Heights Care & Rehabilitation LLC
3131 S Federal Blvd · Denver, CO · 80236 · 3037610260
110 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 6 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.17 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 2 · $68,159 |
Inspection citations (61 in the current record)
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Potential for harm · D April 6, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 7, 2026 · Quality of Life and Care
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Potential for harm · D April 6, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 7, 2026 · Pharmacy Service
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Potential for harm · D April 6, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 7, 2026 · Pharmacy Service
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Potential for harm · F April 6, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 7, 2026 · Nutrition and Dietary
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Potential for harm · D December 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 9, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 15, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · D May 15, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 7, 2024 · Infection Control
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Potential for harm · D March 19, 2024 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 1, 2024 · Resident Rights
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Potential for harm · D March 19, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 1, 2024 · Infection Control
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Immediate jeopardy · J January 11, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected January 12, 2024 · Quality of Life and Care
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Actual harm · G January 11, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 18, 2024 · Administration
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Potential for harm · E January 11, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected February 2, 2024 · Resident Rights
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Potential for harm · E January 11, 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 March 13, 2024 · Resident Rights
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Potential for harm · E January 11, 2024
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 March 18, 2024 · Resident Rights
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Potential for harm · D January 11, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 11, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 11, 2024
Respond appropriately to all alleged violations.
Corrected February 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 11, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · E January 11, 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 March 18, 2024 · Quality of Life and Care
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Potential for harm · E January 11, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · D January 11, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · D January 11, 2024
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected February 2, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 15, 2024 | Fine | $28,912 |
| January 11, 2024 | Fine | $39,247 |
| January 11, 2024 | Payment Denial | 37 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065191 · certified since August 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.