C

HALLMARK NURSING CENTER

3701 W RADCLIFF AVE, DENVER, CO 80236
Score: 62 / 100

Hallmark Nursing Center is an average performer in CMS ratings, earning a C grade with a score of 62/100. Located in Denver, Colorado, the facility meets baseline standards across most quality metrics.

Staffing at Hallmark Nursing Center is near the national average, with 3.56 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 22 deficiencies at Hallmark Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.56 3.8 Average
Registered Nurses (RN) 0.93 0.7 Above Average
Licensed Practical Nurses (LPN) 0.57 0.7 Below Average
Certified Nursing Assistants (CNA) 2.07 2.4 Below Average
Weekend Total Nursing 3.14 3.8 Below Average
Weekend RN Hours 0.75 0.7 Average

🔍 Inspection & Deficiency History

22
Total Deficiencies
Nov 13, 2024
Most Recent Inspection
🟠 22 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 13, 2024 · Quality of Life and Care Deficiencies
  • Tag 0684 Severity E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Feb 5, 2024 · Quality of Life and Care Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Feb 5, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Feb 5, 2024 · Infection Control Deficiencies
  • Tag 0804 Severity E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Oct 4, 2023 · 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 1.0% 4.5% Better
Falls with major injury 2.9% 3.0% Average
On antipsychotic medication 13.2% 14.5% Average
Urinary tract infections 1.6% 2.5% Better
ADL decline (daily activities) 12.5% 14.0% Better
Excessive weight loss 4.1% 7.5% Better
New/worsened incontinence 24.9% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $6,788

How This Grade Was Calculated

This facility's grade of C is based on a score of 62 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 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

Ownership
For profit - Corporation
Certified Beds
143
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 5, 2024
Deficiencies (Cycle 1)
3