Lowry Hills Care and Rehabilitation
10201 E 3rd Ave · Aurora, CO · 80010 · 3033643364
108 certified beds For profit - Individual Chain: Sweetwater Care
Why this verdict
- 8 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
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.
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: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 1 · $2,516 |
Inspection citations (50 in the current record)
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Actual harm · G June 26, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected June 27, 2025 · Resident Rights
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Potential for harm · D June 26, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected June 27, 2025 · Nutrition and Dietary
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Potential for harm · E April 22, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 23, 2025 · Infection Control
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Potential for harm · D March 13, 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 March 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 7, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 10, 2024 · Resident Rights
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Potential for harm · D May 7, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 10, 2024 · Quality of Life and Care
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Potential for harm · E May 7, 2024
Observe each nurse aide's job performance and give regular training.
Corrected May 10, 2024 · Nursing and Physician Services
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Potential for harm · D May 7, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 10, 2024 · Pharmacy Service
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Potential for harm · D May 7, 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 May 10, 2024 · Pharmacy Service
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Potential for harm · D May 7, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 10, 2024 · Nutrition and Dietary
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Potential for harm · E May 7, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 10, 2024 · Nutrition and Dietary
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Potential for harm · D May 7, 2024
Provide and implement an infection prevention and control program.
Corrected May 10, 2024 · Infection Control
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Potential for harm · E May 7, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 10, 2024 · Environmental
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Potential for harm · E May 7, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 10, 2024 · Nursing and Physician Services
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Potential for harm · D May 7, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 7, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 10, 2024 · Quality of Life and Care
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Actual harm · G December 6, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 8, 2023 · Quality of Life and Care
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Potential for harm · D January 26, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected February 23, 2023 · Resident Rights
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Potential for harm · D January 26, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 21, 2023 · Resident Rights
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Potential for harm · E January 26, 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 February 24, 2023 · Resident Rights
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Potential for harm · D January 26, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 21, 2023 · Quality of Life and Care
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Potential for harm · D January 26, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 21, 2023 · Quality of Life and Care
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Potential for harm · D January 26, 2023
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected February 21, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 6, 2023 | Fine | $2,516 |
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 065001 · certified since September 19, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.