BROOKSHIRE POST ACUTE

DENVER, CO · 67 beds · For profit - Individual

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 3 citation(s) where residents suffered actual harm
  • $100,825 in fines over 3 years

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
14
1.6x state avg
Deficiencies
$100,825
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

October 15, 2025

4 deficiencyies
F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0867 Potential Harm Scope/Severity: F

Administration Deficiencies

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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0867 Potential Harm Scope/Severity: F

Administration Deficiencies

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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

January 15, 2025

16 deficiencyies
F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure that residents are fully informed and understand their health status, care and treatments.

F0565 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to organize and participate in resident/family groups in the facility.

F0582 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0679 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0730 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Observe each nurse aide's job performance and give regular training.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0921 Potential Harm Scope/Severity: E

Environmental Deficiencies

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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F0940 Potential Harm Scope/Severity: E

Administration Deficiencies

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Develop, implement, and/or maintain an effective training program for all new and existing staff members.

F0676 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Ensure that residents are fully informed and understand their health status, care and treatments.

F0565 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

Honor the resident's right to organize and participate in resident/family groups in the facility.

F0582 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

See full violation history →

Staffing

1.00
RN hrs/res/day
0.44
LPN hrs/res/day
2.57
CNA hrs/res/day
3.63
Weekend hrs/res/day
58%
Total nurse turnover
80%
RN turnover

A nurse checks on each resident roughly every 6.0 hours on average.

Fines & Penalties

  • Fine Oct 15, 2025
    $71,750
  • Fine Oct 11, 2023
    $29,075
  • Payment Denial Oct 11, 2023
    Payment Denial
Total $100,825

Ownership

For profit - Individual Chain: PACS GROUP
  • CENTENNIAL MASTER TENANT, LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 10/11/2022

    100% Organization
  • PACS GROUP, INC.

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/30/2023

    NO PERCENTAGE PROVIDED Organization
  • PACS HOLDINGS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/30/2023

    NO PERCENTAGE PROVIDED Organization
  • PROVIDENCE GROUP NH, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/30/2023

    NO PERCENTAGE PROVIDED Organization
  • HANCOCK, MARK

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/15/2024

    NO PERCENTAGE PROVIDED Individual
  • MURRAY, JASON

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/15/2024

    NO PERCENTAGE PROVIDED Individual
  • APT, FREDERICK

    CORPORATE OFFICER

    Since since 01/01/2024

    Individual
  • HANCOCK, MARK

    CORPORATE OFFICER

    Since since 01/01/2024

    Individual
  • JERGENSEN, JOSHUA

    CORPORATE OFFICER

    Since since 01/01/2024

    Individual
  • MITCHELL, JOHN

    CORPORATE OFFICER

    Since since 01/01/2024

    Individual
  • HORTON, CHRISTOPHER

    CONTRACTED MANAGING EMPLOYEE

    Since since 04/20/2023

    Individual
  • MBIDA, ZACHARIE

    W-2 MANAGING EMPLOYEE

    Since since 11/27/2023

    Individual

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