Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arvada Care And Rehabilitation Center during CMS and state inspections, most recent first.
Surveyors found that the facility failed to maintain sanitary conditions in the main kitchen and to properly store and label food. Walls near food prep areas were splattered and unclean, dishwasher racks had embedded black residue and buildup, and "clean" pans and bins were stacked wet on the drying rack. Food debris and heavy grease were present around the stove, uncovered grease-filled coffee tins were stored under a kitchen sink, and dust and debris had accumulated along pipes, baseboards, and behind the ice machine. In food storage areas, a spoiled bag of cabbage and expired chocolate milk were found, contrary to professional standards and the facility’s own policies for cleaning, dating, and labeling food.
A deficiency was cited for not ensuring a resident's right to request, refuse, or discontinue treatment, participate in or refuse experimental research, and formulate an advance directive. The report does not provide further details about the specific circumstances or individuals involved.
The facility failed to develop and implement baseline care plans within 48 hours of admission for four residents, leading to deficiencies in providing effective and person-centered care. The care plans lacked specific details about skin concerns, assistance needed for ADLs, cognitive status, and initial discharge goals. Interviews with staff revealed that the MDS coordinator, with assistance from nursing staff, was responsible for completing the baseline care plans, which were incomplete and lacked personalization to the residents' specific needs.
The facility failed to maintain an effective infection control program, with deficiencies in Enhanced Barrier Precautions during wound care, inadequate cleaning of high-touch areas, and improper labeling and storage of personal hygiene items in shared bathrooms. A nurse did not wear a gown during wound care, and high-touch areas were not cleaned daily. Personal items in shared bathrooms were unlabeled, posing a risk of cross-contamination.
A resident requiring BiPAP therapy did not receive proper respiratory care as the facility failed to maintain, clean, and store the BiPAP equipment according to professional standards. The resident's mask was torn and improperly stored, and the facility's policy was not followed. Staff interviews revealed confusion over responsibilities, and the resident's insurance coverage complicated equipment replacement.
A resident with a history of spinal fusion and knee replacement experienced constant pain that was not effectively managed by the facility. Despite having a care plan, the resident frequently reported pain levels above his acceptable threshold and had to wait for extended periods for medication. The care plan did not address knee pain, and there was no follow-up or physician notification when pain levels were high. Staff interviews revealed inconsistent pain assessments and a lack of follow-up actions.
The facility failed to properly post information on filing complaints with the State Agency, as the posting was obscured, missing an email address, and inaccessible to residents in wheelchairs. Residents were unaware of the complaint process, and staff acknowledged the need for corrections.
A resident's DNR status was not documented in the EMR, leading to CPR and intubation against her wishes after a cardiac arrest. The advanced directive form was misplaced, and staff incorrectly informed EMTs to perform CPR. The resident was intubated and later passed away after the tube was removed at the family's request.
Unsanitary Kitchen Conditions and Improper Food Storage
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to store, prepare, distribute, and serve food under sanitary conditions for all residents receiving meals from the main kitchen. During an initial kitchen tour, surveyors observed multiple sanitation issues in the food preparation area, including walls throughout the kitchen, behind the handwashing station, and around the refrigerator with dime-sized brown and yellow streaks and splatters. The dishwasher plate racks were heavily soiled with black embedded residue that could not be wiped or scraped off, and several racks had gummy blackish buildup of unknown matter in the drainage crevices. The drying rack contained multiple food storage bins and pans stacked on top of each other, trapping moisture between the stacked items on the clean drying rack, contrary to requirements for proper air-drying. Additional observations showed food debris and heavy grease accumulation around the range stove and burner brackets, as well as several coffee tins containing grease left uncovered and stored under a kitchen sink in the food preparation area. Debris and small piles of dust had accumulated along ceiling pipes, along baseboards, and on the sides and behind the ice machine. These conditions conflicted with professional standards and the facility’s own kitchen cleaning policy, which required cleaning before, during, and after food preparation, and mandated that each user properly clean and sanitize the kitchen after their shift and ensure floors were swept and cleaned at the end of the shift. Surveyors also found failures related to proper labeling and storage of perishable foods. In the dry storage and refrigerated food areas, they observed a bag of cabbage with browning and pooling liquid inside the bag, indicating spoilage, and chocolate milk stored in the refrigerator that was labeled with an expiration date that had already passed. These findings were inconsistent with state retail food regulations and the facility’s food storage policy, which required all products to be dated when received and when opened, adherence to use-by or expiration dates, and labeling of foods removed from their original containers with the common name of the food.
