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Brookshire Post Acute
4660 E Asbury Cir, Denver, CO 80222
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Brookshire Post Acute, in Denver, Colorado, is certified for 67 beds under for-profit, individual ownership and belongs to the Pacs Group chain.
CMS gives it 1 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (15, 13, 17 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 67.2 per 100 beds, more than the state median of 25.0.
CMS lists 3 penalties in the period covered: fines totalling $76K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.7 RN), close to the Colorado median of 3.5; nursing staff turnover is 57.8%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Denver Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 28 | 22 | 28.7 |
| Citations per 100 beds | 67.2 | 27.4 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.5 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 57.8% | 39.5% | 46.7% | 45.8% |
| Fines listed | $75,713 | $9,249 | $10,033 | — |
County and state figures are medians across facilities (23 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Jan 2025, 25 Jan 2024.
Severity mix: J ×2 G ×3 D ×27 E ×10 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Jan 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Jan 2026 |
| 16 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 13 Nov 2025 |
| 16 Oct 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 13 Nov 2025 |
| 16 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 12 Feb 2025 |
| 16 Jan 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 12 Feb 2025 |
| 16 Jan 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 7 Feb 2025 |
| 16 Jan 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 7 Feb 2025 |
| 16 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 14 Feb 2025 |
| 16 Jan 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 7 Feb 2025 |
| 16 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 14 Feb 2025 |
| 25 Jan 2024 | F0584 | 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. | E | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0761 | 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. | E | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0688 | 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. | D | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 15 Feb 2024 |
| 25 Jan 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 15 Feb 2024 |
| 12 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 8 Nov 2023 |
| 12 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 13 Nov 2023 |
| 12 Oct 2023 | F0688 | 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. | G | Complaint investigation | 22 Nov 2023 |
| 12 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Nov 2023 |
| 12 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Nov 2023 |
| 12 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 13 Nov 2023 |
| 29 Sep 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | E | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | E | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0849 | 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. | D | Standard survey | 4 Oct 2022 |
| 29 Sep 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Oct 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 Oct 2025 | Fine | $46,638 | |
| 12 Oct 2023 | Payment denial | — | 12 days |
| 12 Oct 2023 | Fine | $29,075 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 57.8%, RNs 61.5%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.3% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.3% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 27.6% | 18.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Centennial Master Tenant, LLC | 5% or greater direct ownership interest | 100% | 10/11/2022 |
| Providence Group Nh, LLC | 5% or greater indirect ownership interest | 100% | 06/30/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Denver County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Berkley Manor Care Center | Denver | 118 | 5 | 3 | 5 | 29 | 24.6 | $17K | 26 Feb 2026 |
| Briarwood Health Care Center | Denver | 201 | 5 | 4 | 4 | 22 | 10.9 | $9K | 16 Jul 2025 |
| Hallmark Nursing Center | Denver | 143 | 5 | 4 | 4 | 21 | 14.7 | $7K | 14 Nov 2024 |
| Parkview Care Center | Denver | 73 | 5 | 4 | 3 | 20 | 27.4 | — | 21 May 2026 |
| Sloan'S Lake Rehabilitation Center | Denver | 42 | 5 | 5 | 4 | 12 | 28.6 | — | 5 Mar 2026 |
| Suites At Clermont Park Care Center, The | Denver | 63 | 5 | 5 | 5 | 13 | 20.6 | — | 18 Feb 2026 |
| Health Center At Franklin Park | Denver | 86 | 4 | 3 | 5 | 27 | 31.4 | $10K | 26 Mar 2026 |
| Rowan Community, Inc | Denver | 65 | 4 | 2 | 5 | 28 | 43.1 | $5K | 4 Dec 2025 |
All 23 facilities in Denver County
Questions and answers
How many deficiencies has Brookshire Post Acute been cited for?
45 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.
Has Brookshire Post Acute been fined?
Yes. CMS lists fines totalling $76K in the period covered, plus 1 payment denial.
How does staffing at Brookshire Post Acute compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Brookshire Post Acute?
It is part of the Pacs Group chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Centennial Master Tenant, LLC and Providence Group Nh, LLC. Individual owners and managers are not listed on this site.
When was Brookshire Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 6 Jan 2026; the most recent standard health survey was 16 Jan 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.