OAKWOOD CARE AND REHABILITATION

CMS abuse icon · Jefferson · CO · For profit - Corporation · THE ENSIGN GROUP chain · 170 certified beds · CCN 065248 · FOX HOLLOW HEALTHCARE INC


OAKWOOD CARE AND REHABILITATION operates 170 certified beds in LAKEWOOD, Colorado. Its Medicare and Medicaid certification dates to 1989-03-01. It averages 126.2 residents a day.

What harm was found in the violations cited at OAKWOOD CARE AND REHABILITATION?

CMS lists 72 health-inspection deficiencies for OAKWOOD CARE AND REHABILITATION since 2022-11-17, 54 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-02-26.

Survey dateTagDeficiencySeverity
2026-02-26F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2026-02-26F0600, F0744, F0943Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E
2026-02-26F0610, F0677Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-12-18F0584Honor 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.E
2025-12-18F0553, F0580, F0658Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality.D
2025-09-11F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-09-11F0677, F0679, F0730, F0880, F0947Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Observe each nurse aide's job performance and give regular training. / 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.D
2025-06-12F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2025-06-12F0628, F0760Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure that residents are free from significant medication errors.D
2025-01-29F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-01-29F0804, F0812Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-01-29F0609, F0744, F0880Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide and implement an infection prevention and control program.D
2024-04-10F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-04-10F0685, F0744, F0791, F0880, F0883, F0921Assist 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. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program. / 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.E
2024-04-10F0561, F0584, F0610, F0677, F0684, F0690, F0758, F0761, F0697Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide 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. / 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 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 safe, appropriate pain management for a resident who requires such services.D
2023-10-09F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K
2023-10-09F0550, F0684, F0697, F0744, F0745Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide medically-related social services to help each resident achieve the highest possible quality of life.G
2023-10-09F0838, F0867Conduct 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2023-10-09F0730Observe each nurse aide's job performance and give regular training.E
2023-10-09F0609, F0610, F0842Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-10-09F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C
2022-11-17F0686, F0689Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2022-11-17F0584, F0600, F0677, F0695, F0761, F0812Honor 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2022-11-17F0567, F0568, F0622, F0623, F0644, F0676, F0690, F0757, F0803, F0849Honor the resident's right to manage his or her financial affairs. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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.D

Why was OAKWOOD CARE AND REHABILITATION fined 3 times?

DateTypeAmount
2025-01-29Fine$53,151
2024-04-10Fine$52,416
2023-10-09Fine$111,704

Has OAKWOOD CARE AND REHABILITATION had payment denied by Medicare more than once?

Payment denial startLength in days
2025-02-278
2023-11-0721

How is OAKWOOD CARE AND REHABILITATION staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day3.001273.72368
Total nursing staff turnover (%)53.747.1
Average number of residents per day126.274.8

Who owns OAKWOOD CARE AND REHABILITATION, and what chain is it in?

OAKWOOD CARE AND REHABILITATION is registered with CMS as For profit - Corporation, operates under the legal business name FOX HOLLOW HEALTHCARE INC and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYBOYLES, EDDY, GAHM, GREGORYsince 06/26/2024
CORPORATE DIRECTORJORGENSEN, DAVIDsince 09/09/2024
CORPORATE OFFICERBURNAM, SOON, DUNYON, DAVID, KEETCH, CHAD, SATO, AMIsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLKARE TECHNOLOGIES LLC, ONSHIFT INC, SOS NURSING SERVICES, INC, BOYLES, EDDY, GAHM, GREGORYsince 03/01/2024
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPORT, BARRYsince 07/15/2025
ADP OF THE SNFCARETRUST GP LLC, CARETRUST REIT INC, CTR PARTNERSHIP LP, ENSIGN SERVICES INC, BOYLES, EDDY, BURNAM, SOON, GAHM, GREGORYsince 03/01/2024

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