LAKEWOOD POST ACUTE AND REHABILITATION

Jefferson · CO · For profit - Limited Liability company · PACS GROUP chain · 108 certified beds · CCN 065400 · EASTMAN COMMUNITY HEALTHCARE LLC


LAKEWOOD POST ACUTE AND REHABILITATION operates 108 certified beds in LAKEWOOD, Colorado. Its Medicare and Medicaid certification dates to 2010-07-16. It averages 18.3 residents a day.

What harm was found in the violations cited at LAKEWOOD POST ACUTE AND REHABILITATION?

CMS lists 33 health-inspection deficiencies for LAKEWOOD POST ACUTE AND REHABILITATION since 2020-02-25, 23 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-03-27.

Survey dateTagDeficiencySeverity
2025-03-27F0730, F0880, F0943Observe each nurse aide's job performance and give regular training. / Provide and implement an infection prevention and control program. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E
2025-03-27F0552, F0656, F0658, F0695, F0698, F0742, F0758, F0808Ensure that residents are fully informed and understand their health status, care and treatments. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / 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 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. / 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. / 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.D
2023-09-28F0692, F0697Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services.G
2023-09-28F0761, F0812Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-09-28F0578, F0658, F0726, F0880, F0883Honor 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. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2023-09-28F0656, F0695, F0760Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that residents are free from significant medication errors.D
2020-02-25F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2020-02-25F0584, F0695, F0761Honor 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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.E
2020-02-25F0550, F0577, F0658, F0684, F0758, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was LAKEWOOD POST ACUTE AND REHABILITATION fined?

DateTypeAmount
2023-09-28Fine$32,513

Has LAKEWOOD POST ACUTE AND REHABILITATION had payment denied by Medicare?

Payment denial startLength in days
2023-10-2753

How is LAKEWOOD POST ACUTE AND REHABILITATION staffed?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day6.950283.72368
Total nursing staff turnover (%)44.747.1
Average number of residents per day18.374.8

Who owns LAKEWOOD POST ACUTE AND REHABILITATION, and what chain is it in?

LAKEWOOD POST ACUTE AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name EASTMAN COMMUNITY HEALTHCARE LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPANTHER MASTER TENANT, LLCsince 09/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTPROVIDENCE GROUP NH, LLCsince 09/01/2023
CONTRACTED MANAGING EMPLOYEEJAVERY, SHAHIDsince 07/20/2023
W-2 MANAGING EMPLOYEEBIRRELL, AUSTINsince 05/15/2024
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

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