Cedars Healthcare Center has received an F grade based on CMS data, with a score of 33/100 — placing it among the lowest-rated nursing facilities in Colorado. Families considering this Lakewood facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Cedars Healthcare Center, 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 CMS inspections identified 44 deficiencies at Cedars Healthcare Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.83 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.81 | 2.4 | Below Average |
| Weekend Total Nursing | 3.02 | 3.8 | Below Average |
| Weekend RN Hours | 0.42 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jul 15, 2025 · Quality of Life and Care Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarJul 15, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Aug 19, 2024 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Mar 18, 2024 · Infection Control Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiMar 18, 2024 · 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 | 6.1% | 4.5% | Worse |
| Falls with major injury | 3.9% | 3.0% | Worse |
| On antipsychotic medication | 22.2% | 14.5% | Worse |
| Urinary tract infections | 0.8% | 2.5% | Better |
| ADL decline (daily activities) | 8.2% | 14.0% | Better |
| Excessive weight loss | 2.6% | 7.5% | Better |
| New/worsened incontinence | 16.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $31,663
How This Grade Was Calculated
This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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