Lakewood Villa faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 41th percentile among Colorado nursing homes, suggesting significant room for improvement.
Staffing levels are a potential concern at Lakewood Villa, with 3.03 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 22 deficiencies at Lakewood Villa, 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 | 3.03 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.63 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.44 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.96 | 2.4 | Below Average |
| Weekend Total Nursing | 2.82 | 3.8 | Below Average |
| Weekend RN Hours | 0.46 | 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.Jul 6, 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.Mar 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 18, 2024 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Dec 18, 2024 · Infection Control Deficiencies
- Tag 0759 Severity DEnsure medication error rates are not 5 percent or greater.Dec 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 | 1.3% | 4.5% | Better |
| Falls with major injury | 2.6% | 3.0% | Better |
| On antipsychotic medication | 64.3% | 14.5% | Worse |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 21.1% | 14.0% | Worse |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 29.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $40,006
How This Grade Was Calculated
This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 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
Other Facilities in Colorado
- F
- F
- FMOUNTAIN VISTA HEALTH CENTERWHEAT RIDGE
- DAMBERWOOD POST ACUTEDENVER
- DBOULDER POST ACUTEBOULDER