Map showing the location of WESTERN HILLS HEALTH CARE CENTER in LAKEWOOD, Colorado
1625 CARR ST, LAKEWOOD, CO, 80214

Overall Score

CMS Five-Star Quality Rating
5/5Much above averageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • ColoradoAbove 76% of peers208 rated homes · average 3.1★
  • Jefferson CountyAbove 86% of peers23 rated homes · average 3.0★
  • United StatesAbove 80% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point5★+2.3 vs CO avg
  • StaffingCan add or remove a star4★+0.9 vs CO avg
  • Quality measuresCan add or remove a star4★−0.2 vs CO avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles5★Top 10%CO avg2.7★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover4★Above 57% of peersCO avg3.1★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments4★Above only 22% of peersCO avg4.2★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff3.71hrsAbove 63% of peersCO avg3.73Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only0.76hrsAbove only 48% of peersCO avg0.83Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better51%Above only 45% of peersCO avg49%RN turnover43%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$0Above 63% of peersCO avg$25,587Fines · denials0 · 0
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
21citations
3inspection dates
0actual harm (G–I)
0immediate jeopardy (J–L)
Feb 27, 2024most recent

Citations by monthJul 2021 – Feb 2024

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Feb 27, 20245 citationsCycle 1worst E · no actual harm
  1. F759Ensure medication error rates are not 5 percent or greater.Pharmacy ServiceD · isolatedCorrected Mar 20, 2024
  2. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Mar 20, 2024
  3. F881Implement a program that monitors antibiotic use.Infection ControlD · isolatedCorrected Mar 20, 2024
  4. F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Mar 20, 2024
  5. F610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Mar 20, 2024
Nov 10, 20221 citationCycle 2worst D · no actual harm
  1. F695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareD · isolatedCorrected Dec 29, 2022
Jul 13, 202115 citationsCycle 3worst F · no actual harm
  1. F679Provide activities to meet all resident's needs.Quality of Life and CareD · isolatedCorrected Jul 29, 2021
  2. F688Provide 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 CareD · isolatedCorrected Jul 29, 2021
  3. F695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareD · isolatedCorrected Jul 29, 2021
  4. F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and CareD · isolatedCorrected Jul 29, 2021
  5. F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nursing and Physician ServicesF · widespreadCorrected Jul 29, 2021
  6. F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care PlanningD · isolatedCorrected Jul 29, 2021
  7. F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.AdministrationD · isolatedCorrected Jul 29, 2021
  8. F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.AdministrationF · widespreadCorrected Jul 29, 2021
  9. 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.Resident RightsD · isolatedCorrected Jul 29, 2021
  10. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Jul 29, 2021
  11. F554Allow residents to self-administer drugs if determined clinically appropriate.Resident RightsD · isolatedCorrected Jul 29, 2021
  12. F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Jul 29, 2021
  13. F610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Jul 29, 2021
  14. F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Quality of Life and CareE · patternCorrected Jul 29, 2021
  15. F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and CareF · widespreadCorrected Jul 29, 2021

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined3.71hrsAbove 63% of peers−0.02 vs CO avg
  • Registered nursesRN hours only0.76hrsAbove only 48% of peers−0.07 vs CO avg
  • Licensed practical nursesLPN hours0.86hrs
  • Nurse aidesCNA hours2.08hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.26hrs
  • Colorado average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better51%Above only 45% of peersCO avg 49%
  • RN turnoverRegistered nurses only43%Not ranked by CMS
  • Administrators who leftIn the past year0Stable leadership
  • Occupancy140 certified beds · ~90 residents a day64%Above only 19% of peersCO avg 79%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $0In fines
  • 0Fines
  • 0Payment denials
  • $25,587CO avg in fines
Above 63% of peersFewer fines than 63% of rated homes in Colorado

Actions on record

No fines or payment denialsNothing on record in the current reporting window. Colorado facilities average 1.5 penalties.

Ownership

As filed with CMS

Structure

Ownership type
For profit - Corporation
Chain
Life Care Centers of America194 facilities in the chain3.4★ chain average
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Forrest Preston
Operational or managerial control
  • Life Care Centers of America, INC.
  • Anna Denzler
  • Jeannae Dergance
  • Todd Fletcher
  • Lisa Lay
  • Charity Linenberger
  • Aubrey Preston
  • Forrest Preston
  • +3 more
Corporate directors
  • Todd Fletcher
  • Lisa Lay
  • Forrest Preston
  • Richard Swanker
  • James Ziegler
Corporate officers
  • Cindy Cross
  • Todd Fletcher
  • Terry Henry
  • Lisa Lay
  • Forrest Preston
  • Richard Swanker
  • Joan Thurmond
  • James Ziegler

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 065209 · 1625 CARR ST, LAKEWOOD, CO, 80214.
  • Percentiles compare this facility with every rated nursing home in Colorado and Jefferson County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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