Colorado › Jefferson County › Lakewood
Sierra Post Acute
1432 Depew St, Lakewood, CO 80214
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.
Sierra Post Acute, in Lakewood, Colorado, is certified for 102 beds under for-profit, limited liability company ownership and belongs to the Pacs Group chain.
CMS gives it 2 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 1, staffing 4 and quality measures 5.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (10, 12, 17 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 38.2 per 100 beds, more than the state median of 25.0.
CMS lists 4 penalties in the period covered: fines totalling $55K and 1 payment denial.
Reported nurse staffing is 3.8 hours per resident per day (0.4 RN), close to the Colorado median of 3.5; nursing staff turnover is 50.0%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Jefferson Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 21 | 22 | 28.7 |
| Citations per 100 beds | 38.2 | 27.8 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.5 | 3.5 | 3.9 |
| RN hours per resident day | 0.4 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 50.0% | 46.8% | 46.7% | 45.8% |
| Fines listed | $54,903 | $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
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Jan 2026, 24 Oct 2023.
Severity mix: J ×1 G ×5 D ×17 E ×10 F ×6
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 |
|---|---|---|---|---|---|
| 29 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Feb 2026 |
| 29 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Feb 2026 |
| 29 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 4 Feb 2026 |
| 29 Jan 2026 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 9 Feb 2026 |
| 29 Jan 2026 | 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 | 4 Feb 2026 |
| 29 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 4 Feb 2026 |
| 29 Jan 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Feb 2026 |
| 29 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Feb 2026 |
| 29 Jan 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 4 Feb 2026 |
| 20 Oct 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 | 13 Nov 2025 |
| 26 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Mar 2025 |
| 5 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 21 Aug 2024 |
| 20 Mar 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 7 Apr 2024 |
| 20 Mar 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 7 Apr 2024 |
| 24 Oct 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. | F | Standard survey | 17 Nov 2023 |
| 24 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 | 17 Nov 2023 |
| 24 Oct 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 17 Nov 2023 |
| 24 Oct 2023 | 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 | 17 Nov 2023 |
| 24 Oct 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 17 Nov 2023 |
| 24 Oct 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 17 Nov 2023 |
| 24 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 17 Nov 2023 |
| 24 Oct 2023 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 13 Dec 2023 |
| 24 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 17 Nov 2023 |
| 24 Oct 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. | D | Standard survey | 17 Nov 2023 |
| 24 Oct 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 17 Nov 2023 |
| 24 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 17 Nov 2023 |
| 15 Sep 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Sep 2022 |
| 15 Sep 2022 | 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 | 22 Sep 2022 |
| 15 Sep 2022 | 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 | 22 Sep 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Jan 2026 | Fine | $18,428 | |
| 20 Oct 2025 | Fine | $26,117 | |
| 5 Sep 2024 | Fine | $10,358 | |
| 24 Oct 2023 | Payment denial | — | 21 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 50.0%, RNs 54.5%; 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 | 8.0% | 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 | 0.6% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.1% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 41.5% | 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: Lakewood 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% | 10/11/2022 |
| 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 Jefferson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Ahc of Lakewood, LLC | Lakewood | 36 | 5 | 5 | 3 | 10 | 27.8 | $54K | 19 Mar 2026 |
| Arvada Care and Rehabilitation Center | Arvada | 54 | 5 | 4 | 3 | 17 | 31.5 | $8K | 15 Jan 2026 |
| Edgewater Health and Rehabilitation | Lakewood | 67 | 5 | 4 | 4 | 12 | 17.9 | — | 27 Aug 2025 |
| Lakewood Villa | Lakewood | 57 | 4 | 3 | 3 | 21 | 36.8 | $17K | 7 Jul 2025 |
| Life Care Center of Evergreen | Evergreen | 120 | 4 | 4 | 4 | 11 | 9.2 | — | 15 May 2025 |
| Mapleton Post Acute | Lakewood | 90 | 4 | 3 | 2 | 28 | 31.1 | — | 17 Jun 2025 |
| Neurorestorative Colorado | Littleton | 36 | 4 | 3 | 4 | 13 | 36.1 | $13K | 1 May 2025 |
| Rehabilitation Center At Sandalwood, The | Wheat Ridge | 103 | 4 | 3 | 4 | 23 | 22.3 | $46K | 11 Feb 2026 |
All 23 facilities in Jefferson County
Questions and answers
How many deficiencies has Sierra Post Acute been cited for?
39 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.
Has Sierra Post Acute been fined?
Yes. CMS lists fines totalling $55K in the period covered, plus 1 payment denial.
How does staffing at Sierra Post Acute compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Sierra Post Acute?
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 Sierra Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 29 Jan 2026; the most recent standard health survey was 29 Jan 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.