B

SUITES AT HOLLY CREEK CARE CENTER, THE

5590 E PEAKVIEW AVE, CENTENNIAL, CO 80121
Score: 78 / 100

Suites At Holly Creek Care Center, The earns a solid B grade from CMS data, with a score of 78/100. Performing above average across most metrics, this Centennial facility ranks in the 79th percentile among Colorado nursing homes.

Staffing levels at Suites At Holly Creek Care Center, The exceed national averages, with 6.24 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 2.01 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 7 deficiencies at Suites At Holly Creek Care Center, The. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

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

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 6.24 3.8 Above Average
Registered Nurses (RN) 2.01 0.7 Above Average
Licensed Practical Nurses (LPN) 0.83 0.7 Above Average
Certified Nursing Assistants (CNA) 3.41 2.4 Above Average
Weekend Total Nursing 5.38 3.8 Above Average
Weekend RN Hours 1.44 0.7 Above Average

🔍 Inspection & Deficiency History

7
Total Deficiencies
Nov 20, 2024
Most Recent Inspection
🟠 7 Moderate
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Nov 20, 2024 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Nov 20, 2024 · Infection Control Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 20, 2024 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jul 30, 2023 · Quality of Life and Care Deficiencies
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    May 24, 2022 · 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 4.7% 4.5% Average
Falls with major injury 4.5% 3.0% Worse
On antipsychotic medication 14.3% 14.5% Average
Urinary tract infections 1.7% 2.5% Better
ADL decline (daily activities) 32.5% 14.0% Worse
Excessive weight loss 5.4% 7.5% Better
New/worsened incontinence 19.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $42,056

How This Grade Was Calculated

This facility's grade of B is based on a score of 78 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -4 pts

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
25
Provider Type
Medicare
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 20, 2024
Deficiencies (Cycle 1)
3