Harmony Pointe Care Center

1655 Yarrow St · Lakewood, CO · 80214 · 3032383838

125 certified beds For profit - Corporation Chain: Long Peak Operating Company

Why this verdict

  • 3 citations involved actual harm to residents.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 82
Staffing 20% 67
Federal penalties 15% 100
Trend 10% 57
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.183.48 min · 4.1 strong
RN hours / resident-day0.700.55–0.75
Weekend hours / resident-day2.72≈ weekday level
Nursing turnover / year27%median 45%
Fines (3-yr window)none

Inspection citations (34 in the current record)

  • Potential for harm · D September 26, 2024

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected October 25, 2024 · Resident Rights

  • Potential for harm · E September 26, 2024

    Honor the resident's right to manage his or her financial affairs.

    Corrected October 25, 2024 · Resident Rights

  • Potential for harm · D September 26, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 25, 2024 · Resident Rights

  • Potential for harm · D September 26, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected October 25, 2024 · Resident Rights

  • Potential for harm · E September 26, 2024

    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.

    Corrected October 25, 2024 · Resident Rights

  • Potential for harm · D September 26, 2024

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected October 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 26, 2024

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 26, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 26, 2024

    Provide activities to meet all resident's needs.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024

    Provide 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.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024

    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.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · D September 26, 2024

    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.

    Corrected October 25, 2024 · Pharmacy Service

  • Potential for harm · E September 26, 2024

    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.

    Corrected October 25, 2024 · Pharmacy Service

  • Potential for harm · E September 26, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected October 25, 2024 · Nutrition and Dietary

  • Potential for harm · E September 26, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 25, 2024 · Infection Control

  • Actual harm · G May 9, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 11, 2023 · Quality of Life and Care

  • Actual harm · G May 9, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 11, 2023 · Quality of Life and Care

  • Potential for harm · D May 9, 2023

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected May 11, 2023 · Resident Rights

  • Potential for harm · E May 9, 2023

    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.

    Corrected May 11, 2023 · Resident Rights

  • Potential for harm · E May 9, 2023

    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.

    Corrected May 11, 2023 · Resident Rights

  • Potential for harm · D May 9, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 11, 2023 · Quality of Life and Care

  • Potential for harm · D May 9, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 11, 2023 · Quality of Life and Care

  • Potential for harm · D May 9, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 11, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065298 · certified since December 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.