Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-19 | 3 | 2026-03-19 | 3 |
| Cycle 2 | 2023-12-21 | 7 | 2023-12-21 | 11 |
| Cycle 3 | 2022-08-31 | 0 | 2022-08-31 | 0 |
NURSING HOME PUBLIC RECORD
11155 W 15Th Pl · Lakewood, CO 80215 · Jefferson County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-19 | 3 | 2026-03-19 | 3 |
| Cycle 2 | 2023-12-21 | 7 | 2023-12-21 | 11 |
| Cycle 3 | 2022-08-31 | 0 | 2022-08-31 | 0 |
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-04-13Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-04-13Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-13Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2026-05-19Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-07-19Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-05-26Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2023-12-22Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2024-01-02Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-01-08Plan the resident's discharge to meet the resident's goals and needs.
Correction field: Deficient, Provider has date of correction · 2023-12-22Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2023-12-22Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2023-12-22Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Correction field: Deficient, Provider has date of correction · 2023-12-22Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-01-31Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-02-14Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-02-26Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Correction field: Deficient, Provider has date of correction · 2024-03-23Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-02-21Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2024-03-23Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-03-05Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-02-27Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-03-05Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2024-01-22Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-03-05Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-11-06 | Fine | $4,545 | 0 |
| 2023-10-30 | Fine | $4,545 | 0 |
| 2023-10-23 | Fine | $4,545 | 0 |
| 2023-10-17 | Fine | $4,545 | 0 |
| 2023-10-10 | Fine | $4,545 | 0 |
| 2023-10-02 | Fine | $4,545 | 0 |
| 2023-09-25 | Fine | $4,587 | 0 |
| 2023-09-18 | Fine | $4,587 | 0 |
| 2023-09-11 | Fine | $4,545 | 0 |
| 2023-09-05 | Fine | $4,545 | 0 |
| 2023-08-28 | Fine | $4,235 | 0 |
| 2023-08-21 | Fine | $3,846 | 0 |
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.