Holly Heights Care and Rehabilitation
6000 E Iliff Ave · Denver, CO · 80222 · 3037575441
133 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
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
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.
Total nurse staffing below 3.0 hours per resident-day
2.84 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 2.57 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $9,249 |
Inspection citations (24 in the current record)
-
Potential for harm · F January 21, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 19, 2026 · Environmental
-
Potential for harm · E December 4, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 26, 2025 · Resident Rights
-
Potential for harm · D August 21, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 19, 2025 · Quality of Life and Care
-
Potential for harm · D August 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2025 · Quality of Life and Care
-
Potential for harm · D August 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 19, 2025 · Quality of Life and Care
-
Potential for harm · D August 21, 2025
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 September 19, 2025 · Quality of Life and Care
-
Potential for harm · E August 21, 2025
Ensure 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.
Corrected September 19, 2025 · Nutrition and Dietary
-
Potential for harm · D August 21, 2025
Provide and implement an infection prevention and control program.
Corrected September 19, 2025 · Infection Control
-
Potential for harm · D August 21, 2025 · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected September 19, 2025 · Resident Rights
-
Potential for harm · E August 21, 2025 · found via complaint
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 September 19, 2025 · Resident Rights
-
Potential for harm · E August 21, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 19, 2025 · Nutrition and Dietary
-
Potential for harm · E August 21, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 19, 2025 · Environmental
-
Immediate jeopardy · J June 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2025 · Quality of Life and Care
-
Potential for harm · D October 28, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 17, 2024 · Quality of Life and Care
-
Potential for harm · E June 13, 2024 · found via complaint
Provide activities to meet all resident's needs.
Corrected July 21, 2024 · Quality of Life and Care
-
Potential for harm · F January 9, 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 February 14, 2024 · Pharmacy Service
-
Potential for harm · D January 9, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 10, 2024 · Quality of Life and Care
-
Potential for harm · D January 9, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 14, 2024 · Quality of Life and Care
-
Potential for harm · D January 9, 2024 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected February 5, 2024 · Nursing and Physician Services
-
Potential for harm · F January 9, 2024 · found via complaint
Dispose of garbage and refuse properly.
Corrected February 19, 2024 · Nutrition and Dietary
-
Actual harm · G June 15, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 17, 2023 · Quality of Life and Care
-
Actual harm · G September 14, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected October 7, 2022 · Quality of Life and Care
-
Potential for harm · D September 14, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 7, 2022 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 11, 2025 | Fine | $9,249 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065124 · certified since October 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.