SNF

WESTERN HILLS HEALTH CARE CENTER

CCN: 065209 · LAKEWOOD, CO 80214 · Jefferson County

⚠ Inspection > 2 years ago

Overview

Address
1625 CARR ST, LAKEWOOD, CO 80214
Phone
3032326881
Certified beds
140
Avg daily residents
90 (64% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1985-04-18
Setting
Urban
5 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 5/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.71 3.73 3.84 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.76 0.65 0.79 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.86 0.83 0.89 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.08 2.25 2.16 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.62 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.07 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.26
hrs / resident / day
RN (weekend)
0.51
hrs / resident / day
Total nurse (adjusted, weekend)
3.38
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
51.2%
annual
RN turnover
42.9%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.32
higher acuity than avg
Case-Mix Index Ratio
0.96
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-02-27 5 5 0 24 1 24
Cycle 2/3 (prior) 2022-11-10 1 1 0 4 1 4
Total weighted health score
19.0
lower is better

Deficiencies (21)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

21 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-02-27 2024-03-20
0610 Respond appropriately to all alleged violations. D 2024-02-27 2024-03-20
0759 Ensure medication error rates are not 5 percent or greater. D 2024-02-27 2024-03-20
0880 Provide and implement an infection prevention and control program. E 2024-02-27 2024-03-20
0881 Implement a program that monitors antibiotic use. D 2024-02-27 2024-03-20
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2022-11-10 2022-12-29
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2021-07-13 2021-07-29
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2021-07-13 2021-07-29
0610 Respond appropriately to all alleged violations. D 2021-07-13 2021-07-29
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. D 2021-07-13 2021-07-29
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. E 2021-07-13 2021-07-29
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. F 2021-07-13 2021-07-29
0679 Provide activities to meet all resident's needs. D 2021-07-13 2021-07-29
0688 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. D 2021-07-13 2021-07-29
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2021-07-13 2021-07-29
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2021-07-13 2021-07-29
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2021-07-13 2021-07-29
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2021-07-13 2021-07-29
0849 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. D 2021-07-13 2021-07-29
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F 2021-07-13 2021-07-29
0880 Provide and implement an infection prevention and control program. E 2021-07-13 2021-07-29

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.4% Medicaid 73.1% Other 23.5%

Operating performance

Operating Margin
-18.6%
Total Margin
-14.1%
Occupancy Rate
84.2%
Cost per Resident Day
$26

Revenue & costs

Net Patient Revenue
$10.0M
Total Costs
$821K
Net Income
-$1.5M

Balance sheet

Total Assets
$3.7M
Total Liabilities
$12.7M
Fund Balance
-$9.0M
Current Ratio
0.99

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LIFE CARE CENTERS OF AMERICA

Chain ID
311
Facilities in chain
194
Legal business name
LIFE CARE CENTERS OF AMERICA, INC.
Chain-average star ratings (for peer context)
Overall
3.5
Health
2.9
Staffing
3.3
QM
4.6

Owner / manager organizations (1)

Organization Role Association
LIFE CARE CENTERS OF AMERICA, INC. OPERATIONAL/MANAGERIAL CONTROL since 07/01/1991

Owner / manager individuals (24)

Name Role Association
PRESTON, FORREST 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/06/1976
DENZLER, ANNA OPERATIONAL/MANAGERIAL CONTROL since 01/15/2025
DERGANCE, JEANNAE OPERATIONAL/MANAGERIAL CONTROL since 03/04/2023
FLETCHER, TODD OPERATIONAL/MANAGERIAL CONTROL since 05/01/2021
LAY, LISA OPERATIONAL/MANAGERIAL CONTROL since 04/24/2017
LINENBERGER, CHARITY OPERATIONAL/MANAGERIAL CONTROL since 08/06/2024
PRESTON, AUBREY OPERATIONAL/MANAGERIAL CONTROL since 11/27/2024
PRESTON, FORREST OPERATIONAL/MANAGERIAL CONTROL since 01/06/1976
SCHMIDT, DEREK OPERATIONAL/MANAGERIAL CONTROL since 10/18/2012
SWANKER, RICHARD OPERATIONAL/MANAGERIAL CONTROL since 01/01/2022
ZIEGLER, JAMES OPERATIONAL/MANAGERIAL CONTROL since 09/18/2001
FLETCHER, TODD CORPORATE DIRECTOR since 05/01/2021
LAY, LISA CORPORATE DIRECTOR since 04/24/2017
PRESTON, FORREST CORPORATE DIRECTOR since 01/06/1976
SWANKER, RICHARD CORPORATE DIRECTOR since 01/01/2022
ZIEGLER, JAMES CORPORATE DIRECTOR since 09/18/2001
CROSS, CINDY CORPORATE OFFICER since 04/21/1994
FLETCHER, TODD CORPORATE OFFICER since 11/02/2020
HENRY, TERRY CORPORATE OFFICER since 08/16/1999
LAY, LISA CORPORATE OFFICER since 02/09/2018
PRESTON, FORREST CORPORATE OFFICER since 01/06/1976
SWANKER, RICHARD CORPORATE OFFICER since 04/01/2011
THURMOND, JOAN CORPORATE OFFICER since 09/22/2000
ZIEGLER, JAMES CORPORATE OFFICER since 08/16/1999

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $26 metrics.cost_per_resident_day
Cost Report Current Ratio 0.99 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 73.1% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.4% metrics.medicare_day_share
Cost Report Net Income ($) $-1,470,020 metrics.net_income
Cost Report Net Patient Revenue ($) $10,048,014 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 84.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -18.6% metrics.operating_margin
Cost Report Total Assets ($) $3,672,261 metrics.total_assets
Cost Report Total Costs ($) $820,977 metrics.total_costs
Cost Report Total Fund Balances ($) $-9,008,316 metrics.fund_balance
Cost Report Total Liabilities ($) $12,680,577 metrics.total_liabilities
Cost Report Total Margin (%) -14.1% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.89316 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.15808 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.78771 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.83895 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.38272 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 89.8 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.82699 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.24756 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65185 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.72639 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.28442 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.6 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.3 Chain Average Staffing Rating
Provider Information Chain ID 311 Chain ID
Provider Information Chain Name LIFE CARE CENTERS OF AMERICA Chain Name
Provider Information City/Town LAKEWOOD City/Town
Provider Information CMS Certification Number (CCN) 065209 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Jefferson County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1985-04-18 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 5 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 39.7421 Latitude
Provider Information Legal Business Name LIFE CARE CENTERS OF AMERICA, INC. Legal Business Name
Provider Information Location 1625 CARR ST,LAKEWOOD,CO,80214 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -105.09 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 140 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 194 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.32009 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.95822 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1625 CARR ST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WESTERN HILLS HEALTH CARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 290 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 24 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-02-27 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 24 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 5 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 1 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-11-10 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 4 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 4 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 1 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.51284 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 42.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.62229 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.86204 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.08288 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.07230 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.76026 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.70518 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CO State
Provider Information Telephone Number 3032326881 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.26485 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 51.2 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 19.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 80214 ZIP Code