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SUITES AT HOLLY CREEK CARE CENTER, THE

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SUITES AT HOLLY CREEK CARE CENTER, THE is a non profit - corporation facility in CENTENNIAL, CO with 25 certified beds and a 5-star overall CMS rating. The facility has 7 deficiency records on file. Total penalties: $42K.

5590 E PEAKVIEW AVE, CENTENNIAL, CO 80121

Phone: 7202665888

Overall Rating

5/5

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

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. 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 (5★), and quality measures (4★). 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, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $42K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. 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 — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

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. 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 17.2%, 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 (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 who lose too much weight Long Stay 5.4% No
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 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 experiencing one or more falls with major injury Long Stay 4.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 74.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.4% 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 11.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.3% Yes

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.

Related

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