B

ENGLEWOOD POST ACUTE AND REHABILITATION

3575 S WASHINGTON ST, ENGLEWOOD, CO 80113
Score: 70 / 100

Englewood Post Acute And Rehabilitation earns a solid B grade from CMS data, with a score of 70/100. Performing above average across most metrics, this Englewood facility ranks in the 66th percentile among Colorado nursing homes.

Staffing levels are a potential concern at Englewood Post Acute And Rehabilitation, with 3.15 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 16 deficiencies at Englewood Post Acute And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.15 3.8 Below Average
Registered Nurses (RN) 0.65 0.7 Average
Licensed Practical Nurses (LPN) 0.55 0.7 Below Average
Certified Nursing Assistants (CNA) 1.95 2.4 Below Average
Weekend Total Nursing 2.81 3.8 Below Average
Weekend RN Hours 0.52 0.7 Below Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Nov 6, 2024
Most Recent Inspection
🟠 16 Moderate
View recent deficiencies (5 shown)
  • Tag 0641 Severity E
    Ensure each resident receives an accurate assessment.
    Nov 6, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Nov 6, 2024 · Infection Control Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Nov 6, 2024 · Resident Rights Deficiencies
  • Tag 0645 Severity D
    PASARR screening for Mental disorders or Intellectual Disabilities
    Nov 6, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Nov 6, 2024 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.0% 4.5% Worse
Falls with major injury 1.7% 3.0% Better
On antipsychotic medication 13.5% 14.5% Average
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 20.5% 14.0% Worse
Excessive weight loss 8.6% 7.5% Worse
New/worsened incontinence 22.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $17,696

How This Grade Was Calculated

This facility's grade of B is based on a score of 70 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
82
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 6, 2024
Deficiencies (Cycle 1)
6