01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-21 | 13 | 2025-08-21 | 13 |
| Cycle 2 | 2024-01-09 | 7 | 2024-01-09 | 3 |
| Cycle 3 | 2022-09-14 | 3 | 2022-09-14 | 6 |
CMS CCN 0651242026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Holly Heights Care And Rehabilitation
6000 E Iliff Ave · Denver, CO 80222 · Denver County
Certified beds133CMS provider file
Recent citation rows45current CMS citation release
Penalty rows1current 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
45 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-21 · HEALTHF0925Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2026-02-19 · complaint2025-12-04 · HEALTHF0552Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-12-26 · complaint2025-08-21 · HEALTHF0569Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Correction field: Deficient, Provider has date of correction · 2025-09-19 · complaint2025-08-21 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2025-09-19 · complaint2025-08-21 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-09-192025-08-21 · 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 · 2025-09-192025-08-21 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-09-192025-08-21 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-09-192025-08-21 · HEALTHF0742Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Correction field: Deficient, Provider has date of correction · 2025-09-192025-08-21 · HEALTHF0809Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Correction field: Deficient, Provider has date of correction · 2025-09-192025-08-21 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-19 · complaint2025-08-21 · 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 · 2025-09-192025-08-21 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-09-19 · complaint2025-08-21 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-10-182025-08-21 · FIREK0225Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2025-10-182025-08-21 · FIREK0271Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-10-182025-08-21 · 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 · 2025-10-182025-08-21 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-10-182025-08-21 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-10-182025-08-21 · FIREK0325Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2025-10-182025-08-21 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has plan of correction · 2025-10-182025-08-21 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has plan of correction · 2026-04-182025-08-21 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has plan of correction · 2026-04-182025-08-21 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-10-1803 / 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 |
|---|---|---|---|
| 2025-06-11 | Fine | $9,249 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ABBOTT, SWATIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2024
- AGWUNOBI, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2024
- BLOUIN, ANNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2024
- CHRISTENSEN, CHRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2024
- PARKINSON, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2024
- PORT, BARRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2024
- SHAW, DARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2024
- SMITH, BARRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2024
- SNAPPER, SUZANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2024
- BURNAM, SOONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/25/2024
- BURTON, SPENCERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/25/2024
- GRAHAM, JOSEPHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/25/2024
- JORGENSEN, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/25/2024
- PORT, BARRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/25/2024
- SATO, AMIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/09/2024
- SNAPPER, SUZANNEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/25/2024
- HUGHES, HEATHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2024
- HORTON, CHRISTOPHERIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/13/2025
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 hours2.92per resident day
RN hours0.51per resident day
Weekend nurse hours2.61per resident day
Staff turnover34.4%CMS reported field
06 / LOCAL RECORDS
Open the Denver ledger →Other published facilities nearby
Amberwood Post Acute88 beds · CMS overall 2/539 citation rowsBerkley Manor Care Center118 beds · CMS overall 5/573 citation rowsBriarwood Health Care Center201 beds · CMS overall 5/545 citation rowsBrookshire Post Acute67 beds · CMS overall 1/546 citation rowsCenter At Lowry, Llc96 beds · CMS overall 3/537 citation rowsCity Park Healthcare And Rehabilitation Center125 beds · CMS overall 3/549 citation rowsCity Scape Rehabilitation & Care Center Llc60 beds · CMS overall 2/546 citation rowsCrestmoor Care Center108 beds · CMS overall 3/561 citation rows