11155 W 15th Pl, Lakewood, CO 80215
CMS Stars
RN hrs / day
Trust Index
Bounce-back
No admissions contacts on file yet.
⭐ Overall
5/5
🔍 Health Inspection
4/5
👩⚕️ Staffing
4/5
📊 Quality Measures
5/5
RN / Resident / Day
1h 38m
State avg: 50 min · US avg: 41 min
LPN hrs/day
1h 9m
CNA hrs/day
3h 29m
Total Nurse / Resident / Day
6h 15m
State avg: 3h 44m · US avg: 3h 53m
PT / Resident / Day
23 min
State avg: 5 min · US avg: 4 min
RN Turnover Rate
72 per 100
State avg: 49 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
RN Hours Weekday
1h 60m
RN Hours Weekend
1h 21m
Weekend vs. Weekday RN
68%≈ avg
US avg: 64%
Total Nurse Weekend
4h 56m
Federal Penalties
153 penalties · $653,706 total
| Date | Type | Fine | Denial Days |
|---|---|---|---|
| 11/6/2023 | Fine | $4,545 | - |
| 11/6/2023 | Fine | $4,545 | - |
| 11/6/2023 | Fine | $4,545 | - |
| 11/6/2023 | Fine | $4,545 | - |
| 11/6/2023 | Fine | $4,545 | - |
| 11/6/2023 | Fine | $4,545 | - |
| 11/6/2023 | Fine | $4,545 | - |
| 11/6/2023 | Fine | $4,545 | - |
| 11/6/2023 | Fine | $4,545 | - |
| 10/30/2023 | Fine | $4,545 | - |
| 10/30/2023 | Fine | $4,545 | - |
| 10/30/2023 | Fine | $4,545 | - |
| 10/30/2023 | Fine | $4,545 | - |
| 10/30/2023 | Fine | $4,545 | - |
| 10/30/2023 | Fine | $4,545 | - |
| 10/30/2023 | Fine | $4,545 | - |
| 10/30/2023 | Fine | $4,545 | - |
| 10/30/2023 | Fine | $4,545 | - |
| 10/23/2023 | Fine | $4,545 | - |
| 10/23/2023 | Fine | $4,545 | - |
| 10/23/2023 | Fine | $4,545 | - |
| 10/23/2023 | Fine | $4,545 | - |
| 10/23/2023 | Fine | $4,545 | - |
| 10/23/2023 | Fine | $4,545 | - |
| 10/23/2023 | Fine | $4,545 | - |
| 10/23/2023 | Fine | $4,545 | - |
| 10/23/2023 | Fine | $4,545 | - |
| 10/17/2023 | Fine | $4,545 | - |
| 10/17/2023 | Fine | $4,545 | - |
| 10/17/2023 | Fine | $4,545 | - |
| 10/17/2023 | Fine | $4,545 | - |
| 10/17/2023 | Fine | $4,545 | - |
| 10/17/2023 | Fine | $4,545 | - |
| 10/17/2023 | Fine | $4,545 | - |
| 10/17/2023 | Fine | $4,545 | - |
| 10/17/2023 | Fine | $4,545 | - |
| 10/10/2023 | Fine | $4,545 | - |
| 10/10/2023 | Fine | $4,545 | - |
| 10/10/2023 | Fine | $4,545 | - |
| 10/10/2023 | Fine | $4,545 | - |
| 10/10/2023 | Fine | $4,545 | - |
| 10/10/2023 | Fine | $4,545 | - |
| 10/10/2023 | Fine | $4,545 | - |
| 10/10/2023 | Fine | $4,545 | - |
| 10/10/2023 | Fine | $4,545 | - |
| 10/2/2023 | Fine | $4,545 | - |
| 10/2/2023 | Fine | $4,545 | - |
| 10/2/2023 | Fine | $4,545 | - |
| 10/2/2023 | Fine | $4,545 | - |
| 10/2/2023 | Fine | $4,545 | - |
| 10/2/2023 | Fine | $4,545 | - |
| 10/2/2023 | Fine | $4,545 | - |
| 10/2/2023 | Fine | $4,545 | - |
| 10/2/2023 | Fine | $4,545 | - |
| 9/25/2023 | Fine | $4,587 | - |
| 9/25/2023 | Fine | $4,587 | - |
| 9/25/2023 | Fine | $4,587 | - |
| 9/25/2023 | Fine | $4,587 | - |
| 9/25/2023 | Fine | $4,587 | - |
| 9/25/2023 | Fine | $4,587 | - |
| 9/25/2023 | Fine | $4,587 | - |
| 9/25/2023 | Fine | $4,587 | - |
| 9/25/2023 | Fine | $4,587 | - |
| 9/18/2023 | Fine | $4,587 | - |
| 9/18/2023 | Fine | $4,587 | - |
| 9/18/2023 | Fine | $4,587 | - |
| 9/18/2023 | Fine | $4,587 | - |
| 9/18/2023 | Fine | $4,587 | - |
| 9/18/2023 | Fine | $4,587 | - |
| 9/18/2023 | Fine | $4,587 | - |
| 9/18/2023 | Fine | $4,587 | - |
| 9/18/2023 | Fine | $4,587 | - |
| 9/11/2023 | Fine | $4,545 | - |
| 9/11/2023 | Fine | $4,545 | - |
| 9/11/2023 | Fine | $4,545 | - |
| 9/11/2023 | Fine | $4,545 | - |
| 9/11/2023 | Fine | $4,545 | - |
| 9/11/2023 | Fine | $4,545 | - |
