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OAKWOOD CARE AND REHABILITATION

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OAKWOOD CARE AND REHABILITATION is a for profit - corporation facility in LAKEWOOD, CO with 170 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $236K.

5301 W 1ST AVE, LAKEWOOD, CO 80226

Phone: 3032388333

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
065248
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
170
Residents
108
In Hospital
No
County
Jefferson
Last Inspection
Sep 11, 2025

Staffing Data

RN Hours
0.60 (nat'l avg: 0.68)
LPN Hours
0.58
CNA Hours
1.95
Total Nursing Hours
3.12 (nat'l avg: 3.89)
PT Hours
0.12
Nursing Turnover
47.7%
RN Turnover
31.3%

What the CMS Record Reveals About OAKWOOD CARE AND REHABILITATION

OAKWOOD CARE AND REHABILITATION operates 170 certified beds in LAKEWOOD, CO with approximately 108 residents currently in care, and carries a CMS overall rating of 1 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 (1★), staffing levels (3★), and quality measures (3★). 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 50 deficiency records from recent surveys, of which 8 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $236K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.12 total nursing hours per resident day (national average 3.89), with RN coverage at 0.60 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, OAKWOOD CARE AND REHABILITATION 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 47.7%, within a range generally associated with stable care teams. 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 (50 most recent)

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 15, 2026

E — Pattern - Minimal harm Dec 18, 2025 Tag: 0584

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: Dec 23, 2025

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jan 15, 2026

D — Isolated - Minimal harm Dec 18, 2025 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: Dec 31, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 10, 2025

F — Widespread - Minimal harm Sep 11, 2025 Tag: 0812

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: Oct 10, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 10, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0730

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

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 10, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2025

D — Isolated - Minimal harm Jun 12, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jul 4, 2025

D — Isolated - Minimal harm Jun 12, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jul 4, 2025

E — Pattern - Minimal harm Jun 12, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 4, 2025

D — Isolated - Minimal harm Jan 29, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 7, 2025

E — Pattern - Minimal harm Jan 29, 2025 Tag: 0812

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: Mar 7, 2025

E — Pattern - Minimal harm Jan 29, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 7, 2025

D — Isolated - Minimal harm Jan 29, 2025 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 7, 2025

D — Isolated - Minimal harm Jan 29, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 7, 2025

G — Isolated - Actual harm Jan 29, 2025 Tag: 0600

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: Mar 7, 2025

E — Pattern - Minimal harm Apr 10, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: May 2, 2024

E — Pattern - Minimal harm Apr 10, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 2, 2024

E — Pattern - Minimal harm Apr 10, 2024 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2024

E — Pattern - Minimal harm Apr 10, 2024 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 5, 2024

G — Isolated - Actual harm Apr 10, 2024 Tag: 0600

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: May 5, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0584

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: May 5, 2024

D — Isolated - Minimal harm Apr 10, 2024 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: May 2, 2024

E — Pattern - Minimal harm Apr 10, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 5, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 2, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: May 5, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: May 2, 2024

E — Pattern - Minimal harm Apr 10, 2024 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2024

D — Isolated - Minimal harm Apr 10, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2024

F — Widespread - Minimal harm Oct 9, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Nov 9, 2023

D — Isolated - Minimal harm Oct 9, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 9, 2023

F — Widespread - Minimal harm Oct 9, 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: Nov 9, 2023

G — Isolated - Actual harm Oct 9, 2023 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2023

G — Isolated - Actual harm Oct 9, 2023 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2023

E — Pattern - Minimal harm Oct 9, 2023 Tag: 0730

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

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 9, 2023

G — Isolated - Actual harm Oct 9, 2023 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2023

G — Isolated - Actual harm Oct 9, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2023

D — Isolated - Minimal harm Oct 9, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 9, 2023

D — Isolated - Minimal harm Oct 9, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 28, 2023

K — Pattern - Jeopardy Oct 9, 2023 Tag: 0600

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 24, 2023

C — Widespread - No harm Oct 9, 2023 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Nov 9, 2023

G — Isolated - Actual harm Oct 9, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 9, 2023

F — Widespread - Minimal harm Jul 20, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 11, 2023

F — Widespread - Minimal harm Jul 20, 2023 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 11, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 27.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 20.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 75.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 62.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.2% Yes

Penalty History 4 penalties totaling $236K

Date Type Amount
Jan 29, 2025 Fine $53K
Jan 29, 2025 Payment Denial -
Apr 10, 2024 Fine $52K
Oct 9, 2023 Fine $112K
Oct 9, 2023 Payment Denial -
May 4, 2023 Fine $19K

Frequently Asked Questions

What is the overall CMS rating for OAKWOOD CARE AND REHABILITATION?
OAKWOOD CARE AND REHABILITATION has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (3★).
What are the staffing levels at OAKWOOD CARE AND REHABILITATION?
OAKWOOD CARE AND REHABILITATION reports 3.12 total nursing hours per resident day (national average: 3.89). RN hours are 0.60 per resident day (national average: 0.68). Nursing staff turnover is 47.7%.
How many beds does OAKWOOD CARE AND REHABILITATION have?
OAKWOOD CARE AND REHABILITATION has 170 certified beds with approximately 108 residents. The facility is located at 5301 W 1ST AVE, LAKEWOOD, CO 80226.
Does OAKWOOD CARE AND REHABILITATION have any deficiencies on record?
Yes, OAKWOOD CARE AND REHABILITATION has 50 deficiencies on record from recent inspections. Of these, 8 are classified as causing actual harm or jeopardy.
Has OAKWOOD CARE AND REHABILITATION received any fines or penalties?
Yes, OAKWOOD CARE AND REHABILITATION has received 4 penalties totaling $236K.
Who owns OAKWOOD CARE AND REHABILITATION?
OAKWOOD CARE AND REHABILITATION is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was OAKWOOD CARE AND REHABILITATION last inspected?
The most recent health inspection for OAKWOOD CARE AND REHABILITATION was on Sep 11, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for OAKWOOD CARE AND REHABILITATION?
OAKWOOD CARE AND REHABILITATION 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