01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-03-19 | 9 | 2024-03-19 | 6 |
| Cycle 2 | 2022-12-01 | 13 | 2022-12-01 | 8 |
| Cycle 3 | 2021-08-18 | 21 | 2021-08-18 | 13 |
CMS CCN 0652022026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Cedars Healthcare Center
1599 Ingalls St · Lakewood, CO 80214 · Jefferson County
Certified beds130CMS provider file
Recent citation rows70current CMS citation release
Penalty rows2current 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.
02 / CITATION DETAIL
70 rows in the current release
3 rows carry G–L scope/severity codes; 2 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-11 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has plan of correction · 2026-07-25 · complaint2026-06-11 · HEALTHF0609Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has plan of correction · 2026-07-25 · complaint2025-07-16 · HEALTHF0684Severity J · isolated immediate jeopardy
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 · 2025-08-13 · complaint2025-07-16 · 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 · 2025-08-08 · complaint2024-08-20 · 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 · 2024-09-09 · complaint2024-03-19 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-04-28 · complaint2024-03-19 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2024-04-28 · complaint2024-03-19 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-04-28 · complaint2024-03-19 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-04-28 · complaint2024-03-19 · HEALTHF0699Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Correction field: Deficient, Provider has date of correction · 2024-04-28 · complaint2024-03-19 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2024-04-282024-03-19 · HEALTHF0880Severity E · pattern; 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 · 2024-04-28 · complaint2024-03-19 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-05-112024-03-19 · 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 · 2024-05-112024-03-19 · 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 · 2024-05-212024-03-19 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-05-112024-03-19 · FIREK0541Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Correction field: Deficient, Provider has date of correction · 2024-05-212024-03-19 · FIREK0923Severity F · widespread; 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 · 2024-05-112023-10-17 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2023-11-09 · complaint2023-10-17 · HEALTHF0684Severity J · isolated immediate jeopardy
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 · 2023-11-09 · complaint2023-09-27 · HEALTHF0883Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2023-10-24 · infection control2022-12-01 · FIREE0009Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2022-12-282022-12-01 · 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 · 2022-12-282022-12-01 · HEALTHF0553Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2022-12-2803 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-07-16 | Fine | $24,245 | 0 |
| 2023-09-27 | Fine | $31,663 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SPTMNR PROPERTIES TRUSTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2024
- CHARLES SCHWAB INVESTMENT MANAGEMENT, INC.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 03/22/2024
- D.E. SHAW & CO., L.P.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 03/22/2024
- DIVERSIFIED HEALTHCARE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2020
- H/2 SPECIAL OPPORTUNITIES IV L.P.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 03/22/2024
- SNH PROJ LINCOLN TRS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2024
- SNH TRS LICENSEE HOLDCO LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2020
- SNH TRS, INC.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2020
- BILOTTO, CHRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- PORTNOY, ADAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2020
- BILOTTO, CHRISTOPHERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2024
- BROWN, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2023
- CLARK, JENNIFERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- ABP TRUSTOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/22/2024
- BLACKROCK INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/22/2024
- CHARLES SCHWAB INVESTMENT MANAGEMENT, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/22/2024
- D.E. SHAW & CO., L.P.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/22/2024
- DIVERSIFIED HEALTHCARE TRUSTOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2020
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 hours3.18per resident day
RN hours0.51per resident day
Weekend nurse hours3.14per resident day
Staff turnover26.7%CMS reported field
06 / LOCAL RECORDS
Open the Lakewood ledger →Other published facilities nearby
Ahc Of Lakewood, Llc36 beds · CMS overall 5/524 citation rowsAllison Care Center85 beds · CMS overall 2/525 citation rowsCambridge Care Center110 beds · CMS overall 3/541 citation rowsEdgewater Health And Rehabilitation67 beds · CMS overall 5/529 citation rowsHarmony Pointe Care Center125 beds · CMS overall 3/557 citation rowsLakewood Post Acute And Rehabilitation108 beds · CMS overall 3/556 citation rowsLakewood Villa57 beds · CMS overall 4/542 citation rowsMapleton Post Acute90 beds · CMS overall 4/561 citation rows