OAKWOOD CARE AND REHABILITATION
LAKEWOOD, CO · 170 beds · For profit - Corporation
Red Flags
- ⚠ 1-star health inspection rating (lowest possible)
- ⚠ 2 citation(s) at the highest severity level — immediate risk to residents
- ⚠ 9 citation(s) where residents suffered actual harm
- ⚠ $235,923 in fines over 3 years
Green Flags
No positive signals identified yet.
Quick Facts
Violation Timeline
December 17, 2025
8 deficiencyiesResident Rights Deficiencies
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Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
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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.
Resident Assessment and Care Planning Deficiencies
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Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights Deficiencies
Show details
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
Show details
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Show details
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.
Resident Assessment and Care Planning Deficiencies
Show details
Ensure services provided by the nursing facility meet professional standards of quality.
September 10, 2025
12 deficiencyiesInfection Control Deficiencies
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Provide and implement an infection prevention and control program.
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.
Quality of Life and Care Deficiencies
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Provide activities to meet all resident's needs.
Nursing and Physician Services Deficiencies
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Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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.
Infection Control Deficiencies
Show details
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Show details
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Show details
Provide activities to meet all resident's needs.
Nursing and Physician Services Deficiencies
Show details
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Show details
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nutrition and Dietary Deficiencies
Show details
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Staffing
A nurse checks on each resident roughly every 6.6 hours on average.
Fines & Penalties
- Fine Jan 28, 2025$53,151
- Payment Denial Jan 28, 2025Payment Denial
- Fine Apr 9, 2024$52,416
- Fine Oct 8, 2023$111,704
- Payment Denial Oct 8, 2023Payment Denial
- Fine May 3, 2023$18,652
Ownership
-
ENDURA HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 12/18/2023
100% Organization -
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 01/30/2006
100% Organization -
KARE TECHNOLOGIES LLC
OPERATIONAL/MANAGERIAL CONTROL
Since since 03/01/2024
Organization -
ONSHIFT INC
OPERATIONAL/MANAGERIAL CONTROL
Since since 03/01/2024
Organization -
SOS NURSING SERVICES, INC
OPERATIONAL/MANAGERIAL CONTROL
Since since 03/01/2024
Organization -
BOYLES, EDDY
OPERATIONAL/MANAGERIAL CONTROL
Since since 12/18/2023
Individual -
GAHM, GREGORY
OPERATIONAL/MANAGERIAL CONTROL
Since since 06/26/2024
Individual -
JORGENSEN, DAVID
CORPORATE DIRECTOR
Since since 09/09/2024
Individual -
BURNAM, SOON
CORPORATE OFFICER
Since since 12/18/2023
Individual -
DUNYON, DAVID
CORPORATE OFFICER
Since since 03/01/2024
Individual -
KEETCH, CHAD
CORPORATE OFFICER
Since since 03/01/2011
Individual -
SATO, AMI
CORPORATE OFFICER
Since since 09/09/2024
Individual