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
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- 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
Staffing
Quality Measures
Long-Stay Quality
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)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 17, 2024
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
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 29, 2024
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
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
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Jun 24, 2022
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 | - |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Suites at Holly Creek Care Center, the?
What are the staffing levels at Suites at Holly Creek Care Center, the?
How many beds does Suites at Holly Creek Care Center, the have?
Does Suites at Holly Creek Care Center, the have any deficiencies on record?
Has Suites at Holly Creek Care Center, the received any fines or penalties?
Who owns Suites at Holly Creek Care Center, the?
When was Suites at Holly Creek Care Center, the last inspected?
What quality measures are tracked for Suites at Holly Creek Care Center, the?
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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