Holly Heights Care And Rehabilitation has received an F grade based on CMS data, with a score of 34/100 — placing it among the lowest-rated nursing facilities in Colorado. Families considering this Denver facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Holly Heights Care And Rehabilitation, with 2.80 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 CMS inspections identified 24 deficiencies at Holly Heights Care And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: make sure there is a pest control program to prevent/deal with mice, insects, or other pests..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.80 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.58 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.70 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.52 | 2.4 | Below Average |
| Weekend Total Nursing | 2.45 | 3.8 | Below Average |
| Weekend RN Hours | 0.51 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0925 Severity FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Jan 20, 2026 · Environmental Deficiencies
- Tag 0552 Severity EEnsure that residents are fully informed and understand their health status, care and treatments.Dec 3, 2025 · Resident Rights Deficiencies
- Tag 0809 Severity EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative mealsAug 20, 2025 · Nutrition and Dietary Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dAug 20, 2025 · Resident Rights Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 20, 2025 · Nutrition and Dietary 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 | 1.3% | 4.5% | Better |
| Falls with major injury | 3.3% | 3.0% | Worse |
| On antipsychotic medication | 21.2% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 5.8% | 14.0% | Better |
| Excessive weight loss | 5.7% | 7.5% | Better |
| New/worsened incontinence | 33.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $15,548
How This Grade Was Calculated
This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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