SNF

BERKLEY MANOR CARE CENTER

CCN: 065223 · DENVER, CO 80224 · Denver County

⚠ Inspection > 2 years ago

Overview

Address
735 S LOCUST ST, DENVER, CO 80224
Phone
3033204377
Certified beds
118
Avg daily residents
74 (63% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1986-01-01
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.
★★★★★ 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.
★★★★★ 5/5
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
 3.73 3.40 4.23 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.83 0.59 0.95 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.67 0.75 0.76 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.22 2.05 2.52 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.50 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.06 — — —

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)
3.41
hrs / resident / day
RN (weekend)
0.59
hrs / resident / day
Total nurse (adjusted, weekend)
3.87
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
14.0%
annual
RN turnover
30.8%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.20
higher acuity than avg
Case-Mix Index Ratio
0.87
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) 2023-11-30 3 3 3 28 1 28
Cycle 2/3 (prior) 2022-08-11 17 17 0 128 1 128
Total weighted health score
53.0
lower is better

Deficiencies (29)

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).

27 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2023-11-30 2023-12-29
0761 Ensure 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 locked compartments, separately locked, compartments for controlled drugs. D 2023-11-30 2023-12-29
0923 Have enough outside ventilation via a window or mechanical ventilation, or both. D 2023-11-30 2023-12-29
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2022-08-11 2022-09-09
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 2022-08-11 2022-09-09
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2022-08-11 2022-09-09
0679 Provide activities to meet all resident's needs. D 2022-08-11 2022-09-09
0685 Assist a resident in gaining access to vision and hearing services. E 2022-08-11 2022-09-09
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2022-08-11 2022-09-09
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. E 2022-08-11 2022-09-09
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2022-08-11 2022-09-09
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2022-08-11 2022-09-09
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2022-08-11 2022-09-09
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. E 2022-08-11 2022-09-09
0759 Ensure medication error rates are not 5 percent or greater. E 2022-08-11 2022-09-09
0761 Ensure 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 locked compartments, separately locked, compartments for controlled drugs. E 2022-08-11 2022-09-09
0790 Provide routine and 24-hour emergency dental care for each resident. D 2022-08-11 2022-09-09
0880 Provide and implement an infection prevention and control program. F 2022-08-11 2022-09-09
0886 Perform COVID19 testing on residents and staff. E 2022-08-11 2022-09-09
0923 Have enough outside ventilation via a window or mechanical ventilation, or both. E 2022-08-11 2022-09-09
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. D 2021-05-27 2021-06-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2021-05-27 2021-06-24
0685 Assist a resident in gaining access to vision and hearing services. D 2021-05-27 2021-06-24
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D 2021-05-27 2021-06-24
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. E 2021-05-27 2021-06-24
0759 Ensure medication error rates are not 5 percent or greater. D 2021-05-27 2021-07-09
0761 Ensure 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 locked compartments, separately locked, compartments for controlled drugs. D 2021-05-27 2021-07-08
0880 Provide and implement an infection prevention and control program. D 2021-05-27 2021-06-24
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F 2021-05-27 2021-06-24

Penalties (1)

Fines issued
1
last 3 years
Total fines
$17,160
Date Type Fine amount
2023-11-30 Fine $17,160

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 2.1% Medicaid 78.5% Other 19.4%

Operating performance

Operating Margin
-8.5%
Total Margin
-5.6%
Occupancy Rate
74.3%
Cost per Resident Day
$23

Revenue & costs

Net Patient Revenue
$8.3M
Total Costs
$603K
Net Income
-$475K

Balance sheet

Total Assets
$1.6M
Total Liabilities
$2.1M
Fund Balance
-$531K
Current Ratio
0.94

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
BERKLEY MEDICAL INVESTORS, LLC
Chain-average star ratings (for peer context)
Overall
3.5
Health
2.9
Staffing
3.3
QM
4.6

Owner / manager organizations (2)

Organization Role Association
LIFE CARE CENTERS OF AMERICA, INC. 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2005
LIFE CARE CENTERS OF AMERICA, INC. OPERATIONAL/MANAGERIAL CONTROL since 04/01/2005

Owner / manager individuals (14)

Name Role Association
PRESTON, FORREST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2005
ABUABA, ROMANO OPERATIONAL/MANAGERIAL CONTROL since 03/15/2020
FLETCHER, TODD OPERATIONAL/MANAGERIAL CONTROL since 05/01/2021
LAY, LISA OPERATIONAL/MANAGERIAL CONTROL since 04/24/2017
PRESTON, AUBREY OPERATIONAL/MANAGERIAL CONTROL since 11/27/2024
PRESTON, FORREST OPERATIONAL/MANAGERIAL CONTROL since 04/01/2005
RUBALCABA, MARIA OPERATIONAL/MANAGERIAL CONTROL since 06/06/2022
SCHMIDT, DEREK OPERATIONAL/MANAGERIAL CONTROL since 08/01/2023
SWANKER, RICHARD OPERATIONAL/MANAGERIAL CONTROL since 01/01/2022
TSIBOAH, RITA OPERATIONAL/MANAGERIAL CONTROL since 07/01/2022
ZIEGLER, JAMES OPERATIONAL/MANAGERIAL CONTROL since 09/18/2001
CROSS, CINDY CORPORATE OFFICER since 01/01/2006
HENRY, TERRY CORPORATE OFFICER since 01/01/2006
THURMOND, JOAN CORPORATE OFFICER since 01/01/2006

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 ($) $23 metrics.cost_per_resident_day
Cost Report Current Ratio 0.94 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 78.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 2.1% metrics.medicare_day_share
Cost Report Net Income ($) $-475,060 metrics.net_income
Cost Report Net Patient Revenue ($) $8,271,558 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 74.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -8.5% metrics.operating_margin
Cost Report Total Assets ($) $1,608,715 metrics.total_assets
Cost Report Total Costs ($) $602,747 metrics.total_costs
Cost Report Total Fund Balances ($) $-531,285 metrics.fund_balance
Cost Report Total Liabilities ($) $2,140,000 metrics.total_liabilities
Cost Report Total Margin (%) -5.6% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.76137 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.52486 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.94729 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.23352 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.86982 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 74.3 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 0.75401 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.04923 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.59432 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.39756 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.99459 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 DENVER City/Town
Provider Information CMS Certification Number (CCN) 065223 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 1986-01-01 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 39.703 Latitude
Provider Information Legal Business Name BERKLEY MEDICAL INVESTORS, LLC Legal Business Name
Provider Information Location 735 S LOCUST ST,DENVER,CO,80224 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 -104.91 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 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 118 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 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.20360 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.87366 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 - Limited Liability company 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 735 S LOCUST ST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name BERKLEY MANOR CARE CENTER 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 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 28 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 3 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 3 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2023-11-30 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 28 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 3 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 17 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-08-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 128 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 128 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 17 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.59473 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 1.50359 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.66999 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.22184 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.05742 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.83360 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 3.72543 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 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CO State
Provider Information Telephone Number 3033204377 Telephone Number
Provider Information Total Amount of Fines in Dollars 17160.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.40538 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 14.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 53.000 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 80224 ZIP Code