PlainNursing
2026 data Public-data reference. official source

VILLAGE CARE AND REHABILITATION CENTER, THE

Open-data reference.

VILLAGE CARE AND REHABILITATION CENTER, THE is a non profit - church related facility in WESTMINSTER, CO with 60 certified beds and a 4-star overall CMS rating. The facility has 23 deficiency records on file.

9221 WADSWORTH PKWY, WESTMINSTER, CO 80021

Phone: 3034032900

Overall Rating

4/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
065367
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
Beds
60
Residents
55
In Hospital
No
County
Jefferson
Last Inspection
Dec 19, 2024

Staffing Data

RN Hours
0.83 (nat'l avg: 0.68)
LPN Hours
0.73
CNA Hours
2.61
Total Nursing Hours
4.17 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
56.9%
RN Turnover
61.5%

What the CMS Record Reveals About VILLAGE CARE AND REHABILITATION CENTER, THE

VILLAGE CARE AND REHABILITATION CENTER, THE operates 60 certified beds in WESTMINSTER, CO with approximately 55 residents currently in care, and carries a CMS overall rating of 4 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 (4★), 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 23 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.17 total nursing hours per resident day (national average 3.89), with RN coverage at 0.83 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, VILLAGE CARE AND REHABILITATION 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 56.9%, above the level where continuity of care typically begins to suffer. 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 (23 most recent)

E — Pattern - Minimal harm Dec 19, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 6, 2025

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jan 8, 2025

D — Isolated - Minimal harm Dec 19, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 7, 2025

G — Isolated - Actual harm Oct 8, 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: Nov 5, 2024

D — Isolated - Minimal harm Jun 21, 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: Jul 14, 2023

D — Isolated - Minimal harm Jun 21, 2023 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: Jul 24, 2023

E — Pattern - Minimal harm Jun 21, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 27, 2023

D — Isolated - Minimal harm Jun 21, 2023 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 21, 2023 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: Jul 28, 2023

E — Pattern - Minimal harm Jun 21, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 21, 2023

F — Widespread - Minimal harm Feb 28, 2023 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: Mar 16, 2023

F — Widespread - Minimal harm Feb 28, 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: Mar 13, 2023

F — Widespread - Minimal harm Feb 28, 2023 Tag: 0843

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

Category: Administration Deficiencies

Corrected: Mar 20, 2023

D — Isolated - Minimal harm Feb 28, 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: Mar 22, 2023

G — Isolated - Actual harm Feb 28, 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: Mar 16, 2023

D — Isolated - Minimal harm Feb 28, 2023 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 22, 2023

J — Isolated - Jeopardy Feb 28, 2023 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 7, 2023

F — Widespread - Minimal harm Feb 28, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 16, 2023

E — Pattern - Minimal harm Aug 29, 2019 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 11, 2019

E — Pattern - Minimal harm Aug 29, 2019 Tag: 0920

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Category: Environmental Deficiencies

Corrected: Oct 11, 2019

E — Pattern - Minimal harm Aug 29, 2019 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 11, 2019

D — Isolated - Minimal harm Aug 29, 2019 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 11, 2019

D — Isolated - Minimal harm Aug 29, 2019 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 11, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 29.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 4.8% 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 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 2.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 82.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 62.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 35.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 88.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 60.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.7% Yes

Penalty History

Date Type Amount
Feb 28, 2023 Fine $23K

Frequently Asked Questions

What is the overall CMS rating for VILLAGE CARE AND REHABILITATION CENTER, THE?
VILLAGE CARE AND REHABILITATION CENTER, THE has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at VILLAGE CARE AND REHABILITATION CENTER, THE?
VILLAGE CARE AND REHABILITATION CENTER, THE reports 4.17 total nursing hours per resident day (national average: 3.89). RN hours are 0.83 per resident day (national average: 0.68). Nursing staff turnover is 56.9%.
How many beds does VILLAGE CARE AND REHABILITATION CENTER, THE have?
VILLAGE CARE AND REHABILITATION CENTER, THE has 60 certified beds with approximately 55 residents. The facility is located at 9221 WADSWORTH PKWY, WESTMINSTER, CO 80021.
Does VILLAGE CARE AND REHABILITATION CENTER, THE have any deficiencies on record?
Yes, VILLAGE CARE AND REHABILITATION CENTER, THE has 23 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has VILLAGE CARE AND REHABILITATION CENTER, THE received any fines or penalties?
No, VILLAGE CARE AND REHABILITATION CENTER, THE has no fines or penalties on record.
Who owns VILLAGE CARE AND REHABILITATION CENTER, THE?
VILLAGE CARE AND REHABILITATION CENTER, THE is classified as "Non profit - Church related" ownership. The facility type is "Medicare and Medicaid".
When was VILLAGE CARE AND REHABILITATION CENTER, THE last inspected?
The most recent health inspection for VILLAGE CARE AND REHABILITATION CENTER, THE was on Dec 19, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for VILLAGE CARE AND REHABILITATION CENTER, THE?
VILLAGE CARE AND REHABILITATION 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