Lakewood Villa
1625 Simms St · Lakewood, CO · 80215 · 3032388161
57 certified beds For profit - Limited Liability company Chain: Madison Creek Partners
Why this verdict
- Carries CMS’s abuse warning icon.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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 | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 2 · $40,006 |
Inspection citations (21 in the current record)
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Potential for harm · D July 7, 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 July 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 25, 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 April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 19, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected January 17, 2025 · Pharmacy Service
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Potential for harm · D December 19, 2024
Ensure that residents are free from significant medication errors.
Corrected January 17, 2025 · Pharmacy Service
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Potential for harm · F December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 17, 2025 · Nutrition and Dietary
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Potential for harm · E December 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 17, 2025 · Infection Control
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Potential for harm · D December 19, 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 January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 7, 2024 · Quality of Life and Care
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Potential for harm · E January 25, 2024 · 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 February 19, 2024 · Environmental
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Potential for harm · F January 25, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 21, 2024 · Environmental
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Actual harm · G July 17, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected August 9, 2023 · Quality of Life and Care
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Actual harm · G July 17, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 9, 2023 · Quality of Life and Care
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Potential for harm · D July 17, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected August 9, 2023 · Resident Rights
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Potential for harm · D July 17, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 9, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2023
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 August 9, 2023 · Pharmacy Service
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Potential for harm · E July 17, 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 August 9, 2023 · Pharmacy Service
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Potential for harm · F July 17, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 9, 2023 · Nutrition and Dietary
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Actual harm · G October 31, 2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 22, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G October 31, 2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 2, 2019 · Quality of Life and Care
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Potential for harm · D October 31, 2019
Notify 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.
Corrected November 15, 2019 · Resident Rights
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Potential for harm · E October 31, 2019
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected November 10, 2019 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2024 | Fine | $16,801 |
| August 8, 2023 | Payment Denial | 6 days |
| July 17, 2023 | Fine | $23,205 |
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 065408 · certified since June 1, 2013. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.