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Nursing homesColorado › Skylake Post Acute

Skylake Post Acute

12080 Bellaire Wy, Thornton, CO 80241 · 3034502700 · 242 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★★☆ 4/5
Quality measures★★★★☆ 4/5

Ownership group

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).

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Staffing (hours per resident per day)

Total nurse staffing: 2.91 (Colorado median: 3.49). RN hours: 0.61. Weekend total: 2.62. Nursing staff turnover: 35%.

Inspection deficiencies

All-time on record: 42 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-11Provide appropriate treatment and care according to orders, resident’s preferences and goals. Jcomplaintcorrected 2026-05-28
2026-05-11Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Ecomplaintcorrected 2026-05-28
2026-03-04Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Dcomplaintcorrected 2026-03-26
2026-03-04Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2026-03-26
2026-03-04Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Dcomplaintcorrected 2026-03-26
2025-12-01Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-12-11
2025-12-01Provide and implement an infection prevention and control program. FHealthcorrected 2025-12-11
2025-12-01Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. EHealthcorrected 2025-12-11
2025-12-01Ensure 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 2025-12-11
2025-12-01Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Dcomplaintcorrected 2025-12-11
2025-12-01Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2025-12-11
2025-12-01Provide care or services that was trauma informed and/or culturally competent. DHealthcorrected 2025-12-15
2025-12-01Ensure each resident must receive and the facility must provide necessary behavioral health care and services. DHealthcorrected 2025-12-11
2025-12-01Have a policy regarding use and storage of foods brought to residents by family and other visitors. DHealthcorrected 2025-12-11
2025-12-01Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. DHealthcorrected 2025-12-11
2025-05-07Provide and implement an infection prevention and control program. Dcomplaintcorrected 2025-06-02
2024-06-14Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2024-07-19
2024-06-14Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Fcomplaintcorrected 2024-07-19
2024-06-14Ensure that residents are fully informed and understand their health status, care and treatments. Dcomplaintcorrected 2024-07-19
2024-06-14Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-07-19
2024-06-14Respond appropriately to all alleged violations. Dcomplaintcorrected 2024-07-19
2024-01-09Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-02-03
2024-01-09Provide and implement an infection prevention and control program. FHealthcorrected 2024-02-03
2024-01-09Keep all essential equipment working safely. FHealthcorrected 2024-02-03
2024-01-09Honor 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 2024-02-03
2024-01-09Ensure 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 2024-02-03
2024-01-09Observe each nurse aide's job performance and give regular training. Ecomplaintcorrected 2024-02-03
2024-01-09Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. EHealthcorrected 2024-02-03
2024-01-09Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Ecomplaintcorrected 2024-02-03
2024-01-09Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. EHealthcorrected 2024-02-20
2024-01-09Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. EHealthcorrected 2024-02-03
2024-01-09Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. EHealthcorrected 2024-02-03
2024-01-09Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. EHealthcorrected 2024-02-27
2024-01-09Provide behavior health training consistent with the requirements and as determined by a facility assessment. EHealthcorrected 2024-02-03
2024-01-09Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2024-02-03
2024-01-09Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-02-03
2024-01-09Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2024-02-03
2024-01-09Develop and implement policies and procedures for flu and pneumonia vaccinations. DHealthcorrected 2024-02-07

Federal penalties

DateTypeAmount
2024-06-14Fine$25,572
2024-06-14Payment Denial2 days payment denial

Ownership & control records (CMS filings)

NameRoleType%Since
PANTHER MASTER TENANT, LLC5% Or Greater Direct Ownership InterestOrganization100%since 11/03/2023
PROVIDENCE GROUP NH, LLC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 11/03/2023
APT, FREDERICKCorporate OfficerIndividualNOT APPLICABLEsince 01/01/2024
JERGENSEN, JOSHUACorporate OfficerIndividualNOT APPLICABLEsince 01/01/2024
MITCHELL, JOHNCorporate OfficerIndividualNOT APPLICABLEsince 01/01/2024

Compare nearby (Adams County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065238. Corrections: data@carerecords.org.