Nursing HomeInspections

Heights Care & Rehabilitation LLC

Nursing home in Denver, CO

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
3131 S Federal Blvd, Denver, CO 80236
Phone
(303) 761-0260
Listed under
For-profit
Medicare CCN
065191
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
110
Average residents per day
91
Ownership
For-profit, limited Liability company
Legal business name
Heights Community Healthcare LLC
Chain
Pacs Group (277 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 1, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 065191. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 6, 2026. CMS lists 49 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 16, 2022 to Apr 6, 2026): 19 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 6, 2026Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Apr 6, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 6, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 6, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 6, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 6, 2026Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Apr 6, 2026Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Apr 6, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
F
Potential for more than minimal harm, widespread
Dec 9, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 8, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 9, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
May 15, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 49. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $68,159 and 1 denial of Medicare payment for new admissions in the last three years.

May 15, 2024Fine: $28,912
Jan 11, 2024Fine: $39,247
Jan 11, 2024Payment denial for 37 days from Feb 10, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.57 hours
Registered nurse (RN) time per resident per day
0.52 hours
Nurse aide time per resident per day
2.16 hours
Total nurse staffing on weekends
3.08 hours
Nursing staff turnover (yearly)
82%
RN turnover (yearly)
75%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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