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Heights Care & Rehabilitation LLC
3131 S Federal Blvd, Denver, CO 80236
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.
Heights Care & Rehabilitation LLC is a For-profit, limited liability company nursing home in Denver, Colorado, certified for 110 beds and caring for about 90 residents a day.
CMS gives it 2 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 1, staffing 2 and quality measures 5.
Inspectors recorded 55 health deficiencies across the three most recent survey cycles (9, 22, 24 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 50.0 per 100 beds, more than the state median of 25.0.
CMS lists 3 penalties in the period covered: fines totalling $68K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Colorado median of 3.5; nursing staff turnover is 75.9%.
Compared with county, state and nation
| Measure | This facility | Denver Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 55 | 28 | 22 | 28.7 |
| Citations per 100 beds | 50.0 | 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 | 0.5 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 75.9% | 39.5% | 46.7% | 45.8% |
| Fines listed | $68,159 | $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: 6 Apr 2026, 11 Jan 2024.
Severity mix: J ×1 G ×4 D ×27 E ×19 F ×3 C ×1
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 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 7 Apr 2026 |
| 6 Apr 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 7 Apr 2026 |
| 6 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Apr 2026 |
| 6 Apr 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 7 Apr 2026 |
| 6 Apr 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 7 Apr 2026 |
| 6 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 Apr 2026 |
| 6 Apr 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 7 Apr 2026 |
| 6 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 7 Apr 2026 |
| 9 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Dec 2025 |
| 8 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 30 May 2025 |
| 9 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 29 Jul 2024 |
| 15 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 7 Jun 2024 |
| 15 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 7 Jun 2024 |
| 19 Mar 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 1 Apr 2024 |
| 19 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 1 Apr 2024 |
| 19 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 1 Apr 2024 |
| 11 Jan 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | Complaint investigation | 12 Jan 2024 |
| 11 Jan 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | Standard survey | 18 Mar 2024 |
| 11 Jan 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 2 Feb 2024 |
| 11 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 | 13 Mar 2024 |
| 11 Jan 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 18 Mar 2024 |
| 11 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. | E | Standard survey | 18 Mar 2024 |
| 11 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 18 Mar 2024 |
| 11 Jan 2024 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard survey | 6 Feb 2024 |
| 11 Jan 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 7 Feb 2024 |
| 11 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Feb 2024 |
| 11 Jan 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 7 Feb 2024 |
| 11 Jan 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 13 Mar 2024 |
| 11 Jan 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 9 Feb 2024 |
| 11 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 | 18 Mar 2024 |
| 11 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 9 Feb 2024 |
| 11 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 9 Feb 2024 |
| 11 Jan 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 13 Mar 2024 |
| 11 Jan 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 18 Mar 2024 |
| 11 Jan 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 18 Mar 2024 |
| 11 Jan 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Standard survey | 2 Feb 2024 |
| 11 Jan 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | Standard survey | 2 Feb 2024 |
| 19 Oct 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 11 Nov 2023 |
| 19 Oct 2023 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Complaint investigation | 15 Nov 2023 |
| 19 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. | E | Complaint investigation | 4 Dec 2023 |
| 16 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 8 Sep 2023 |
| 16 Aug 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 8 Sep 2023 |
| 16 Aug 2023 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Complaint investigation | 8 Sep 2023 |
| 16 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 8 Sep 2023 |
| 16 Aug 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 8 Sep 2023 |
| 16 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Sep 2023 |
| 16 Sep 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 23 Nov 2022 |
| 16 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 | 14 Oct 2022 |
| 16 Sep 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 26 Oct 2022 |
| 16 Sep 2022 | 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 Oct 2022 |
| 16 Sep 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Oct 2022 |
| 16 Sep 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 Oct 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 May 2024 | Fine | $28,912 | |
| 11 Jan 2024 | Payment denial | — | 37 days |
| 11 Jan 2024 | Fine | $39,247 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 75.9%, RNs 58.3%; 0 administrators 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 | 4.0% | 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 | 1.2% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.4% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.6% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.8% | 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, limited liability company. Legal business name: Heights Community Healthcare Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Centennial Master Tenant, LLC | 5% or greater direct ownership interest | 100% | 01/10/2023 |
| 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 Heights Care & Rehabilitation LLC been cited for?
55 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 Heights Care & Rehabilitation LLC been fined?
Yes. CMS lists fines totalling $68K in the period covered, plus 1 payment denial.
How does staffing at Heights Care & Rehabilitation LLC 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 Heights Care & Rehabilitation LLC?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. 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 Heights Care & Rehabilitation LLC last inspected?
The most recent survey or investigation in the CMS record is dated 6 Apr 2026; the most recent standard health survey was 6 Apr 2026.
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.