CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 0654352026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Ahc Of Lakewood, Llc

11155 W 15Th Pl · Lakewood, CO 80215 · Jefferson County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds36CMS provider file
Recent citation rows24current CMS citation release
Penalty rows12current CMS penalties file
Read this record carefully.

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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-03-1932026-03-193
Cycle 22023-12-2172023-12-2111
Cycle 32022-08-3102022-08-310
02 / CITATION DETAIL

24 rows in the current release

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.

2026-03-19 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2026-04-13
2026-03-19 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2026-04-13
2026-03-19 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard 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 · 2026-04-13
2026-03-19 · FIREK0291Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2026-05-19
2026-03-19 · FIREK0293Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2026-07-19
2026-03-19 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-05-26
2023-12-21 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2023-12-22
2023-12-21 · HEALTHF0561Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor 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 · 2024-01-02
2023-12-21 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create 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 · 2024-01-08
2023-12-21 · HEALTHF0660Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

Correction field: Deficient, Provider has date of correction · 2023-12-22
2023-12-21 · HEALTHF0730Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

Correction field: Deficient, Provider has date of correction · 2023-12-22
2023-12-21 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2023-12-22
2023-12-21 · HEALTHF0838Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Conduct 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 · 2023-12-22
2023-12-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-01-31
2023-12-21 · FIREK0324Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-02-14
2023-12-21 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2024-02-26
2023-12-21 · FIREK0346Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Correction field: Deficient, Provider has date of correction · 2024-03-23
2023-12-21 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-02-21
2023-12-21 · FIREK0354Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Correction field: Deficient, Provider has date of correction · 2024-03-23
2023-12-21 · FIREK0511Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2024-03-05
2023-12-21 · FIREK0521Severity F · widespread; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2024-02-27
2023-12-21 · FIREK0712Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2024-03-05
2023-12-21 · FIREK0914Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure 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 · 2024-01-22
2023-12-21 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2024-03-05
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2023-11-06Fine$4,5450
2023-10-30Fine$4,5450
2023-10-23Fine$4,5450
2023-10-17Fine$4,5450
2023-10-10Fine$4,5450
2023-10-02Fine$4,5450
2023-09-25Fine$4,5870
2023-09-18Fine$4,5870
2023-09-11Fine$4,5450
2023-09-05Fine$4,5450
2023-08-28Fine$4,2350
2023-08-21Fine$3,8460
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • NEW AHC HOLDINGS, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 01/01/2021
  • THE GAIL MILLER GST TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    72% · since 01/01/2024
  • THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014Organization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/01/2024
  • THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019Organization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/01/2024
  • OXNAM, NATHANIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2024
  • BARNES, DEBORAHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/02/2024
  • LHMSH LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2024
  • NEW AHC HOLDINGS, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/16/2025
  • BARNES, DEBORAHIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/16/2025
  • WAINTRUB, MAURICIOIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/16/2025

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.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours5.36per resident day
RN hours1.46per resident day
Weekend nurse hours4.21per resident day
Staff turnover61.9%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

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.