Mountain Vista Health Center
4800 Tabor St · Wheat Ridge, CO · 80033 · 3034214161
168 certified beds Non profit - Corporation Chain: American Baptist Homes of the Midwest Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $7,718 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
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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 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.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.91 | 0.55–0.75 |
| Weekend hours / resident-day | 3.88 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 3 · $39,227 |
Inspection citations (37 in the current record)
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Potential for harm · D December 9, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 11, 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 July 14, 2025 · Nutrition and Dietary
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Potential for harm · D March 24, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D March 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 24, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected April 30, 2025 · Quality of Life and Care
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Potential for harm · F March 24, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 25, 2025 · Administration
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Potential for harm · D February 24, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 20, 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 July 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 20, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · D March 20, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 17, 2024 · Resident Rights
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Potential for harm · D March 20, 2024
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected April 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 20, 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 April 17, 2024 · Quality of Life and Care
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Potential for harm · D March 20, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · F March 20, 2024
Implement a program that monitors antibiotic use.
Corrected April 17, 2024 · Infection Control
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Potential for harm · E March 20, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 17, 2024 · Infection Control
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Potential for harm · D March 20, 2024
Keep all essential equipment working safely.
Corrected April 17, 2024 · Environmental
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Potential for harm · E March 20, 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 April 17, 2024 · Nursing and Physician Services
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Potential for harm · D March 20, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 17, 2024 · Resident Rights
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Potential for harm · E March 20, 2024 · found via complaint
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 April 17, 2024 · Resident Rights
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Potential for harm · D March 20, 2024 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · E March 20, 2024 · found via complaint
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 April 17, 2024 · Nursing and Physician Services
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Potential for harm · F March 20, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 17, 2024 · Infection Control
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Actual harm · G November 1, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2023 · Quality of Life and Care
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Potential for harm · E September 25, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 30, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 20, 2024 | Fine | $7,718 |
| March 20, 2024 | Fine | $23,319 |
| November 1, 2023 | Fine | $8,190 |
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 065015 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.