Lakewood Post Acute and RehabilitationCMS ratings, inspections and fines
- Address
- 7395 W Eastman Pl, Lakewood, CO 80227
- CCN
- 065400
- Ownership type
- For-profit, limited liability company
- Certified beds
- 108
- Chain
- PACS Group
- Residents per day
- 18
- 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 Lakewood Post Acute and Rehabilitation an overall rating of 3 of 5 stars. The last standard survey was on 27 Mar 2025. The latest survey cycle has 11 health citations. The median for nursing homes in Colorado is 8. CMS lists 1 fine of $32,513 for this home in its penalties file. CMS also lists 1 payment denial.
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 | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 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 Mar 2025 | 11 | 8 |
| Cycle 2 | 28 Sep 2023 | 12 | 8 |
| Cycle 3 | No date | 10 | 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): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 9 May 2025 |
| 27 Mar 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 | 9 May 2025 |
| 27 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 May 2025 |
| 27 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 9 May 2025 |
| 27 Mar 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 9 May 2025 |
| 27 Mar 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 9 May 2025 |
| 27 Mar 2025 | 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 | 9 May 2025 |
| 27 Mar 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 9 May 2025 |
| 27 Mar 2025 | 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. | D | Complaint investigation | 9 May 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 May 2025 |
| 27 Mar 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 9 May 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Sep 2023 | 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. | E | Standard survey | 22 Oct 2023 |
| 28 Sep 2023 | 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 | 22 Oct 2023 |
| 28 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 22 Oct 2023 |
| 28 Sep 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 22 Oct 2023 |
| 28 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Oct 2023 |
| 28 Sep 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 19 Dec 2023 |
| 28 Sep 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 22 Oct 2023 |
| 28 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 22 Oct 2023 |
| 28 Sep 2023 | 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. | F | Standard survey | 19 Dec 2023 |
| 28 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Oct 2023 |
| 28 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Oct 2023 |
| 28 Sep 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 22 Oct 2023 |
Survey cycle 3: 10 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 |
|---|---|---|---|---|---|
| 25 Feb 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 23 Mar 2020 |
| 25 Feb 2020 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard survey | 23 Mar 2020 |
| 25 Feb 2020 | 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 | 23 Mar 2020 |
| 25 Feb 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Mar 2020 |
| 25 Feb 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 23 Mar 2020 |
| 25 Feb 2020 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 23 Mar 2020 |
| 25 Feb 2020 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 23 Mar 2020 |
| 25 Feb 2020 | 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 | 23 Mar 2020 |
| 25 Feb 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 23 Mar 2020 |
| 25 Feb 2020 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 23 Mar 2020 |
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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 28 Sep 2023 | Fine | $32,513 | |
| 28 Sep 2023 | Payment denial | 53 |
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 | 6.95 | 3.50 | 3.72 |
| Registered nurses (RN) | 2.00 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 1.70 | 0.68 | |
| Nurse aides | 3.25 | 2.22 | |
| All nurse staff, weekends | 5.78 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 44.7%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 80.0%
- Administrators who left in a year
- 2
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 short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.9% | 1.0% |
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
- Eastman Community Healthcare LLC
- Chain
- PACS Group (274 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Panther Master Tenant, LLC | 5% or greater direct ownership interest | 100% | 1 Sep 2023 |
| Providence Group NH, LLC | 5% or greater indirect ownership interest | 100% | 1 Sep 2023 |
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 | |
|---|---|---|---|---|---|---|
| Villa Manor Care Center | Lakewood | 4 of 5 | 7 | $0 | 26 Mar 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 | |
| Neurorestorative Colorado | Littleton | 4 of 5 | 7 | $13,406 | 1 May 2025 | |
| Sierra Post Acute | Lakewood | 2 of 5 | 10 | $54,903 | 29 Jan 2026 | |
| Western Hills Health Care Center | Lakewood | 3 of 5 | 10 | $0 | 14 May 2026 | |
| Harmony Pointe Care Center | Lakewood | 3 of 5 | 17 | $0 | 26 Sep 2024 | |
| Allison Care Center | Lakewood | 2 of 5 | 8 | $34,580 | 13 Mar 2025 | |
| The Lodge at Red RocksSpecial Focus candidate | Morrison | 1 of 5 | 14 | $144,259 | 15 Jan 2026 | |
| Cedars Healthcare Center | Lakewood | 3 of 5 | 9 | $55,908 | 19 Mar 2024 | |
| Edgewater Health and Rehabilitation | Lakewood | 5 of 5 | 6 | $0 | 27 Aug 2025 | |
| Cambridge Care Center | Lakewood | 3 of 5 | 6 | $8,151 | 2 Apr 2024 |
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 Lakewood Post Acute and Rehabilitation (CCN 065400). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/lakewood-post-acute-and-rehabilitation-lakewood-co-065400/
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 Lakewood Post Acute and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 27 Mar 2025. It was a standard survey and a complaint investigation. It gave 11 citations. The standard survey before the last one was on 28 Sep 2023.
- Who operates Lakewood Post Acute and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain PACS Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Lakewood Post Acute 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.