Elder Care Record

Colorado › Arapahoe County › Englewood

Wellsprings Care Center

3636 S Pearl St, Englewood, CO 80113

CCN 065208 · For-profit, corporation · 81 certified beds

CMS abuse icon
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 81 beds, Wellsprings Care Center serves Englewood in Arapahoe County, Colorado and has taken Medicare and Medicaid residents since 1985.

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 38 health deficiencies across the three most recent survey cycles (15, 20, 3 by cycle, most recent first), none at the actual-harm level. That is 46.9 per 100 beds, more than the state median of 25.0.

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

Reported nurse staffing is 2.9 hours per resident per day (0.3 RN), close to the Colorado median of 3.5; nursing staff turnover is 55.4%.

CMS flags that the facility carries the CMS abuse icon.

38health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
2.9nurse hours per resident per daystate median 3.5
87%occupancy (residents ÷ beds)71 residents a day

Compared with county, state and nation

MeasureThis facilityArapahoe Co. medianColorado medianUS average
Overall star rating3433.0
Health citations, 3 cycles38222228.7
Citations per 100 beds46.920.025.026.8
Total nurse hours per resident day2.93.83.53.9
RN hours per resident day0.30.70.70.7
Nursing staff turnover55.4%36.2%46.7%45.8%
Fines listed$0$0$10,033—

County and state figures are medians across facilities (19 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)15
Cycle 220
Cycle 33

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Sep 2025, 14 Feb 2024.

Severity mix: D ×19 E ×12 F ×7

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
7 Jan 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation8 Feb 2026
7 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation8 Jan 2026
9 Dec 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation12 Dec 2025
11 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Sep 2025
11 Sep 2025F0571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.EStandard survey12 Sep 2025
11 Sep 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 investigation12 Sep 2025
11 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation12 Sep 2025
11 Sep 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation12 Sep 2025
11 Sep 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation12 Sep 2025
11 Sep 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey12 Sep 2025
11 Sep 2025F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard survey12 Sep 2025
11 Sep 2025F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation12 Sep 2025
11 Sep 2025F0761Ensure 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.DStandard survey12 Sep 2025
11 Sep 2025F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey12 Sep 2025
11 Sep 2025F0923Have enough outside ventilation via a window or mechanical ventilation, or both.DComplaint investigation12 Sep 2025
24 Jun 2025F0659Provide care by qualified persons according to each resident's written plan of care.EComplaint investigation7 Jul 2025
4 Jun 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 investigation27 Jun 2025
4 Jun 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation27 Jun 2025
4 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation27 Jun 2025
13 Feb 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 investigation28 Feb 2025
13 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation28 Mar 2025
13 Feb 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation28 Mar 2025
5 Dec 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint investigation6 Dec 2024
5 Dec 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation6 Dec 2024
5 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation6 Dec 2024
10 Oct 2024F0584Honor 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 investigation31 Oct 2024
14 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey22 Mar 2024
14 Feb 2024F0814Dispose of garbage and refuse properly.FComplaint investigation22 Mar 2024
14 Feb 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation22 Mar 2024
14 Feb 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint investigation22 Mar 2024
14 Feb 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard survey22 Mar 2024
14 Feb 2024F0759Ensure medication error rates are not 5 percent or greater.EComplaint investigation22 Mar 2024
14 Feb 2024F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey22 Mar 2024
14 Feb 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey22 Mar 2024
14 Feb 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.DStandard survey22 Mar 2024
3 Nov 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Dec 2022
3 Nov 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey12 Dec 2022
3 Nov 2022F0610Respond appropriately to all alleged violations.DStandard survey12 Dec 2022

Penalties

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

Staffing

Total nursing2.92 h
Nurse aides1.71 h
LPN0.89 h
RN0.33 h
Weekend total2.56 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 55.4%, RNs 50.0%; 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 Stay7.0%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay8.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.4%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.9%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.2%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: Wellsprings Care Center Llc.

OrganisationRole in the CMS recordInterestSince
Wellsprings SNF Holdings LLC5% or greater direct ownership interest100%09/01/2024
Beecan Health Co LLCOperational/managerial controlNOT APPLICABLE09/01/2024
Beecan Health Co LLCAdp of the snfNOT APPLICABLE09/01/2024

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 Arapahoe County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Advanced Health Care of AuroraAurora54544713.0—20 Nov 2025
Beth Israel At Shalom ParkAurora13555521.5—13 Jul 2022
Highland Park Rehabilitation & Care CenterAurora1105432220.0—28 Jul 2025
Life Care Center of AuroraAurora1665452313.9$33K9 Apr 2026
Littleton Care and Rehabilitation CenterLittleton355531028.6$8K19 Feb 2026
Suites At Holly Creek Care Center, TheCentennial25545728.0$22K21 Nov 2024
Cherrelyn Healthcare CenterLittleton1904423719.5—30 Dec 2025
Englewood Post Acute and RehabilitationEnglewood824431619.5—7 Nov 2024

All 19 facilities in Arapahoe County

Questions and answers

How many deficiencies has Wellsprings Care Center been cited for?

38 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Wellsprings Care Center been fined?

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

How does staffing at Wellsprings Care Center 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 Wellsprings Care Center?

Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Wellsprings SNF Holdings LLC and Beecan Health Co LLC. Individual owners and managers are not listed on this site.

When was Wellsprings Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 7 Jan 2026; the most recent standard health survey was 11 Sep 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.