B

VILLA MANOR CARE CENTER

7950 W MISSISSIPPI AVE, LAKEWOOD, CO 80226
Score: 78 / 100

Villa Manor Care Center earns a solid B grade from CMS data, with a score of 78/100. Performing above average across most metrics, this Lakewood facility ranks in the 79th percentile among Colorado nursing homes.

Staffing levels at Villa Manor Care Center exceed national averages, with 4.26 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.03 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 27 deficiencies at Villa Manor Care Center. 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 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.26 3.8 Above Average
Registered Nurses (RN) 1.03 0.7 Above Average
Licensed Practical Nurses (LPN) 0.94 0.7 Above Average
Certified Nursing Assistants (CNA) 2.29 2.4 Average
Weekend Total Nursing 3.81 3.8 Average
Weekend RN Hours 0.95 0.7 Above Average

🔍 Inspection & Deficiency History

27
Total Deficiencies
Mar 18, 2025
Most Recent Inspection
🟠 27 Moderate
View recent deficiencies (5 shown)
  • Tag 0677 Severity E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Mar 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0725 Severity E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Mar 18, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Mar 26, 2024 · Resident Rights Deficiencies
  • Tag 0688 Severity D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medic
    Mar 26, 2024 · Quality of Life and Care Deficiencies
  • Tag 0759 Severity E
    Ensure medication error rates are not 5 percent or greater.
    Dec 13, 2023 · Pharmacy Service 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 0.4% 4.5% Better
Falls with major injury 0.5% 3.0% Better
On antipsychotic medication 13.5% 14.5% Average
Urinary tract infections 3.8% 2.5% Worse
ADL decline (daily activities) 9.8% 14.0% Better
Excessive weight loss 1.6% 7.5% Better
New/worsened incontinence 33.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 78 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
110
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 13, 2023
Deficiencies (Cycle 1)
14