F

Heights Care & Rehabilitation LLC

3131 S FEDERAL BLVD, DENVER, CO 80236
Score: 26 / 100

Heights Care & Rehabilitation Llc has received an F grade based on CMS data, with a score of 26/100 — 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 Heights Care & Rehabilitation Llc, with 3.18 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 57 deficiencies at Heights Care & Rehabilitation Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.18 3.8 Below Average
Registered Nurses (RN) 0.55 0.7 Below Average
Licensed Practical Nurses (LPN) 0.82 0.7 Above Average
Certified Nursing Assistants (CNA) 1.81 2.4 Below Average
Weekend Total Nursing 2.96 3.8 Below Average
Weekend RN Hours 0.48 0.7 Below Average

🔍 Inspection & Deficiency History

57
Total Deficiencies
Dec 8, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 55 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 8, 2025 · Quality of Life and Care Deficiencies
  • Tag 0600 Severity E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    May 7, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jul 8, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    May 14, 2024 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    May 14, 2024 · Infection Control 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 8.1% 4.5% Worse
Falls with major injury 1.2% 3.0% Better
On antipsychotic medication 22.6% 14.5% Worse
Urinary tract infections 1.6% 2.5% Better
ADL decline (daily activities) 4.3% 14.0% Better
Excessive weight loss 2.6% 7.5% Better
New/worsened incontinence 21.3% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $77,665

How This Grade Was Calculated

This facility's grade of F is based on a score of 26 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -7 pts

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

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
110
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 10, 2024
Deficiencies (Cycle 1)
23