WESTWOOD POST ACUTE, DENVER

Special Focus Facility candidate · Denver · CO · For profit - Corporation · PACS GROUP chain · 85 certified beds · CCN 065274 · NORTH STAR HEALTHCARE LLC


WESTWOOD POST ACUTE, DENVER operates 85 certified beds in DENVER, Colorado. Its Medicare and Medicaid certification dates to 1990-04-01. It averages 69.0 residents a day.

What harm was found in the violations cited at WESTWOOD POST ACUTE, DENVER?

CMS lists 50 health-inspection deficiencies for WESTWOOD POST ACUTE, DENVER since 2020-02-27, 43 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 2025-04-25.

Survey dateTagDeficiencySeverity
2025-04-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-04-25F0848, F0867Provide a neutral and fair arbitration process and agree to arbitrator and venue. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2025-04-25F0567, F0756, F0807, F0809Honor the resident's right to manage his or her financial affairs. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. / 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.E
2025-04-25F0625, F0626, F0644, F0659, F0677, F0679, F0685, F0695, F0698, F0699, F0791, F0883, F0921Notify 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. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide care by qualified persons according to each resident's written plan of care. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Provide or obtain dental services for each resident. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2025-04-25F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C
2024-03-07F0760Ensure that residents are free from significant medication errors.J
2024-03-07F0677, F0690, F0692Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health.G
2024-03-07F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2024-03-07F0550, F0565, F0689, F0726, F0804Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-03-07F0584, F0585, F0684, F0691, F0803, F0806, F0880Honor 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 treatment and care according to orders, resident’s preferences and goals. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Ensure 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program.D
2023-09-28F0760Ensure that residents are free from significant medication errors.G
2023-09-28F0552, F0584, F0761, F0880Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / 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. / Provide and implement an infection prevention and control program.E
2020-02-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2020-02-27F0550, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide and implement an infection prevention and control program.E
2020-02-27F0679, F0684, F0692, F0695Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed.D

Why was WESTWOOD POST ACUTE, DENVER fined 3 times?

DateTypeAmount
2025-04-25Fine$23,959
2024-03-07Fine$29,177
2023-09-28Fine$12,334

Has WESTWOOD POST ACUTE, DENVER had payment denied by Medicare more than once?

Payment denial startLength in days
2025-05-2112
2024-04-0525

How is WESTWOOD POST ACUTE, DENVER staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day3.241443.72368
Total nursing staff turnover (%)50.747.1
Average number of residents per day69.074.8

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

WESTWOOD POST ACUTE, DENVER is registered with CMS as For profit - Corporation, operates under the legal business name NORTH STAR 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 EMPLOYEECONNOR, ANGELAsince 02/12/2024
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at WESTWOOD POST ACUTE, DENVER?