corrected 2024-05-02 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-29 | Fine | $53,151 |
| 2025-01-29 | Payment Denial | 8 days payment denial |
| 2024-04-10 | Fine | $52,416 |
| 2023-10-09 | Fine | $111,704 |
| 2023-10-09 | Payment Denial | 21 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BOYLES, EDDY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/18/2023 |
| GAHM, GREGORY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/26/2024 |
| JORGENSEN, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 09/09/2024 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 12/18/2023 |
| DUNYON, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2024 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| SATO, AMI | Corporate Officer | Individual | NOT APPLICABLE | since 09/09/2024 |
| KARE TECHNOLOGIES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2024 |
| ONSHIFT INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2024 |
| SOS NURSING SERVICES, INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2024 |
| BOYLES, EDDY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/18/2023 |
| GAHM, GREGORY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/26/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065248. Corrections: data@carerecords.org.