Mapleton Post Acute

115 Ingalls St · Lakewood, CO · 80226 · 3032371325

90 certified beds For profit - Corporation Chain: The Ensign Group

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

Total nurse staffing below 3.0 hours per resident-day

2.88 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 48
Serious harm & abuse 20% 94
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 85
Context 5% 100

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-day2.883.48 min · 4.1 strong
RN hours / resident-day0.420.55–0.75
Weekend hours / resident-day2.45≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)none

Inspection citations (28 in the current record)

  • Potential for harm · D June 17, 2025 · found via complaint

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected July 7, 2025 · Resident Rights

  • Potential for harm · D June 17, 2025 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected July 7, 2025 · Resident Rights

  • Potential for harm · E December 5, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 5, 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 January 1, 2025 · Quality of Life and Care

  • Potential for harm · F December 5, 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 January 1, 2025 · Pharmacy Service

  • Potential for harm · E December 5, 2024

    Provide and implement an infection prevention and control program.

    Corrected January 1, 2025 · Infection Control

  • Potential for harm · D December 5, 2024 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected January 1, 2025 · Resident Assessment and Care Planning

  • Actual harm · G March 19, 2024 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 9, 2024 · Quality of Life and Care

  • Potential for harm · F March 19, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 9, 2024 · Pharmacy Service

  • Potential for harm · F March 19, 2024 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected April 9, 2024 · Administration

  • Potential for harm · D June 29, 2023

    Respond appropriately to all alleged violations.

    Corrected July 24, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 29, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 24, 2023 · Quality of Life and Care

  • Potential for harm · D June 29, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 24, 2023 · Quality of Life and Care

  • Potential for harm · D June 29, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 24, 2023 · Quality of Life and Care

  • Potential for harm · D June 29, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected July 24, 2023 · Quality of Life and Care

  • Potential for harm · D June 29, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected July 24, 2023 · Quality of Life and Care

  • Potential for harm · D June 29, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected July 24, 2023 · Quality of Life and Care

  • Potential for harm · E June 29, 2023

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected July 24, 2023 · Nursing and Physician Services

  • Potential for harm · E June 29, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 24, 2023 · Pharmacy Service

  • Potential for harm · E June 29, 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 July 24, 2023 · Pharmacy Service

  • Potential for harm · D June 29, 2023

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected July 24, 2023 · Nutrition and Dietary

  • Potential for harm · D June 29, 2023

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected July 24, 2023 · Administration

  • Potential for harm · F June 29, 2023

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected July 24, 2023 · Administration

  • Potential for harm · F June 29, 2023

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected July 24, 2023 · Administration

  • Potential for harm · D August 29, 2019

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 20, 2019 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065097 · certified since April 1, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.