| 9/11/2023 | Fine | $4,545 | - |
| 9/11/2023 | Fine | $4,545 | - |
| 9/11/2023 | Fine | $4,545 | - |
| 9/5/2023 | Fine | $4,545 | - |
| 9/5/2023 | Fine | $4,545 | - |
| 9/5/2023 | Fine | $4,545 | - |
| 9/5/2023 | Fine | $4,545 | - |
| 9/5/2023 | Fine | $4,545 | - |
| 9/5/2023 | Fine | $4,545 | - |
| 9/5/2023 | Fine | $4,545 | - |
| 9/5/2023 | Fine | $4,545 | - |
| 9/5/2023 | Fine | $4,545 | - |
| 8/28/2023 | Fine | $4,235 | - |
| 8/28/2023 | Fine | $4,235 | - |
| 8/28/2023 | Fine | $4,235 | - |
| 8/28/2023 | Fine | $4,235 | - |
| 8/28/2023 | Fine | $4,235 | - |
| 8/28/2023 | Fine | $4,235 | - |
| 8/28/2023 | Fine | $4,235 | - |
| 8/28/2023 | Fine | $4,235 | - |
| 8/28/2023 | Fine | $4,235 | - |
| 8/21/2023 | Fine | $3,846 | - |
| 8/21/2023 | Fine | $3,846 | - |
| 8/21/2023 | Fine | $3,846 | - |
| 8/21/2023 | Fine | $3,846 | - |
| 8/21/2023 | Fine | $3,846 | - |
| 8/21/2023 | Fine | $3,846 | - |
| 8/21/2023 | Fine | $3,846 | - |
| 8/21/2023 | Fine | $3,846 | - |
| 8/21/2023 | Fine | $3,846 | - |
| 8/14/2023 | Fine | $3,496 | - |
| 8/14/2023 | Fine | $3,496 | - |
| 8/14/2023 | Fine | $3,496 | - |
| 8/14/2023 | Fine | $3,496 | - |
| 8/14/2023 | Fine | $3,496 | - |
| 8/14/2023 | Fine | $3,496 | - |
| 8/14/2023 | Fine | $3,496 | - |
| 8/14/2023 | Fine | $3,496 | - |
| 8/14/2023 | Fine | $3,496 | - |
| 8/7/2023 | Fine | $3,176 | - |
| 8/7/2023 | Fine | $3,176 | - |
| 8/7/2023 | Fine | $3,176 | - |
| 8/7/2023 | Fine | $3,176 | - |
| 8/7/2023 | Fine | $3,176 | - |
| 8/7/2023 | Fine | $3,176 | - |
| 8/7/2023 | Fine | $3,176 | - |
| 8/7/2023 | Fine | $3,176 | - |
| 8/7/2023 | Fine | $3,176 | - |
| 7/17/2023 | Fine | $7,409 | - |
| 7/17/2023 | Fine | $7,409 | - |
| 7/17/2023 | Fine | $7,409 | - |
| 7/17/2023 | Fine | $7,409 | - |
| 7/17/2023 | Fine | $7,409 | - |
| 7/17/2023 | Fine | $7,409 | - |
| 7/17/2023 | Fine | $7,409 | - |
| 7/17/2023 | Fine | $7,409 | - |
| 7/17/2023 | Fine | $7,409 | - |
| 6/26/2023 | Fine | $1,764 | - |
| 6/26/2023 | Fine | $1,764 | - |
| 6/26/2023 | Fine | $1,764 | - |
| 6/26/2023 | Fine | $1,764 | - |
| 6/26/2023 | Fine | $1,764 | - |
| 6/26/2023 | Fine | $1,764 | - |
| 6/26/2023 | Fine | $1,764 | - |
| 6/26/2023 | Fine | $1,764 | - |
| 6/26/2023 | Fine | $1,764 | - |
| 6/5/2023 | Fine | $3,174 | - |
| 6/5/2023 | Fine | $3,174 | - |
| 6/5/2023 | Fine | $3,174 | - |
| 6/5/2023 | Fine | $3,174 | - |
| 6/5/2023 | Fine | $3,174 | - |
| 6/5/2023 | Fine | $3,174 | - |
| 6/5/2023 | Fine | $3,174 | - |
| 6/5/2023 | Fine | $3,174 | - |
| 6/5/2023 | Fine | $3,174 | - |
Inspection Citations
Survey: December 21, 2023(21 citations)
30-Day Readmission
26.2 per 100
State avg: 20.3 · US avg: 23.9
ED Visits (no readmit)
10.5 per 100
State avg: 12.8 · US avg: 12.0
Falls w/ Major Injury
N/A
State avg: 3.4 · US avg: 3.3
Pressure Ulcers
N/A
State avg: 3.7 · US avg: 5.1
Antipsychotic Meds
0.3 per 100
State avg: 1.5 · US avg: 1.6
Flu Vaccination
96.1 per 100
State avg: 75.6 · US avg: 79.7
Discharge to Community
N/A
Functional Improvement
N/A
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
24/100
Incentive Payment
-1.68% penalty
Risk-Std Readmission
21.0 per 100
Healthcare-Assoc. Infections
6.6 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
214
Avg Length of Stay
26.4 days
Avg Payment / Stay
$13,909.83
Patient Complexity
2.31 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
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