LAKESIDE POST ACUTE

WHEAT RIDGE, CO · 78 beds · For profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 2 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
11
1.2x state avg
Deficiencies
$14,058
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

October 20, 2024

1 deficiency
F0622 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

July 1, 2024

3 deficiencyies
F0812 Potential Harm Scope/Severity: E

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.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

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.

February 8, 2023

6 deficiencyies
F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0812 Potential Harm Scope/Severity: E

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.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0883 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

October 11, 2021

3 deficiencyies
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.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0812 Potential Harm Scope/Severity: D

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.

See full violation history →

Staffing

0.57
RN hrs/res/day
0.84
LPN hrs/res/day
2.50
CNA hrs/res/day
3.46
Weekend hrs/res/day
59%
Total nurse turnover
75%
RN turnover

A nurse checks on each resident roughly every 6.1 hours on average.

Fines & Penalties

  • Fine Feb 11, 2025
    $9,235
  • Fine Oct 20, 2024
    $4,823
Total $14,058

Ownership

For profit - Corporation 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
  • DERGANCE, JEANNAE

    CONTRACTED MANAGING EMPLOYEE

    Since since 04/01/2023

    Individual
  • MCGINN, MICHELLE

    W-2 MANAGING EMPLOYEE

    Since since 11/20/2023

    Individual

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