Elder Care Record

Colorado › Jefferson County › Lakewood

Mapleton Post Acute

115 Ingalls St, Lakewood, CO 80226

CCN 065097 · For-profit, corporation · 90 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.

Mapleton Post Acute is a For-profit, corporation nursing home in Lakewood, Colorado, certified for 90 beds and caring for about 76 residents a day.

CMS gives it 4 of 5 stars overall, above the Colorado median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.

Inspectors recorded 28 health deficiencies across the three most recent survey cycles (5, 16, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 31.1 per 100 beds, about the same as the state median of 25.0.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.2 hours per resident per day (0.6 RN), close to the Colorado median of 3.5; nursing staff turnover is 50.0%.

28health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.2nurse hours per resident per daystate median 3.5
84%occupancy (residents ÷ beds)76 residents a day

Compared with county, state and nation

MeasureThis facilityJefferson Co. medianColorado medianUS average
Overall star rating4333.0
Health citations, 3 cycles28212228.7
Citations per 100 beds31.127.825.026.8
Total nurse hours per resident day3.23.53.53.9
RN hours per resident day0.60.70.70.7
Nursing staff turnover50.0%46.8%46.7%45.8%
Fines listed$0$16,801$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)5
Cycle 216
Cycle 37

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2024, 29 Jun 2023.

Severity mix: G ×1 D ×15 E ×7 F ×5

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
17 Jun 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint investigation7 Jul 2025
17 Jun 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation7 Jul 2025
5 Dec 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 survey1 Jan 2025
5 Dec 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey1 Jan 2025
5 Dec 2024F0880Provide and implement an infection prevention and control program.EStandard survey1 Jan 2025
5 Dec 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation1 Jan 2025
5 Dec 2024F0688Provide 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.DStandard survey1 Jan 2025
19 Mar 2024F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation9 Apr 2024
19 Mar 2024F0760Ensure that residents are free from significant medication errors.FComplaint investigation9 Apr 2024
19 Mar 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint investigation9 Apr 2024
29 Jun 2023F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey24 Jul 2023
29 Jun 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey24 Jul 2023
29 Jun 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey24 Jul 2023
29 Jun 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey24 Jul 2023
29 Jun 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey24 Jul 2023
29 Jun 2023F0761Ensure 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.EStandard survey24 Jul 2023
29 Jun 2023F0610Respond appropriately to all alleged violations.DStandard survey24 Jul 2023
29 Jun 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey24 Jul 2023
29 Jun 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey24 Jul 2023
29 Jun 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey24 Jul 2023
29 Jun 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey24 Jul 2023
29 Jun 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey24 Jul 2023
29 Jun 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey24 Jul 2023
29 Jun 2023F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey24 Jul 2023
29 Aug 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey26 Sep 2019
29 Aug 2019F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey20 Sep 2019
29 Aug 2019F0610Respond appropriately to all alleged violations.DStandard survey20 Sep 2019
29 Aug 2019F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey9 Oct 2019

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.18 h
Nurse aides2.19 h
LPN0.43 h
RN0.56 h
Weekend total2.7 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 50.0%, RNs 55.6%; 1 administrator 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 Stay9.0%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.5%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.8%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.9%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 Stay12.7%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.2%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.9%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: Castle Rock Healthcare, Inc.. Chain: The Ensign Group (342 facilities).

OrganisationRole in the CMS recordInterestSince
Ensign Services IncAdp of the snfNOT APPLICABLE09/19/2022
Garden Investment Co., LLCAdp of the snfNOT APPLICABLE03/01/2023

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 Jefferson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Ahc of Lakewood, LLCLakewood365531027.8$54K19 Mar 2026
Arvada Care and Rehabilitation CenterArvada545431731.5$8K15 Jan 2026
Edgewater Health and RehabilitationLakewood675441217.9—27 Aug 2025
Lakewood VillaLakewood574332136.8$17K7 Jul 2025
Life Care Center of EvergreenEvergreen120444119.2—15 May 2025
Neurorestorative ColoradoLittleton364341336.1$13K1 May 2025
Rehabilitation Center At Sandalwood, TheWheat Ridge1034342322.3$46K11 Feb 2026
Villa Manor Care CenterLakewood1104342825.5—26 Mar 2026

All 23 facilities in Jefferson County

Questions and answers

How many deficiencies has Mapleton Post Acute been cited for?

28 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Mapleton Post Acute been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Mapleton Post Acute compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Mapleton Post Acute?

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 Mapleton Post Acute last inspected?

The most recent survey or investigation in the CMS record is dated 17 Jun 2025; the most recent standard health survey was 5 Dec 2024.

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.