Failure to Honor Resident Rights Regarding Treatment and Advance Directives
Penalty
Summary
A deficiency was identified regarding the failure to honor a resident's right to request, refuse, or discontinue treatment, to participate in or refuse experimental research, and to formulate an advance directive. The report notes that the facility did not ensure these resident rights were upheld, but does not provide specific details about the actions or inactions of staff, the events that occurred, or the medical history or condition of any resident involved. No further factual observations or resident-specific information are included in the report.
Deficiencies in Baseline Care Plans for New Admissions
Penalty
Summary
The facility failed to develop and implement baseline care plans within 48 hours of admission for four residents, leading to deficiencies in providing effective and person-centered care. Resident #9's baseline care plan lacked specific details about skin concerns, assistance needed for activities of daily living (ADLs), cognitive status, and initial discharge goals. Similarly, Resident #24's care plan did not include interventions for surgical wound care or address the resident's initial discharge goal, despite the resident being cognitively intact and having acute/chronic pain and a surgical wound. Resident #201's baseline care plan also omitted necessary information regarding surgical wound care and the resident's cognitive status, as well as the initial discharge goal. This resident required moderate to maximum assistance with mobility and had moderate cognitive impairment. Additionally, Resident #39's care plan failed to document specific diagnoses related to cognitive impairments and ADL self-care performance deficits. The plan did not specify the number of staff needed for assistance with transfers or address catheter care, which was crucial given the resident's severe cognitive impairments and dependence on care for ADLs. Interviews with facility staff revealed that the MDS coordinator, with assistance from nursing staff, was responsible for completing the baseline care plans. However, the plans were incomplete and lacked personalization to the residents' specific needs, leading to deficiencies in care planning. The social services director and regional social services director confirmed that the areas they completed were included in the comprehensive care plan, but the baseline care plans remained insufficient in addressing the residents' immediate needs upon admission.
Infection Control and Hygiene Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several deficiencies observed during the survey. One significant issue was the failure to adhere to Enhanced Barrier Precautions (EBP) during wound care. A registered nurse did not wear a gown while providing wound care to a resident with wounds, despite the presence of an EBP sign and available personal protective equipment (PPE) in the room. The nurse misunderstood the requirements for EBP, believing it was only necessary for residents with certain medical devices, not wounds. This misunderstanding was confirmed during interviews with the nurse and the Director of Nursing (DON), who acknowledged that EBP should include gown and glove use during wound care. Another deficiency was observed in the housekeeping practices within the facility. The housekeeper did not clean and sanitize high-touch areas such as door knobs, light switches, and call lights in resident rooms. These areas are critical for infection control as they are frequently touched and can harbor pathogens. The DON and the maintenance director both confirmed that high-touch areas should be cleaned daily, but there was a lack of specific guidance in the cleaning checklists, indicating a gap in the facility's cleaning protocols. Additionally, the facility failed to ensure that residents' personal hygiene items in shared bathrooms were labeled and stored in a sanitary manner. Observations revealed unlabeled items such as toothbrushes, toothpaste, and bedpans in shared bathrooms, which could lead to cross-contamination among residents. The DON explained that labeling was typically done by certified nurses aides or admissions staff, but acknowledged that the current practice was insufficient, as many items were not labeled, and there was inadequate storage space in the bathrooms.
Failure to Maintain and Clean BiPAP Equipment
Penalty
Summary
The facility failed to provide adequate respiratory care for a resident who required the use of a BiPAP machine. The resident, who was over 65 years old and had a history of Parkinson's disease, asthma, acute respiratory failure, and other conditions, reported that his BiPAP mask was not being cleaned by the staff. Observations revealed that the BiPAP machine was stained, and the mask was torn and improperly stored on the floor, contrary to the facility's policy and professional standards of practice. The facility's policy required the BiPAP equipment to be cleaned and stored according to the manufacturer's instructions, which were not provided during the survey. The resident's care plan included orders to apply the BiPAP every night, change the distilled water, and clean the mask nightly. However, the resident's mask was found on the floor, and the area under the bed was unclean, indicating a lack of adherence to these orders. The care plan was updated during the survey to reflect the resident's preference for storing the mask on the floor, but staff were instructed to encourage alternative storage. Interviews with staff revealed a lack of clarity and responsibility regarding the cleaning and maintenance of the BiPAP equipment. The Director of Nursing acknowledged the resident's mask had been replaced previously but was unaware of its current condition. The resident's insurance coverage for a new mask was also a complicating factor, as it only allowed for periodic replacements. The facility's contracted respiratory services vendor did not clean or replace personal equipment, further complicating the situation. The manufacturing instructions for the BiPAP machine were requested but not provided, leaving a gap in the facility's compliance with its own policy.
