Edgewater Health and RehabilitationCMS ratings, inspections and fines
- Address
- 1655 Eaton St, Lakewood, CO 80214
- CCN
- 065171
- Ownership type
- For-profit, limited liability company
- Certified beds
- 67
- Chain
- None in the CMS record
- Residents per day
- 67
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Edgewater Health and Rehabilitation an overall rating of 5 of 5 stars. The last standard survey was on 27 Aug 2025. The latest survey cycle has 6 health citations. The median for nursing homes in Colorado is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Jefferson County median | Colorado median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 2.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 23 homes in the county, 210 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Colorado median |
|---|---|---|---|
| Cycle 1 (latest) | 27 Aug 2025 | 6 | 8 |
| Cycle 2 | 14 Feb 2024 | 4 | 8 |
| Cycle 3 | No date | 2 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Aug 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 10 Oct 2025 |
| 27 Aug 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 10 Oct 2025 |
| 27 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Oct 2025 |
| 27 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Oct 2025 |
| 27 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 10 Oct 2025 |
| 27 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Oct 2025 |
Survey cycle 2: 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 15 Mar 2024 |
| 14 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 15 Mar 2024 |
| 14 Feb 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 15 Mar 2024 |
| 14 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Mar 2024 |
Survey cycle 3: 2 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Nov 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 23 Nov 2022 |
| 3 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Nov 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Colorado median | Colorado average (CMS) |
|---|---|---|---|
| All nurse staff | 3.33 | 3.50 | 3.72 |
| Registered nurses (RN) | 0.85 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.42 | 0.68 | |
| Nurse aides | 2.05 | 2.22 | |
| All nurse staff, weekends | 2.89 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 46.8%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 27.3%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.6% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.5% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.2% | 18.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Legal Business Name Not Available
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Jefferson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Cambridge Care Center | Lakewood | 3 of 5 | 6 | $8,151 | 2 Apr 2024 | |
| Cedars Healthcare Center | Lakewood | 3 of 5 | 9 | $55,908 | 19 Mar 2024 | |
| Sierra Post Acute | Lakewood | 2 of 5 | 10 | $54,903 | 29 Jan 2026 | |
| Harmony Pointe Care Center | Lakewood | 3 of 5 | 17 | $0 | 26 Sep 2024 | |
| Wheatridge Care Center | Wheat Ridge | 3 of 5 | 10 | $20,616 | 12 Jun 2025 | |
| Allison Care Center | Lakewood | 2 of 5 | 8 | $34,580 | 13 Mar 2025 | |
| Western Hills Health Care Center | Lakewood | 3 of 5 | 10 | $0 | 14 May 2026 | |
| Mapleton Post Acute | Lakewood | 4 of 5 | 5 | $0 | 5 Dec 2024 | |
| Oakwood Care and Rehabilitation | Lakewood | 1 of 5 | 16 | $217,271 | 11 Sep 2025 | |
| Rehabilitation Center at Sandalwood, The | Wheat Ridge | 4 of 5 | 4 | $46,150 | 11 Feb 2026 | |
| Lakeside Post Acute | Wheat Ridge | 3 of 5 | 11 | $14,058 | 2 Jul 2024 | |
| Ahc of Lakewood, LLC | Lakewood | 5 of 5 | 3 | $53,615 | 19 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Edgewater Health and Rehabilitation (CCN 065171). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/edgewater-health-and-rehabilitation-lakewood-co-065171/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Edgewater Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 27 Aug 2025. It was a standard survey and a complaint investigation. It gave 6 citations. The standard survey before the last one was on 14 Feb 2024.
- Who operates Edgewater Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Edgewater Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists no home in Colorado as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.