Heights Care & Rehabilitation LLC

Denver · CO · For profit - Limited Liability company · PACS GROUP chain · 110 certified beds · CCN 065191 · HEIGHTS COMMUNITY HEALTHCARE LLC


Heights Care & Rehabilitation LLC operates 110 certified beds in DENVER, Colorado. Its Medicare and Medicaid certification dates to 1984-08-01. It averages 89.7 residents a day.

What harm was found in the violations cited at Heights Care & Rehabilitation LLC?

CMS lists 55 health-inspection deficiencies for Heights Care & Rehabilitation LLC since 2022-09-16, 46 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 2026-04-06.

Survey dateTagDeficiencySeverity
2026-04-06F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-04-06F0805, F0880Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program.E
2026-04-06F0585, F0676, F0684, F0759, F0760Honor 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. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors.D
2025-12-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-05-08F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2024-07-09F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-05-15F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-05-15F0880Provide and implement an infection prevention and control program.D
2024-03-19F0554, F0658, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program.D
2024-01-11F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.J
2024-01-11F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.G
2024-01-11F0576, F0584, F0585, F0688, F0689, F0808, F0809, F0880, F0947Ensure residents have reasonable access to and privacy in their use of communication methods. / 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. / Honor 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. / 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. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2024-01-11F0552, F0559, F0600, F0609, F0610, F0626, F0685, F0744, F0807Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Assist a resident in gaining access to vision and hearing services. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D
2024-01-11F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.C
2023-10-19F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F
2023-10-19F0680, F0688Ensure the activities program is directed by a qualified professional. / 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.E
2023-08-16F0684, F0690Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2023-08-16F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F
2023-08-16F0880Provide and implement an infection prevention and control program.E
2023-08-16F0585, F0689Honor 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2022-09-16F0600, F0623, F0625, F0919Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2022-09-16F0578, F0610, F0656, F0657, F0677Honor 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. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable.D

Why was Heights Care & Rehabilitation LLC fined 2 times?

DateTypeAmount
2024-05-15Fine$28,912
2024-01-11Fine$39,247

Has Heights Care & Rehabilitation LLC had payment denied by Medicare?

Payment denial startLength in days
2024-02-1037

How is Heights Care & Rehabilitation LLC staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day3.299853.72368
Total nursing staff turnover (%)75.947.1
Average number of residents per day89.774.8

Who owns Heights Care & Rehabilitation LLC, and what chain is it in?

Heights Care & Rehabilitation LLC is registered with CMS as For profit - Limited Liability company, operates under the legal business name HEIGHTS COMMUNITY HEALTHCARE LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCENTENNIAL MASTER TENANT, LLCsince 01/10/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTPROVIDENCE GROUP NH, LLCsince 06/30/2023
CONTRACTED MANAGING EMPLOYEEPLACHTA, MICHAELsince 03/01/2023
W-2 MANAGING EMPLOYEEKROMMENHOEK, SAMUELsince 06/18/2024
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at Heights Care & Rehabilitation LLC?