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 Suites At Holly Creek Care Center, The during CMS and state inspections, most recent first.
A resident at risk for pressure injuries developed an unstageable ulcer due to the facility's failure to implement timely preventative measures. Despite being identified as at risk, heel protection was delayed, leading to a blister that progressed to an unstageable ulcer. The resident's comorbid conditions and the facility's inaction contributed to the wound's development.
The facility failed to maintain an effective infection control program, with staff not adhering to Enhanced Barrier Precautions (EBP) and proper hand hygiene protocols. A CNA did not wear a protective gown while performing catheter care for a resident on EBP, and housekeeping staff did not sanitize hands between glove changes while cleaning rooms. Interviews revealed misunderstandings about PPE use and hand hygiene expectations.
Two residents in a LTC facility were found to have floor-to-ceiling transfer poles installed without the required physician's order, consent, or safety assessment. Both residents were at high risk for falls and required substantial assistance for transfers. The necessary documentation and assessments were only completed during a survey, highlighting a failure to adhere to facility protocols for ensuring resident safety.
Failure to Prevent and Manage Pressure Ulcer
Penalty
Summary
The facility failed to provide adequate pressure ulcer care and prevention for a resident, leading to the development of an unstageable pressure injury. The resident, who was admitted for long-term care, was identified as being at risk for pressure injuries due to conditions such as diabetes, end-stage kidney disease, and peripheral vascular disease. Despite this, preventative measures were not implemented in a timely manner, resulting in the resident developing a blister on the left heel, which later progressed to an unstageable ulcer. Upon admission, the resident had a surgical incision on the right leg and intact skin elsewhere. However, the facility did not implement heel protection measures until after the blister developed. The resident's care plan included interventions such as offloading therapy and the use of a pressure-redistributing bed, but these were not put into place until after the wound had already deteriorated. The facility's delay in implementing these interventions contributed to the progression of the wound. Interviews with staff revealed that the resident's heel blister was identified, and a protective boot was ordered, but the heel was not offloaded until several days later. The wound care physician noted that the wound was caused by pressure and that the resident's comorbid conditions likely contributed to its development. The facility's failure to adhere to professional standards of practice for pressure injury prevention and management resulted in the resident acquiring a facility-acquired unstageable pressure injury.
Infection Control Deficiencies in PPE Use and Hand Hygiene
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by staff not adhering to Enhanced Barrier Precautions (EBP) and proper hand hygiene protocols. Specifically, a certified nursing assistant (CNA) did not don a protective gown while performing catheter care for a resident on EBP, despite the resident's room having a sign indicating the requirement for gloves and a gown. Interviews with staff revealed a misunderstanding of when gowns should be worn, with one CNA indicating she would only wear a gown if the resident was on contact precautions. The infection preventionist confirmed that the CNA should have followed the appropriate PPE recommendations. Additionally, the facility did not ensure proper hand hygiene practices were followed by housekeeping staff while cleaning resident rooms. Observations showed housekeepers changing gloves multiple times without sanitizing their hands in between glove changes. The infection preventionist and environmental services coordinator both stated that hand hygiene should be performed before and after glove removal, and the expectation was for housekeepers to change gloves and sanitize hands between cleaning different areas of a room.
Failure to Follow Protocols for Transfer Pole Installation
Penalty
Summary
The facility failed to ensure that two residents, identified as Resident #4 and Resident #10, were free from accident hazards due to the improper implementation of floor-to-ceiling transfer poles. The facility's policy required a physician's order, a consent, and a completed safety assessment before the installation of such devices. However, these steps were not followed prior to the installation of the transfer poles in the residents' rooms. Observations revealed that the transfer poles were placed beside the residents' beds and recliners without the necessary documentation and assessments. Resident #4, who had severe cognitive impairments and was at high risk for falls, did not have a physician's order, consent, or safety assessment documented in their electronic medical record before the transfer pole was installed. Similarly, Resident #10, who was cognitively intact but also at high risk for falls, did not have the required documentation or assessment prior to the installation of the transfer poles. Both residents required substantial staff assistance for transfers, and their care plans did not reflect the use of transfer poles. Interviews with the Director of Rehabilitation and the Nursing Home Administrator revealed that no official transfer pole assessments were conducted before the installation of the devices. The necessary physician's orders, consents, and assessments were only obtained during the survey, indicating a lapse in following the facility's policy and procedure for ensuring resident safety with mobility devices.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 495 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Centennial
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Suites At Someren Glen Care Center, The | 0.6 mi | ★★★★★ | 4 | 0 |
| Orchard Park Health Care Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Brookdale Greenwood Village | 2.1 mi | ★★★★★ | 25 | 0 |
| Cherrelyn Healthcare Center | 3.9 mi | ★★★★★ | 1 | 0 |
| Vi At Highlands Ranch Skilled Nursing | 3.9 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Suites At Holly Creek Care Center, The.
100% money-back within 48 hours.
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.