Nursing HomeInspections

Silver Heights Skilled Nursing and Rehabilitation

Nursing home in Castle Rock, CO

Medicare & Medicaid certified4★ overall (CMS)

Call (303) 688-3174Send a messageMap ↗

Public-record details

Address
4001 Home St, Castle Rock, CO 80108
Phone
(303) 688-3174
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
065285
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
91
Average residents per day
58
Ownership
For-profit, limited Liability company
Legal business name
Home Street Operations, LLC
Chain
Madison Creek Partners (13 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1990
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 065285. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 3, 2025. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 21, 2022 to Apr 3, 2025): 8 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 3, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 3, 2025Provide 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 3, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 3, 2025Provide or obtain dental services for each resident.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 3, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 3, 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		D
Potential for more than minimal harm, isolated
Apr 3, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 3, 2025Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Apr 3, 2025Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Apr 3, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Nov 7, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 7, 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

Showing the 12 most recent of 30. 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 Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

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

Staffing

Total nurse staffing per resident per day
2.90 hours
Registered nurse (RN) time per resident per day
0.84 hours
Nurse aide time per resident per day
1.58 hours
Total nurse staffing on weekends
2.67 hours
Nursing staff turnover (yearly)
47%
RN turnover (yearly)
33%
Administrators who left in the past year
1

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.

Other nursing homes in Castle Rock

Brookside Inn1297 S Perry St · Castle Rock, CO 80104 · (303) 688-2500 · For-profit29 health citations in 3 inspection cycles · last standard inspection Mar 12, 2026 · $63,246 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

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