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 Village Care And Rehabilitation Center, The during CMS and state inspections, most recent first.
A facility failed to properly sanitize glucometers between uses, as observed when an LPN used a glucometer on a resident and did not clean it before using it on another resident. This was against CDC and manufacturer guidelines, which require cleaning and disinfecting after each use to prevent infection transmission. Interviews revealed that the facility policy had changed from individual glucometers for each resident to shared devices per hallway, and the LPN admitted to forgetting to clean the device.
A facility failed to meet the activity and socialization needs of a resident with moderate cognitive impairments and a language preference for Hmong. The resident was not invited to participate in group activities and staff did not use available translation devices to communicate with her. Observations showed the resident was left in her room during activities, and staff interviews revealed a lack of awareness and communication regarding her preferences and needs.
Two residents in the facility experienced significant medication errors due to failures in the medication ordering process. One resident with schizoaffective disorder missed doses of trihexyphenidyl, while another with diabetes missed doses of metformin. The nursing staff did not audit the medication cart in time to reorder medications, nor did they order them as STAT when they were found missing. Additionally, there was no documentation of physician notification for the missed doses.
A resident with a history of falls and cognitive impairment experienced multiple falls in a facility due to inadequate supervision and ineffective interventions. Despite the IDT's meetings after each fall, the facility failed to implement consistent measures to prevent further incidents. The resident's care plan included ineffective interventions, and the facility did not consistently engage the resident in activities to prevent self-transfer attempts. After a fall resulting in a dislocated hip, the facility's inadequate response delayed medical assistance, contributing to further injury and additional surgeries.
Inadequate Sanitization of Glucometers
Penalty
Summary
The facility failed to maintain an effective infection control program, specifically in the sanitization of glucometers. During a medication pass, an LPN used a glucometer on a resident and then placed it back on the medication cart without cleaning it. The same glucometer was later used on another resident without being sanitized in between uses. This practice was contrary to the guidelines provided by the CDC and the glucometer manufacturer, which require cleaning and disinfecting the device after each use to prevent the transmission of infections. Interviews with the LPN and facility administrators revealed that the facility had a policy of using one glucometer per hallway, shared among multiple residents, and that the staff were expected to clean the glucometer with an alcohol-based wipe between uses. However, the LPN admitted to forgetting to clean the device. The interim assistant director of nursing and the nursing home administrator confirmed the expectation for cleaning and sanitizing glucometers after each use, but it was noted that the policy had changed from each resident having their own glucometer to sharing one per hallway.
Failure to Meet Resident's Activity and Socialization Needs
Penalty
Summary
The facility failed to implement an activities program that met the interests and supported the well-being of Resident #32, who was not invited to participate in group activities. Resident #32, a 77-year-old with moderate cognitive impairments and a language preference for Hmong, was observed lying in bed during multiple activity sessions without being invited to join. Despite having a translator device in her room, staff did not use it to communicate with her, and her socialization needs were not met. Observations revealed that Resident #32 was not invited to various activities, such as a balloon toss, fitness activity, bingo, and hymnal singing, even though she was awake and in her room. The activities director admitted to not inviting her due to a language barrier and lack of awareness of her preferences. The director of resident life services confirmed that Resident #32 enjoyed reading, coloring, and word searches, but these preferences were not accommodated. Interviews with staff indicated a lack of communication and understanding of Resident #32's needs. The activities director was unaware of the translator device and did not have access to the resident's care plan or activity assessment. The nursing home administrator also failed to use the translator device to communicate with Resident #32, highlighting a systemic issue in addressing the language and socialization needs of residents with language barriers.
Medication Errors Affect Two Residents
Penalty
Summary
The facility failed to ensure that two residents were free from significant medication errors. Resident #45, who has schizoaffective disorder, did not receive his prescribed medication, trihexyphenidyl, for several doses due to a failure in the medication ordering process. The nursing staff did not audit the medication cart in time to reorder the medication before it ran out, and they also failed to order the medication as STAT once they noticed it was missing. Additionally, there was no documentation that the resident's physician was notified after the missed doses. Resident #42, who has type 2 diabetes mellitus, also experienced significant medication errors. The resident missed several doses of metformin because the medication was not available. Similar to Resident #45, the nursing staff did not audit the medication cart in time to reorder the medication, nor did they order it as STAT once they realized it was missing. Furthermore, there was no care plan focus related to the resident's diabetes diagnosis or the prescribed medication, and the resident's physician was not notified about the missed doses. Interviews with staff revealed that there were established procedures for ordering medications, but these were not followed. Nurses were responsible for ordering medications when they were ready for refill, and there were systems in place to ensure medications were reordered in a timely manner. However, these procedures were not adhered to, resulting in the residents missing critical doses of their medications.
Failure to Prevent Falls and Provide Adequate Supervision
Penalty
Summary
The facility failed to ensure adequate supervision and assistance to prevent falls for a resident who was admitted for rehabilitation therapy after undergoing surgical repair for a fractured right femur. The resident, who had a history of falls and was required to maintain non-weight-bearing status, experienced multiple falls within the facility. Despite the interdisciplinary team (IDT) meeting after each fall, they failed to assess the effectiveness of planned interventions and implement consistent and effective measures to prevent repeated falls. The resident was impulsive, lacked safety awareness, and had significant cognitive impairment, yet the care plan included ineffective interventions such as encouraging the use of a call light, which the resident was unable to understand. The facility did not consistently implement interventions to involve the resident in meaningful activities to distract her from attempting to get out of bed or her wheelchair. All falls occurred in the resident's room when she was not under direct supervision, and the facility failed to identify and address the reasons behind the resident's behavior. After a fall that resulted in a dislocated hip, the resident underwent additional surgery. Upon readmission, the facility did not reassess the resident's post-surgical status to determine if additional interventions were needed. The facility's response to the resident's change in condition after a subsequent fall was inadequate, delaying medical assistance and leaving the resident in pain. The facility's failure to develop an effective response to the resident's known fall risk factors contributed to the resident re-injuring her hip twice, resulting in pain and additional surgeries.
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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 Westminster
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Westminster | 2.4 mi | ★★★★★ | 1 | 0 |
| Arbor View Care Center, Llc | 2.6 mi | ★★★★★ | 1 | 0 |
| Clear Creek Care Center | 3.4 mi | ★★★★★ | 2 | 0 |
| Park Forest Care Center Llc | 3.4 mi | ★★★★★ | 4 | 0 |
| Arvada Care And Rehabilitation Center | 4.1 mi | ★★★★★ | 2 | 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.