Elder Care Record

Colorado › Denver County › Denver

Westwood Post Acute

3185 W Arkansas Ave, Denver, CO 80219

CCN 065274 · For-profit, corporation · 85 certified beds · chain Pacs Group

Special Focus Facility candidate
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.

Westwood Post Acute, in Denver, Colorado, is certified for 85 beds under for-profit, corporation 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 3 and quality measures 5.

Inspectors recorded 50 health deficiencies across the three most recent survey cycles (21, 5, 24 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 58.8 per 100 beds, more than the state median of 25.0.

CMS lists 5 penalties in the period covered: fines totalling $65K and 2 payment denials.

Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the Colorado median of 3.5; nursing staff turnover is 50.7%.

CMS flags that the facility is a Special Focus Facility candidate.

50health deficiencies, 3 survey cycles6 at actual harm or worse
$65Kfines listed by CMS5 penalties in period
3.2nurse hours per resident per daystate median 3.5
81%occupancy (residents ÷ beds)69 residents a day

Compared with county, state and nation

MeasureThis facilityDenver Co. medianColorado medianUS average
Overall star rating2333.0
Health citations, 3 cycles50282228.7
Citations per 100 beds58.827.425.026.8
Total nurse hours per resident day3.23.33.53.9
RN hours per resident day0.50.70.70.7
Nursing staff turnover50.7%39.5%46.7%45.8%
Fines listed$65,470$9,249$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)21
Cycle 25
Cycle 324

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Apr 2025, 28 Sep 2023.

Severity mix: J ×2 G ×4 D ×24 E ×15 F ×4 C ×1

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
25 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey30 Apr 2025
25 Apr 2025F0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.FStandard survey12 May 2025
25 Apr 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey15 May 2025
25 Apr 2025F0567Honor the resident's right to manage his or her financial affairs.EStandard survey9 May 2025
25 Apr 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey15 May 2025
25 Apr 2025F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.EStandard survey1 May 2025
25 Apr 2025F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard survey15 May 2025
25 Apr 2025F0625Notify 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.DComplaint investigation1 May 2025
25 Apr 2025F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint investigation15 May 2025
25 Apr 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey15 May 2025
25 Apr 2025F0659Provide care by qualified persons according to each resident's written plan of care.DStandard survey15 May 2025
25 Apr 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey16 May 2025
25 Apr 2025F0679Provide activities to meet all resident's needs.DStandard survey15 May 2025
25 Apr 2025F0685Assist a resident in gaining access to vision and hearing services.DStandard survey15 May 2025
25 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey15 May 2025
25 Apr 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey15 May 2025
25 Apr 2025F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey15 May 2025
25 Apr 2025F0791Provide or obtain dental services for each resident.DStandard survey15 May 2025
25 Apr 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey15 May 2025
25 Apr 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey15 May 2025
25 Apr 2025F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey1 May 2025
7 Mar 2024F0760Ensure that residents are free from significant medication errors.JComplaint investigation30 Apr 2024
7 Mar 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.GComplaint investigation30 Apr 2024
7 Mar 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GComplaint investigation30 Apr 2024
7 Mar 2024F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation5 Apr 2024
7 Mar 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint investigation5 Apr 2024
7 Mar 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation30 Apr 2024
7 Mar 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint investigation30 Apr 2024
7 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation30 Apr 2024
7 Mar 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation30 Apr 2024
7 Mar 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation30 Apr 2024
7 Mar 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.DComplaint investigation30 Apr 2024
7 Mar 2024F0585Honor 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.DComplaint investigation30 Apr 2024
7 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation30 Apr 2024
7 Mar 2024F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation30 Apr 2024
7 Mar 2024F0803Ensure 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.DComplaint investigation30 Apr 2024
7 Mar 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation30 Apr 2024
7 Mar 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation30 Apr 2024
28 Sep 2023F0760Ensure that residents are free from significant medication errors.GStandard survey21 Oct 2023
28 Sep 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard survey21 Oct 2023
28 Sep 2023F0584Honor 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 investigation21 Oct 2023
28 Sep 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 survey21 Oct 2023
28 Sep 2023F0880Provide and implement an infection prevention and control program.EStandard survey21 Oct 2023
27 Feb 2020F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey11 Apr 2020
27 Feb 2020F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey10 Apr 2020
27 Feb 2020F0880Provide and implement an infection prevention and control program.EStandard survey2 Apr 2020
27 Feb 2020F0679Provide activities to meet all resident's needs.DStandard survey18 Mar 2020
27 Feb 2020F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey27 Mar 2020
27 Feb 2020F0692Provide enough food/fluids to maintain a resident's health.DStandard survey27 Mar 2020
27 Feb 2020F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey27 Mar 2020

Penalties

DateTypeAmountDetail
25 Apr 2025Payment denial—12 days
25 Apr 2025Fine$23,959
7 Mar 2024Payment denial—25 days
7 Mar 2024Fine$29,177
28 Sep 2023Fine$12,334

Staffing

Total nursing3.24 h
Nurse aides1.98 h
LPN0.77 h
RN0.49 h
Weekend total2.91 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 50.7%, 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 Stay14.7%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 Stay1.2%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.2%3.0%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.2%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.5%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay26.0%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: North Star Healthcare Llc. Chain: Pacs Group (274 facilities).

OrganisationRole in the CMS recordInterestSince
Centennial Master Tenant, LLC5% or greater direct ownership interest100%10/11/2022
Providence Group Nh, LLC5% or greater indirect ownership interest100%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 Denver County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Berkley Manor Care CenterDenver1185352924.6$17K26 Feb 2026
Briarwood Health Care CenterDenver2015442210.9$9K16 Jul 2025
Hallmark Nursing CenterDenver1435442114.7$7K14 Nov 2024
Parkview Care CenterDenver735432027.4—21 May 2026
Sloan'S Lake Rehabilitation CenterDenver425541228.6—5 Mar 2026
Suites At Clermont Park Care Center, TheDenver635551320.6—18 Feb 2026
Health Center At Franklin ParkDenver864352731.4$10K26 Mar 2026
Rowan Community, IncDenver654252843.1$5K4 Dec 2025

All 23 facilities in Denver County

Questions and answers

How many deficiencies has Westwood Post Acute been cited for?

50 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 Westwood Post Acute been fined?

Yes. CMS lists fines totalling $65K in the period covered, plus 2 payment denials.

How does staffing at Westwood 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 Westwood Post Acute?

It is part of the Pacs Group chain. Ownership type is for-profit, corporation. 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 Westwood Post Acute last inspected?

The most recent survey or investigation in the CMS record is dated 25 Apr 2025; the most recent standard health survey was 25 Apr 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.