SKYLAKE POST ACUTE

THORNTON, CO · 242 beds · For profit - Limited Liability company

12 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 2 citation(s) at the highest severity level — immediate risk to residents

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
11
1.2x state avg
Deficiencies
$25,572
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

November 30, 2025

20 deficiencyies
F0550 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0699 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide care or services that was trauma informed and/or culturally competent.

F0740 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

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: F

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.

F0813 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

Show details

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0569 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

F0550 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0699 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide care or services that was trauma informed and/or culturally competent.

F0740 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

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: F

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.

F0813 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

Show details

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0569 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

See full violation history →

Staffing

0.62
RN hrs/res/day
0.96
LPN hrs/res/day
1.88
CNA hrs/res/day
3.12
Weekend hrs/res/day
39%
Total nurse turnover
20%
RN turnover

A nurse checks on each resident roughly every 6.9 hours on average.

Fines & Penalties

  • Fine Jun 13, 2024
    $25,572
  • Payment Denial Jun 13, 2024
    Payment Denial
Total $25,572

Ownership

For profit - Limited Liability company Chain: PACS GROUP
  • PANTHER MASTER TENANT, LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/03/2023

    100% Organization
  • PACS GROUP, INC.

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/03/2023

    NO PERCENTAGE PROVIDED Organization
  • PACS HOLDINGS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/03/2023

    NO PERCENTAGE PROVIDED Organization
  • PROVIDENCE GROUP NH, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/03/2023

    NO PERCENTAGE PROVIDED Organization
  • HANCOCK, MARK

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2024

    50% Individual
  • MURRAY, JASON

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2024

    50% Individual
  • APT, FREDERICK

    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
  • FRASER, MALCOLM

    CONTRACTED MANAGING EMPLOYEE

    Since since 11/03/2023

    Individual
  • GOLDHAMMER, GRADY

    W-2 MANAGING EMPLOYEE

    Since since 11/03/2023

    Individual

Nearby Facilities in THORNTON, CO