Lakewood Post Acute and Rehabilitation
7395 W Eastman Pl · Lakewood, CO · 80227 · 3037308000
108 certified beds For profit - Limited Liability company Chain: Pacs Group
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 7.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.84 | 0.55–0.75 |
| Weekend hours / resident-day | 6.30 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 1 · $32,513 |
Inspection citations (33 in the current record)
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Potential for harm · D March 27, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D March 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · E March 27, 2025
Observe each nurse aide's job performance and give regular training.
Corrected May 9, 2025 · Nursing and Physician Services
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Potential for harm · D March 27, 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 May 9, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
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 May 9, 2025 · Pharmacy Service
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Potential for harm · E March 27, 2025
Provide and implement an infection prevention and control program.
Corrected May 9, 2025 · Infection Control
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Potential for harm · E March 27, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected May 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2025 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected May 9, 2025 · Nutrition and Dietary
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Actual harm · G September 28, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected October 22, 2023 · Quality of Life and Care
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Actual harm · G September 28, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 19, 2023 · Quality of Life and Care
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Potential for harm · E September 28, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected October 22, 2023 · Resident Rights
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Potential for harm · D September 28, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 28, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 28, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 22, 2023 · Quality of Life and Care
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Potential for harm · E September 28, 2023
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected October 22, 2023 · Nursing and Physician Services
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Potential for harm · D September 28, 2023
Ensure that residents are free from significant medication errors.
Corrected October 22, 2023 · Pharmacy Service
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Potential for harm · F September 28, 2023
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 December 19, 2023 · Pharmacy Service
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Potential for harm · F September 28, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 22, 2023 · Nutrition and Dietary
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Potential for harm · E September 28, 2023
Provide and implement an infection prevention and control program.
Corrected October 22, 2023 · Infection Control
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Potential for harm · E September 28, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 22, 2023 · Infection Control
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Potential for harm · D February 25, 2020
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 23, 2020 · Resident Rights
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Potential for harm · D February 25, 2020
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected March 23, 2020 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 28, 2023 | Fine | $32,513 |
| September 28, 2023 | Payment Denial | 53 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 065400 · certified since July 16, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.