Oakwood Care and RehabilitationCMS ratings, inspections and fines
- Address
- 5301 W 1st Ave, Lakewood, CO 80226
- CCN
- 065248
- Ownership type
- For-profit, corporation
- Certified beds
- 170
- Chain
- The Ensign Group
- Residents per day
- 126
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
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 Oakwood Care and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 11 Sep 2025. The latest survey cycle has 16 health citations. The median for nursing homes in Colorado is 8. CMS lists 3 fines with a total of $217,271 for this home in its penalties file. CMS also lists 2 payment denials.
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 | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 2.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 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) | 11 Sep 2025 | 16 | 8 |
| Cycle 2 | 10 Apr 2024 | 24 | 8 |
| Cycle 3 | No date | 32 | 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 | 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 |
Survey cycle 1 (latest): 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 23 Mar 2026 |
| 26 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 23 Mar 2026 |
| 26 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 23 Mar 2026 |
| 26 Feb 2026 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Complaint investigation | 23 Mar 2026 |
| 26 Feb 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 23 Mar 2026 |
| 26 Feb 2026 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint investigation | 23 Mar 2026 |
| 18 Dec 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 31 Dec 2025 |
| 18 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Jan 2026 |
| 18 Dec 2025 | 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 | Complaint investigation | 23 Dec 2025 |
| 18 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Jan 2026 |
| 11 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Oct 2025 |
| 11 Sep 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 10 Oct 2025 |
| 11 Sep 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 10 Oct 2025 |
| 11 Sep 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 |
| 11 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Oct 2025 |
| 11 Sep 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 10 Oct 2025 |
Survey cycle 2: 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 4 Jul 2025 |
| 12 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 4 Jul 2025 |
| 12 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 4 Jul 2025 |
| 29 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 7 Mar 2025 |
| 29 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Mar 2025 |
| 29 Jan 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 7 Mar 2025 |
| 29 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 7 Mar 2025 |
| 29 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 Mar 2025 |
| 29 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 7 Mar 2025 |
| 10 Apr 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 2 May 2024 |
| 10 Apr 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. | D | Complaint investigation | 5 May 2024 |
| 10 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 5 May 2024 |
| 10 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 May 2024 |
| 10 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 5 May 2024 |
| 10 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 May 2024 |
| 10 Apr 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | E | Standard survey | 5 May 2024 |
| 10 Apr 2024 | 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. | D | Standard survey | 2 May 2024 |
| 10 Apr 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Complaint investigation | 5 May 2024 |
| 10 Apr 2024 | 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 | 5 May 2024 |
| 10 Apr 2024 | 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. | D | Standard survey | 2 May 2024 |
| 10 Apr 2024 | F0791 | Provide or obtain dental services for each resident. | E | Complaint investigation | 5 May 2024 |
| 10 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 2 May 2024 |
| 10 Apr 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Complaint investigation | 2 May 2024 |
| 10 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 5 May 2024 |
Survey cycle 3: 32 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 |
|---|---|---|---|---|---|
| 10 Apr 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 5 May 2024 |
| 9 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint investigation | 9 Nov 2023 |
| 9 Oct 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Complaint investigation | 9 Nov 2023 |
| 9 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 24 Nov 2023 |
| 9 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Nov 2023 |
| 9 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 9 Nov 2023 |
| 9 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 9 Nov 2023 |
| 9 Oct 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 9 Nov 2023 |
| 9 Oct 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Complaint investigation | 9 Nov 2023 |
| 9 Oct 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Complaint investigation | 9 Nov 2023 |
| 9 Oct 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | Complaint investigation | 9 Nov 2023 |
| 9 Oct 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 | 9 Nov 2023 |
| 9 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 9 Nov 2023 |
| 9 Oct 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 9 Nov 2023 |
| 17 Nov 2022 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | 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 | 17 Dec 2022 |
| 17 Nov 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 | 17 Dec 2022 |
| 17 Nov 2022 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 23 Dec 2022 |
| 17 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 22 Dec 2022 |
| 17 Nov 2022 | 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. | D | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | 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 | 17 Dec 2022 |
| 17 Nov 2022 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Dec 2022 |
| 17 Nov 2022 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 17 Dec 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 29 Jan 2025 | Fine | $53,151 | |
| 29 Jan 2025 | Payment denial | 8 | |
| 10 Apr 2024 | Fine | $52,416 | |
| 9 Oct 2023 | Fine | $111,704 | |
| 9 Oct 2023 | Payment denial | 21 |
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 | 3.00 | 3.50 | 3.72 |
| Registered nurses (RN) | 0.50 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.56 | 0.68 | |
| Nurse aides | 1.95 | 2.22 | |
| All nurse staff, weekends | 2.81 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 53.7%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 1
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 | 22.1% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.0% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 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, corporation
- Legal business name
- Fox Hollow Healthcare Inc
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kare Technologies LLC | Operational/managerial control | 1 Mar 2024 | |
| Onshift Inc | Operational/managerial control | 1 Mar 2024 | |
| Sos Nursing Services, Inc | Operational/managerial control | 1 Mar 2024 | |
| Caretrust GP LLC | Adp of the snf | 1 Mar 2024 | |
| Caretrust REIT Inc | Adp of the snf | 1 Mar 2024 | |
| Ctr Partnership LP | Adp of the snf | 1 Mar 2024 | |
| Ensign Services Inc | Adp of the snf | 18 Dec 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 | |
|---|---|---|---|---|---|---|
| Mapleton Post Acute | Lakewood | 4 of 5 | 5 | $0 | 5 Dec 2024 | |
| Sierra Post Acute | Lakewood | 2 of 5 | 10 | $54,903 | 29 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 | |
| Harmony Pointe Care Center | Lakewood | 3 of 5 | 17 | $0 | 26 Sep 2024 | |
| Villa Manor Care Center | Lakewood | 4 of 5 | 7 | $0 | 26 Mar 2026 | |
| Western Hills Health Care Center | Lakewood | 3 of 5 | 10 | $0 | 14 May 2026 | |
| Allison Care Center | Lakewood | 2 of 5 | 8 | $34,580 | 13 Mar 2025 | |
| Wheatridge Care Center | Wheat Ridge | 3 of 5 | 10 | $20,616 | 12 Jun 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 |
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 Oakwood Care and Rehabilitation (CCN 065248). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/oakwood-care-and-rehabilitation-lakewood-co-065248/
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 Oakwood Care and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2026. It was a complaint investigation. It gave 6 citations. The standard survey before the last one was on 10 Apr 2024.
- Who operates Oakwood Care and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Ensign Group. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Oakwood Care 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.