Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Littleton Care And Rehabilitation Center during CMS and state inspections, most recent first.
An RN failed to follow EBP during wound care for a resident with open wounds by not wearing a gown, not setting up a clean field, and not performing hand hygiene between dressing removal, glove changes, and wound cleansing. An LPN also repeatedly failed to perform hand hygiene during medication passes and blood glucose checks, including before preparing meds, before and after resident contact, and after glove removal.
Two residents experienced verbal abuse from an RN, who yelled at them for using their call lights and threatened non-response. One resident, with limited mobility post-hip surgery, was left unattended for over an hour multiple times, leading to distress and removal from the facility by her representative. Another resident, with hemiplegia, waited 45 minutes for assistance and was also verbally abused. The facility failed to promptly investigate or report these incidents, violating its abuse policy.
The facility failed to promptly address grievances raised by residents during council meetings, as required by its grievance policy. Observations showed cluttered hallways and unclean floors, while resident interviews highlighted issues with call light response times, staffing, and room cleanliness. Despite documented concerns in resident council meeting minutes, there was no evidence of follow-up actions or resolutions, and the Social Services Director admitted to not appropriately following up on grievances.
The facility did not consistently post nurse staffing information in a prominent and accessible location. Observations revealed missing postings and inaccessible locations. Interviews indicated confusion over responsibilities, with the DON unaware of the requirement to retain staffing data for 18 months.
Infection Control Failures During Wound Care and Medication Administration
Penalty
Summary
The facility failed to maintain an infection control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of disease and infection. One resident had open wounds to the left buttocks and left heel and was identified with enhanced barrier precautions (EBP) posted on the back of the room door. During wound care, an RN entered the room and donned gloves, but did not put on a gown before beginning care on the resident’s left buttocks wound, despite the EBP sign indicating gown and glove use for wound care. During the same wound care episode, the RN did not establish a clean wound care field on the resident’s dresser before placing supplies there. After removing the old dressing, the RN discarded the dressing and gloves, but did not perform hand hygiene before cleansing the wound or before putting on a new pair of gloves. The RN then reached into a scrub pants pocket and removed a Sharpie to date and initial the bordered gauze dressing, which interrupted the clean field. After dating the dressing, the RN again failed to discard gloves, perform hand hygiene, and don a new pair before continuing wound care. Medication administration observations also showed repeated hand hygiene failures by an LPN. While administering medications and performing blood glucose checks for multiple residents, the LPN did not perform hand hygiene before donning gloves, after exiting resident rooms, before preparing medications, before checking blood sugar, or after completing medication administration. The LPN used the same gloves while preparing medications and entering resident rooms, and in one instance removed gloves only after administering medications. The LPN also handled a resident’s PEG tube feeding connection while giving oral medications and later moved between resident rooms and the medication cart without performing hand hygiene as required by facility policy.
Failure to Protect Residents from Verbal Abuse
Penalty
Summary
The facility failed to protect residents from abuse, as evidenced by incidents involving two residents who experienced verbal abuse from a registered nurse (RN). Resident #1, who had limited mobility due to a recent hip surgery, was admitted to the facility and required staff assistance for various activities. On multiple occasions, Resident #1's call light was not answered for over an hour, prompting her to call her legal representative for help. During the night, RN #1 entered Resident #1's room, yelled at her to stop using the call light, and threatened that staff would not respond if she continued to use it. This incident was witnessed by a certified nurse aide (CNA), who documented the event. Despite the grievance filed regarding the call light response time, the facility did not investigate the verbal abuse allegation until over a month later, after being notified by the state board of nursing. Resident #5, who required assistance due to hemiplegia and hemiparesis following a stroke, also reported an incident of verbal abuse by RN #1. Resident #5 stated that after waiting 45 minutes for his call light to be answered, he began yelling for help. RN #1 then came to his room and yelled at him to stop using the call light. This incident was not reported by Resident #5 to the facility until the survey was conducted. The facility's failure to promptly investigate and report these incidents of verbal abuse resulted in psychosocial harm to both residents. The facility's policy on abuse investigation and reporting was not followed, as the incidents were not promptly or thoroughly investigated. The facility did not conduct interviews with other staff members or residents, nor did it report the incidents to the State Agency in a timely manner. The registered nurse involved in the abuse allegations continued to work at the facility without any immediate action taken to prevent further contact with residents. The lack of timely investigation and reporting highlights significant deficiencies in the facility's handling of abuse allegations.
Facility Fails to Address Resident Grievances Promptly
Penalty
Summary
The facility failed to ensure prompt action was taken upon the filing of grievances by a group of residents. The facility's grievance policy mandates that the Grievance Official or designee must respond to grievances within three working days and take appropriate corrective action. However, observations and interviews revealed that the facility did not follow up on concerns raised by residents during council meetings, particularly regarding resident care and life in the facility. Observations noted cluttered hallways with wheelchairs, oxygen concentrators, and other equipment, as well as unclean floors. Interviews with residents highlighted issues such as delayed response to call lights, insufficient staffing, and inadequate room cleaning. A group interview with seven residents confirmed ongoing concerns about the facility's failure to act on grievances, high staff turnover, and lack of communication regarding grievance resolutions. The resident council meeting minutes from July, August, and September 2024 documented repeated concerns about cluttered hallways, insufficient towels, and delayed call light responses. Despite these documented concerns, there was no evidence of follow-up actions or resolutions. Staff interviews revealed that the Social Services Director, who was responsible for handling grievances, acknowledged that grievances from July were not appropriately followed up, and no grievance forms were filled out for concerns raised in August and September.
Failure to Consistently Post Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing information was consistently posted in a prominent and accessible location for residents and visitors. On one occasion, the nurse staffing hours were not posted at all, and on another, they were posted in a location that was not easily accessible. This inconsistency in posting staffing information was observed during a survey conducted on two consecutive days. Interviews with facility staff revealed a lack of clarity regarding responsibilities for posting nurse staffing information. The scheduler believed the Director of Nursing (DON) was responsible for posting the staffing hours, while the DON indicated that he delegated this task to facility staff on weekends. Additionally, the DON admitted to not retaining copies of the nurse staffing data, either in printed or electronic form, and was unaware of the requirement to keep these records for 18 months.
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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.
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Nursing homes near Littleton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hallmark Nursing Center | 1.8 mi | ★★★★★ | 0 | 0 |
| Cherrelyn Healthcare Center | 2.2 mi | ★★★★★ | 1 | 0 |
| Life Care Center Of Littleton | 2.8 mi | ★★★★★ | 0 | 0 |
| Heights Care & Rehabilitation Llc | 3.2 mi | ★★★★★ | 9 | 0 |
| Continuing Care At Wind Crest | 3.6 mi | ★★★★★ | 0 | 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.