Inspection > 2 years ago

Overview

Address
1535 PARK AVE, DENVER, CO 80218
Phone
3034793692
Certified beds
86
Avg daily residents
55 (64% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1985-07-01
Setting
Urban
4 /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.
4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
5/5
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 4/5
Short-Stay Quality Measures Data not available.

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
3.80 3.19 4.60 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.79 0.56 0.95 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.94 0.71 1.14
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.07 1.93 2.51
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.73
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.02

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)
3.51
hrs / resident / day
RN (weekend)
0.59
hrs / resident / day
Total nurse (adjusted, weekend)
4.24
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
37.9%
annual
RN turnover
30.8%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.13
near national average
Case-Mix Index Ratio
0.82
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 7 7 1 32 1 32
Cycle 2/3 (prior) 2022-11-03 16 8 8 168 1 168
Total weighted health score
66.0
lower is better
Infection-control citations
5
last cycle

Deficiencies (26)

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).

24 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
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 2024-03-28
0610 Respond appropriately to all alleged violations. D 2024-02-27 2024-03-28
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-02-27 2024-03-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-02-27 2024-03-28
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2024-02-27 2024-03-28
0880 Provide and implement an infection prevention and control program. E 2024-02-27 2024-03-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-02-27 2024-03-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2023-08-31 2023-09-29
0730 Observe each nurse aide's job performance and give regular training. E 2023-08-31 2023-09-29
0880 Provide and implement an infection prevention and control program. E 2023-08-31 2023-09-29
0881 Implement a program that monitors antibiotic use. F 2023-08-31 2023-09-29
0882 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F 2023-08-31 2023-09-29
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. F 2023-08-31 2023-10-23
0584 Honor 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. E 2023-03-30 2023-04-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2023-03-30 2023-05-08
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2022-11-03 2022-12-02
0583 Keep residents' personal and medical records private and confidential. D 2022-11-03 2022-12-02
0584 Honor 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. E 2022-11-03 2022-12-02
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2022-11-03 2022-12-02
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2022-11-03 2022-12-14
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. G 2022-11-03 2022-12-02
0726 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. E 2022-11-03 2022-12-02
0880 Provide and implement an infection prevention and control program. E 2022-11-03 2022-12-02
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2021-07-29 2021-07-21
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2021-07-29 2021-08-26
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2021-07-29 2021-09-03

Penalties (2)

Fines issued
1
last 3 years
Total fines
$10,082
Payment denials
1
Date Type Fine amount
2023-08-31 Fine $10,082
2023-08-31 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 6.9% Medicaid 71.8% Other 21.3%

Operating performance

Operating Margin
-6.0%
Total Margin
-4.5%
Occupancy Rate
65.7%
Cost per Resident Day
$33

Revenue & costs

Net Patient Revenue
$8.1M
Total Costs
$679K
Net Income
-$375K

Balance sheet

Total Assets
$5.1M
Total Liabilities
$14.6M
Fund Balance
-$9.5M
Current Ratio
0.12

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: AMERICAN BAPTIST HOMES OF THE MIDWEST

Chain ID
29
Facilities in chain
6
Legal business name
BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAIN INC
Chain-average star ratings (for peer context)
Overall
2.3
Health
1.8
Staffing
4.0
QM
4.2

Owner / manager organizations (1)

Organization Role Association
BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAIN INC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2000

Owner / manager individuals (17)

Name Role Association
ALLEN, RYAN CORPORATE DIRECTOR since 01/01/2013
DAVIDSON, ROGER CORPORATE DIRECTOR since 01/01/2020
FORD, ASHLEY CORPORATE DIRECTOR since 01/01/2020
HANSON, PHILLIP CORPORATE DIRECTOR since 01/01/2013
JOHNSON, DOROTHY CORPORATE DIRECTOR since 01/01/2020
JOHNSON, JAMES CORPORATE DIRECTOR since 01/01/2020
KILLIAN, GEORGE CORPORATE DIRECTOR since 01/01/2020
NEIMAN, RUTH CORPORATE DIRECTOR since 01/01/2020
PETERS, MARSHALL CORPORATE DIRECTOR since 01/01/2013
VAN DER BEEK, BRUCE CORPORATE DIRECTOR since 01/01/2020
VANOSTRAM, STEVEN CORPORATE DIRECTOR since 01/01/2013
VAUGHN-GRAY, STEPHANIE CORPORATE DIRECTOR since 01/01/2020
WAGONER FORD, ANNE CORPORATE DIRECTOR since 01/01/2020
WHITAKER, BRUCE CORPORATE DIRECTOR since 01/01/2013
BLATNIK, ANDREA CORPORATE OFFICER since 01/01/2020
JOHNSON, LARS CORPORATE OFFICER since 06/05/2023
KOTZ, CHRISTINA W-2 MANAGING EMPLOYEE since 01/01/2020

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
Both
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 ($) $33 metrics.cost_per_resident_day
Cost Report Current Ratio 0.12 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 71.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 6.9% metrics.medicare_day_share
Cost Report Net Income ($) $-375,201 metrics.net_income
Cost Report Net Patient Revenue ($) $8,141,923 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 65.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -6.0% metrics.operating_margin
Cost Report Total Assets ($) $5,101,089 metrics.total_assets
Cost Report Total Costs ($) $679,498 metrics.total_costs
Cost Report Total Fund Balances ($) $-9,495,774 metrics.fund_balance
Cost Report Total Liabilities ($) $14,596,863 metrics.total_liabilities
Cost Report Total Margin (%) -4.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.14112 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.50520 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.95323 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.59954 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.24466 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 55.3 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 0.70837 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.92519 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.55835 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.19191 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.81333 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.8 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.0 Chain Average Staffing Rating
Provider Information Chain ID 29 Chain ID
Provider Information Chain Name AMERICAN BAPTIST HOMES OF THE MIDWEST Chain Name
Provider Information City/Town DENVER City/Town
Provider Information CMS Certification Number (CCN) 065213 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Denver County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1985-07-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 39.7406 Latitude
Provider Information Legal Business Name BAPTIST HOME ASSOCIATION OF THE ROCKY MOUNTAIN INC Legal Business Name
Provider Information Location 1535 PARK AVE,DENVER,CO,80218 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -104.97 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 86 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 5 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 6 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.13075 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.82078 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type Non 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 1535 PARK AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name HEALTH CENTER AT FRANKLIN PARK Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 150 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 32 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 1 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 7 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 32 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 8 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-11-03 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 168 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 8 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 168 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 16 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.59223 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 30.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.73144 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.94339 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.07110 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02019 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.78805 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 3.80254 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CO State
Provider Information Telephone Number 3034793692 Telephone Number
Provider Information Total Amount of Fines in Dollars 10082.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.50915 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 37.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 66.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 80218 ZIP Code