Lakewood Villa

Nursing home in Lakewood, CO

Medicare & Medicaid certified4★ overall (CMS)

Call (303) 238-8161 Send a message Map ↗

Public-record details

Address: 1625 Simms St, Lakewood, CO 80215
Phone: (303) 238-8161
Listed under: For-profit, 4–5 star overall rating
Medicare CCN: 065408
Overall star rating: 4 of 5 ★★★★☆
Health inspection rating: 3 of 5
Staffing rating: 3 of 5
Quality measures rating: 5 of 5
Certified beds: 57
Average residents per day: 54
Ownership: For-profit, limited Liability company
Legal business name: Lakewood Villa Operations, LLC
Chain: Madison Creek Partners (13 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jun 1, 2013
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 065408. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 19, 2024. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 31, 2019 to Jul 7, 2025): 7 from complaint inspections, 5 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Jul 7, 2025	Protect 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
Mar 25, 2025	Protect 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
Dec 19, 2024	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	D Potential for more than minimal harm, isolated
Dec 19, 2024	Ensure that residents are free from significant medication errors. Pharmacy Service	D Potential for more than minimal harm, isolated
Dec 19, 2024	Protect 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
Dec 19, 2024	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	E Potential for more than minimal harm, pattern
Dec 19, 2024	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	F Potential for more than minimal harm, widespread
May 1, 2024	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated
Jan 25, 2024	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental · complaint inspection	E Potential for more than minimal harm, pattern
Jan 25, 2024	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental · complaint inspection	F Potential for more than minimal harm, widespread
Jul 17, 2023	Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights	D Potential for more than minimal harm, isolated
Jul 17, 2023	Protect 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	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 21. 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 1 fine totalling $16,801 in the last three years.

May 1, 2024

Fine: $16,801

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: 3.10 hours
Registered nurse (RN) time per resident per day: 0.62 hours
Nurse aide time per resident per day: 2.01 hours
Total nurse staffing on weekends: 2.91 hours
Nursing staff turnover (yearly): 46%
RN turnover (yearly): 64%
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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