Inadequate Pain Management for Resident
Penalty
Summary
The facility failed to provide effective pain management for a resident, identified as Resident #201, who was admitted with a history of spinal fusion, spinal stenosis, and a knee replacement. The resident experienced constant pain that affected his daily activities and sleep. Despite having a care plan that included both pharmacological and non-pharmacological interventions, the facility did not adequately manage the resident's pain, as evidenced by multiple instances where his pain levels exceeded his acceptable threshold of 3 on a numeric scale of 1-10. Observations and interviews revealed that Resident #201 frequently complained of pain and had to wait for extended periods before receiving pain medication. On one occasion, the resident waited nearly an hour for pain relief after expressing his discomfort. The resident also reported that his pain was not being controlled effectively and that he was not aware of any non-pharmacological interventions being used to alleviate his pain. The care plan did not address the resident's knee pain, and there was no follow-up or notification to a physician when the resident's pain levels were consistently above his acceptable threshold. Interviews with staff indicated a lack of consistent pain assessments and follow-up actions. The Director of Nursing acknowledged that pain assessments should occur regularly and with any change in condition, such as the resident's fall, but there was no evidence of such assessments being conducted. Additionally, the resident's medical record showed that he had not been seen by the medical director during his stay, further highlighting the facility's failure to manage the resident's pain effectively.
Inadequate Posting of State Agency Complaint Information
Penalty
Summary
The facility failed to adequately post information on how residents can file a complaint with the State Agency. Observations revealed that the posting was located in the facility lobby but was obscured by a potted plant, making it difficult for residents to see. Additionally, the posting was missing the State Agency email address, and the information was placed above the eyeline for residents in wheelchairs and written in a small font, making it inaccessible and unreadable for some residents. Interviews with residents indicated that they were unaware of how to file a complaint with the State Agency and did not know where the information was posted. Residents expressed difficulty in reading the information due to its small size and inaccessible placement. Staff interviews revealed that the social services director was initially unsure of the required elements for the posting and acknowledged the missing information. The nursing home administrator was aware of the need for corrections to the postings, including the missing email address, font size, and location, to ensure residents could easily access and read the information.
Failure to Document and Communicate DNR Status
Penalty
Summary
The facility failed to ensure that a resident's advanced directive, indicating a Do Not Resuscitate (DNR) status, was properly documented and communicated. Upon admission, a Licensed Practical Nurse (LPN) interviewed the resident and filled out the advanced directive form, which was signed by the resident's family and a nurse practitioner. However, the LPN did not record the DNR status in the resident's electronic medical records (EMR) as required. Seven days after admission, the resident experienced a cardiac arrest. The nursing staff was unable to locate the advanced directive form and, lacking documentation in the EMR, incorrectly informed emergency medical technicians (EMTs) that the resident was to receive cardiopulmonary resuscitation (CPR). Consequently, the EMTs performed CPR and intubated the resident, contrary to her DNR wishes, and transported her to a hospital. The hospital records confirmed the resident's DNR status, but the intubation had already occurred. The resident's family, upon learning of the intubation, agreed to wait 24 to 48 hours to see if she would recover. However, after 24 hours, the family requested the removal of the intubation tube due to the resident's suffering, and she passed away shortly after. The facility's failure to document and communicate the resident's DNR status resulted in unnecessary medical intervention and suffering for the resident and her family.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
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What surveyors actually found near you
We read the 569 citations issued within 25 miles in the last 12 months — including the 8 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Arvada
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arbor View Care Center, Llc | 1.5 mi | ★★★★★ | 1 | 0 |
| Park Forest Care Center Llc | 2.1 mi | ★★★★★ | 4 | 0 |
| Life Care Center Of Westminster | 2.4 mi | ★★★★★ | 1 | 0 |
| Lakeside Post Acute | 2.5 mi | ★★★★★ | 2 | 0 |
| Rehabilitation Center At Sandalwood, The | 2.5 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.