Englewood Post Acute and Rehabilitation
3575 S Washington St, Englewood, CO 80113
Englewood Post Acute and Rehabilitation, a 82-bed for profit - corporation nursing facility in Englewood, CO, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3037892265
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 3.15
- Well below average · nurse hrs/day · nat'l 3.89
- 16
- Inspection findings · 3 serious
- $18K
- Federal penalties (1)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 065077
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 82
- Residents
- 75
- In Hospital
- No
- County
- Arapahoe
- Last Inspection
- Nov 7, 2024
Staffing Data
How the 3.15 total nursing hours per resident-day are staffed:
- RN Hours
- 0.65 (nat'l avg: 0.68)
- LPN Hours
- 0.55
- CNA Hours
- 1.95
- Total Nursing Hours
- 3.15 (nat'l avg: 3.89)
- PT Hours
- 0.08
- Nursing Turnover
- 52.1%
- RN Turnover
- 56.3%
What the CMS Record Reveals About Englewood Post Acute and Rehabilitation
Englewood Post Acute and Rehabilitation operates 82 certified beds in Englewood, CO with approximately 75 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 3★ · quality 4★).
The inspection file contains 16 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $18K against this provider. Reported nurse staffing runs 3.15 total hours per resident day (national average 3.89); RN hours specifically are 0.65 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Englewood Post Acute and Rehabilitation falls into a category where comparative context matters. Reported nursing turnover at this facility is 52.1%, above the level where continuity of care typically begins to suffer.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 (16 most recent)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 30, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 29, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 29, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 30, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 29, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Nov 29, 2024
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.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 27, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 3, 2023
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Jun 27, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Jun 27, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 20, 2020
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 20, 2020
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 20, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 20, 2020
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.
Category: Resident Rights Deficiencies
Corrected: Apr 28, 2020
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: Apr 20, 2020
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.5% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 8.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 9.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 14.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 79.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 22.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 70.0% | No |
Penalty History 1 penalties totaling $18K
| Date | Type | Amount |
|---|---|---|
| Jun 6, 2023 | Fine | $18K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Englewood Post Acute and Rehabilitation?
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How many beds does Englewood Post Acute and Rehabilitation have?
Does Englewood Post Acute and Rehabilitation have any deficiencies on record?
Has Englewood Post Acute and Rehabilitation received any fines or penalties?
Who owns Englewood Post Acute and Rehabilitation?
When was Englewood Post Acute and Rehabilitation last inspected?
What quality measures are tracked for Englewood Post Acute and Rehabilitation?
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.
Read our methodology - how this data is sourced, computed, and verified.
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