Elder Care Record

Colorado › Denver County › Denver

Holly Heights Care and Rehabilitation

6000 E Iliff Ave, Denver, CO 80222

CCN 065124 · For-profit, corporation · 133 certified beds · chain The Ensign Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 133 beds, Holly Heights Care and Rehabilitation serves Denver in Denver County, Colorado and has taken Medicare and Medicaid residents since 1974.

CMS gives it 3 of 5 stars overall, equal to the Colorado median; the health inspection rating is 2, staffing 2 and quality measures 5.

Inspectors recorded 23 health deficiencies across the three most recent survey cycles (13, 7, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 17.3 per 100 beds, fewer than the state median of 25.0.

CMS lists 1 penalty in the period covered: fines totalling $9K.

Reported nurse staffing is 2.9 hours per resident per day (0.5 RN), close to the Colorado median of 3.5; nursing staff turnover is 34.4%.

23health deficiencies, 3 survey cycles2 at actual harm or worse
$9Kfines listed by CMS1 penalty in period
2.9nurse hours per resident per daystate median 3.5
74%occupancy (residents ÷ beds)98 residents a day

Compared with county, state and nation

MeasureThis facilityDenver Co. medianColorado medianUS average
Overall star rating3333.0
Health citations, 3 cycles23282228.7
Citations per 100 beds17.327.425.026.8
Total nurse hours per resident day2.93.33.53.9
RN hours per resident day0.50.70.70.7
Nursing staff turnover34.4%39.5%46.7%45.8%
Fines listed$9,249$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

Cycle 1 (latest)13
Cycle 27
Cycle 33

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Aug 2025, 9 Jan 2024.

Severity mix: J ×1 G ×1 D ×12 E ×6 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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
21 Jan 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation19 Feb 2026
4 Dec 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.EComplaint investigation26 Dec 2025
21 Aug 2025F0584Honor 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.EComplaint investigation19 Sep 2025
21 Aug 2025F0809Ensure 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.EStandard survey19 Sep 2025
21 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation19 Sep 2025
21 Aug 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation19 Sep 2025
21 Aug 2025F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DComplaint investigation19 Sep 2025
21 Aug 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey19 Sep 2025
21 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey19 Sep 2025
21 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey19 Sep 2025
21 Aug 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey19 Sep 2025
21 Aug 2025F0742Provide 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.DStandard survey19 Sep 2025
21 Aug 2025F0880Provide and implement an infection prevention and control program.DStandard survey19 Sep 2025
11 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation10 Apr 2025
28 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation17 Nov 2024
13 Jun 2024F0679Provide activities to meet all resident's needs.EComplaint investigation21 Jul 2024
9 Jan 2024F0761Ensure 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.FStandard survey14 Feb 2024
9 Jan 2024F0814Dispose of garbage and refuse properly.FComplaint investigation19 Feb 2024
9 Jan 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation10 Feb 2024
9 Jan 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation14 Feb 2024
9 Jan 2024F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DComplaint investigation5 Feb 2024
14 Sep 2022F0692Provide enough food/fluids to maintain a resident's health.GStandard survey7 Oct 2022
14 Sep 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey7 Oct 2022

Penalties

DateTypeAmountDetail
11 Jun 2025Fine$9,249

Staffing

Total nursing2.92 h
Nurse aides1.68 h
LPN0.72 h
RN0.51 h
Weekend total2.61 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 34.4%, RNs 52.6%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityColorado medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.8%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.2%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.0%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.5%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay27.1%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, corporation. Legal business name: Orman Ridge Healthcare Llc. Chain: The Ensign Group (342 facilities).

No organisations are listed in the CMS ownership record for this facility.

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Berkley Manor Care CenterDenver1185352924.6$17K26 Feb 2026
Briarwood Health Care CenterDenver2015442210.9$9K16 Jul 2025
Hallmark Nursing CenterDenver1435442114.7$7K14 Nov 2024
Parkview Care CenterDenver735432027.4—21 May 2026
Sloan'S Lake Rehabilitation CenterDenver425541228.6—5 Mar 2026
Suites At Clermont Park Care Center, TheDenver635551320.6—18 Feb 2026
Health Center At Franklin ParkDenver864352731.4$10K26 Mar 2026
Rowan Community, IncDenver654252843.1$5K4 Dec 2025

All 23 facilities in Denver County

Questions and answers

How many deficiencies has Holly Heights Care and Rehabilitation been cited for?

23 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Holly Heights Care and Rehabilitation been fined?

Yes. CMS lists fines totalling $9K in the period covered.

How does staffing at Holly Heights Care and Rehabilitation compare?

Reported total nurse staffing is 2.9 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Holly Heights Care and Rehabilitation?

It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Holly Heights Care and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 21 Jan 2026; the most recent standard health survey was 21 Aug 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.