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AHC OF LAKEWOOD, LLC

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AHC OF LAKEWOOD, LLC is a for profit - limited liability company facility in LAKEWOOD, CO with 36 certified beds and a 5-star overall CMS rating. The facility has 7 deficiency records on file. Total penalties: $73K.

11155 W 15TH PL, LAKEWOOD, CO 80215

Phone: 7208668400

Overall Rating

5/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

N/A

Facility Information

Provider Number
065435
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
36
Residents
30
In Hospital
No
County
Jefferson
Last Inspection
Dec 21, 2023

Staffing Data

RN Hours
1.63 (nat'l avg: 0.68)
LPN Hours
1.14
CNA Hours
3.48
Total Nursing Hours
6.25 (nat'l avg: 3.89)
PT Hours
0.38
Nursing Turnover
71.9%
RN Turnover
58.8%

What the CMS Record Reveals About AHC OF LAKEWOOD, LLC

AHC OF LAKEWOOD, LLC operates 36 certified beds in LAKEWOOD, CO with approximately 30 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 7 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 17 penalties totaling $73K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 6.25 total nursing hours per resident day (national average 3.89), with RN coverage at 1.63 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, AHC OF LAKEWOOD, LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 71.9%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (7 most recent)

D — Isolated - Minimal harm Dec 21, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 31, 2024

F — Widespread - Minimal harm Dec 21, 2023 Tag: 0838

Conduct 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.

Category: Administration Deficiencies

Corrected: Dec 22, 2023

D — Isolated - Minimal harm Dec 21, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 22, 2023

E — Pattern - Minimal harm Dec 21, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 22, 2023

D — Isolated - Minimal harm Dec 21, 2023 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 22, 2023

D — Isolated - Minimal harm Dec 21, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 8, 2024

D — Isolated - Minimal harm Dec 21, 2023 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Jan 2, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay N/A No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay N/A Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay N/A No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 89.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.1% No
Percentage of long-stay residents with pressure ulcers Long Stay N/A Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History 17 penalties totaling $73K

Date Type Amount
Nov 6, 2023 Fine $5K
Oct 30, 2023 Fine $5K
Oct 23, 2023 Fine $5K
Oct 17, 2023 Fine $5K
Oct 10, 2023 Fine $5K
Oct 2, 2023 Fine $5K
Sep 25, 2023 Fine $5K
Sep 18, 2023 Fine $5K
Sep 11, 2023 Fine $5K
Sep 5, 2023 Fine $5K
Aug 28, 2023 Fine $4K
Aug 21, 2023 Fine $4K
Aug 14, 2023 Fine $3K
Aug 7, 2023 Fine $3K
Jul 17, 2023 Fine $7K
Jun 26, 2023 Fine $2K
Jun 5, 2023 Fine $3K

Frequently Asked Questions

What is the overall CMS rating for AHC OF LAKEWOOD, LLC?
AHC OF LAKEWOOD, LLC has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at AHC OF LAKEWOOD, LLC?
AHC OF LAKEWOOD, LLC reports 6.25 total nursing hours per resident day (national average: 3.89). RN hours are 1.63 per resident day (national average: 0.68). Nursing staff turnover is 71.9%.
How many beds does AHC OF LAKEWOOD, LLC have?
AHC OF LAKEWOOD, LLC has 36 certified beds with approximately 30 residents. The facility is located at 11155 W 15TH PL, LAKEWOOD, CO 80215.
Does AHC OF LAKEWOOD, LLC have any deficiencies on record?
Yes, AHC OF LAKEWOOD, LLC has 7 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has AHC OF LAKEWOOD, LLC received any fines or penalties?
Yes, AHC OF LAKEWOOD, LLC has received 17 penalties totaling $73K.
Who owns AHC OF LAKEWOOD, LLC?
AHC OF LAKEWOOD, LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was AHC OF LAKEWOOD, LLC last inspected?
The most recent health inspection for AHC OF LAKEWOOD, LLC was on Dec 21, 2023. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for AHC OF LAKEWOOD, LLC?
AHC OF LAKEWOOD, LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial