BROOKSHIRE POST ACUTE

CMS abuse icon · Denver · CO · For profit - Individual · PACS GROUP chain · 67 certified beds · CCN 065242 · BROOKSHIRE HEALTHCARE LLC


BROOKSHIRE POST ACUTE operates 67 certified beds in DENVER, Colorado. Its Medicare and Medicaid certification dates to 1988-10-01. It averages 57.7 residents a day.

What harm was found in the violations cited at BROOKSHIRE POST ACUTE?

CMS lists 45 health-inspection deficiencies for BROOKSHIRE POST ACUTE since 2022-09-29, 34 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-06.

Survey dateTagDeficiencySeverity
2026-01-06F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-10-16F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-10-16F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2025-01-16F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-01-16F0565, F0679, F0921, F0940Honor the resident's right to organize and participate in resident/family groups in the facility. / Provide activities to meet all resident's needs. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Develop, implement, and/or maintain an effective training program for all new and existing staff members.E
2025-01-16F0552, F0582, F0656, F0676, F0730, F0791, F0842Ensure that residents are fully informed and understand their health status, care and treatments. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Observe each nurse aide's job performance and give regular training. / Provide or obtain dental services for each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-01-25F0584, F0761, F0867Honor 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. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E
2024-01-25F0550, F0600, F0603, F0609, F0610, F0685, F0688, F0689, F0742, F0757Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Assist a resident in gaining access to vision and hearing services. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2023-10-12F0600, F0686, F0688Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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.G
2023-10-12F0609, F0610, F0658Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality.D
2022-09-29F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2022-09-29F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2022-09-29F0603, F0744, F0888Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure staff are vaccinated for COVID-19E
2022-09-29F0578, F0695, F0759, F0760, F0849, F0880Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Provide and implement an infection prevention and control program.D

Why was BROOKSHIRE POST ACUTE fined 2 times?

DateTypeAmount
2025-10-16Fine$46,638
2023-10-12Fine$29,075

Has BROOKSHIRE POST ACUTE had payment denied by Medicare?

Payment denial startLength in days
2023-11-1012

How is BROOKSHIRE POST ACUTE staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day3.272793.72368
Total nursing staff turnover (%)57.847.1
Average number of residents per day57.774.8

Who owns BROOKSHIRE POST ACUTE, and what chain is it in?

BROOKSHIRE POST ACUTE is registered with CMS as For profit - Individual, operates under the legal business name BROOKSHIRE HEALTHCARE LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCENTENNIAL MASTER TENANT, LLCsince 10/11/2022
5% OR GREATER INDIRECT OWNERSHIP INTERESTPROVIDENCE GROUP NH, LLCsince 06/30/2023
CONTRACTED MANAGING EMPLOYEEHORTON, CHRISTOPHERsince 04/20/2023
W-2 MANAGING EMPLOYEEMBIDA, ZACHARIEsince 11/27/2023
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at BROOKSHIRE POST ACUTE?