Falcon Heights Rehabilitation And Nursing Llc faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 29th percentile among Colorado nursing homes, suggesting significant room for improvement.
Staffing levels are a potential concern at Falcon Heights Rehabilitation And Nursing Llc, with 2.94 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 35 deficiencies at Falcon Heights Rehabilitation And Nursing Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.94 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.62 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.48 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.84 | 2.4 | Below Average |
| Weekend Total Nursing | 2.43 | 3.8 | Below Average |
| Weekend RN Hours | 0.44 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Nov 30, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Feb 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Sep 23, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0626 Severity DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Sep 23, 2024 · Resident Rights Deficiencies
- Tag 0550 Severity GHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jul 30, 2024 · Resident Rights 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 | 0.7% | 4.5% | Better |
| Falls with major injury | 3.3% | 3.0% | Average |
| On antipsychotic medication | 34.3% | 14.5% | Worse |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 13.2% | 14.0% | Average |
| Excessive weight loss | 1.5% | 7.5% | Better |
| New/worsened incontinence | 15.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $6,146
How This Grade Was Calculated
This facility's grade of D is based on a score of 40 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: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Colorado
- F
- F
- FMOUNTAIN VISTA HEALTH CENTERWHEAT RIDGE
- DAMBERWOOD POST ACUTEDENVER
- DBOULDER POST ACUTEBOULDER