PlainNursing
CMS Nursing Home Compare · March 2026

Suites at Holly Creek Care Center, the

5590 E Peakview Ave, Centennial, CO 80121

Suites at Holly Creek Care Center, the, a 25-bed non profit - corporation nursing facility in Centennial, CO, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 2 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: 7202665888

Build a private shortlist as you compare, saved on this device, no account needed.

5 / 5
Much above average · CMS overall · nat'l 3.0
6.24
Well above average · nurse hrs/day · nat'l 3.89
7
Inspection findings · 2 serious
$42K
Federal penalties (2)

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

2/5

Facility Information

Provider Number
065395
Ownership
Non profit - Corporation
Provider Type
Medicare
Beds
25
Residents
23
In Hospital
No
County
Arapahoe
Last Inspection
Nov 21, 2024

Staffing Data

How the 6.24 total nursing hours per resident-day are staffed:

RN Hours
2.01 (nat'l avg: 0.68)
LPN Hours
0.83
CNA Hours
3.41
Total Nursing Hours
6.24 (nat'l avg: 3.89)
PT Hours
0.17
Nursing Turnover
17.2%
RN Turnover
14.3%

What the CMS Record Reveals About Suites at Holly Creek Care Center, the

Suites at Holly Creek Care Center, the operates 25 certified beds in Centennial, CO with approximately 23 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 4★).

The inspection file contains 7 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $42K levied against this facility. Staffing is reported at 6.24 total nursing hours per resident day (national average 3.89), with RN coverage at 2.01 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare" provider, Suites at Holly Creek Care Center, the falls into a category where comparative context matters. Reported nursing turnover at this facility is 17.2%, within a range generally associated with stable care teams.

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 (7 most recent)

E - Pattern - Minimal harm Nov 21, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 17, 2024

D - Isolated - Minimal harm Nov 21, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 17, 2024

G - Isolated - Actual harm Nov 21, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 29, 2024

G - Isolated - Actual harm Jul 31, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 31, 2023

D - Isolated - Minimal harm May 25, 2022 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Jun 24, 2022

D - Isolated - Minimal harm May 25, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 24, 2022

E - Pattern - Minimal harm May 25, 2022 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: Jun 24, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 32.5% 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 1.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 11.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 74.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No

Penalty History 2 penalties totaling $42K

Date Type Amount
Nov 21, 2024 Fine $22K
Jul 31, 2023 Fine $20K
Jul 31, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Suites at Holly Creek Care Center, the?
Suites at Holly Creek Care Center, the has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at Suites at Holly Creek Care Center, the?
Suites at Holly Creek Care Center, the reports 6.24 total nursing hours per resident day (national average: 3.89). RN hours are 2.01 per resident day (national average: 0.68). Nursing staff turnover is 17.2%.
How many beds does Suites at Holly Creek Care Center, the have?
Suites at Holly Creek Care Center, the has 25 certified beds with approximately 23 residents. The facility is located at 5590 E Peakview Ave, Centennial, CO 80121.
Does Suites at Holly Creek Care Center, the have any deficiencies on record?
Yes, Suites at Holly Creek Care Center, the has 7 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Suites at Holly Creek Care Center, the received any fines or penalties?
Yes, Suites at Holly Creek Care Center, the has received 2 penalties totaling $42K.
Who owns Suites at Holly Creek Care Center, the?
Suites at Holly Creek Care Center, the is classified as "Non profit - Corporation" ownership. The facility type is "Medicare".
When was Suites at Holly Creek Care Center, the last inspected?
The most recent health inspection for Suites at Holly Creek Care Center, the was on Nov 21, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Suites at Holly Creek Care Center, the?
Suites at Holly Creek Care Center, the 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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

Found this useful? Share Suites at Holly Creek Care Center, the's record.