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AHC of Lakewood, LLC

11155 W 15th Pl, Lakewood, CO 80215 · Jefferson County · (720) 866-8400

36 certified beds, about 34 residents a day · For profit - Corporation · Medicare and Medicaid since 2022

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 065435 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 19, 2026, inspectors cited 3 health deficiencies (the Colorado average is 8.7, the national average 9.2).

None of its 10 health citations since August 2022 was rated as actual harm or immediate jeopardy.

CMS lists 8 fines totaling $36,444 in the last three years; the largest was $4,587, and the latest is dated November 6, 2023.

Nurses and nurse aides worked 5.36 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.46 of those hours.

61.9% of nursing staff left within the year CMS measured (Colorado average 47.1%).

CMS links it to Advanced Health Care, an affiliated group of 26 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
1F
Potential for minimal harm
0A
0B
0C
March 19, 2026Standard inspection · 3 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2026
    Inspectors wroteBased on record review and interviews the facility failed to ensure one (#8) of five residents received treatment and care in accordance with professional standards of practice out of 35 sample residents. Specifically, the facility failed to:-Ensure Resident #8's blood sugar levels were being monitored consistently per physician's orders; and,-Ensure the physician was notified, per physician's orders, when Resident #8's blood sugar levels were out of range.
  2. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2026
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the medication error rate was not greater than five percent (%). Specifically the facility's medication error rate was 6.5%, or three errors out of 31 opportunities.
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2026
    Inspectors wroteBased on observations, record review and interviews, the facility failed to maintain accurately documented medical records for one (#45) of two residents reviewed out of 35 sample residents. Specifically, the facility failed to ensure the administration of Resident #45's as needed (PRN) hydromorphone (opioid analgesic used to treat moderate-to-severe pain when other options are inadequate) on 3/12/26 and 3/13/26 was documented in the resident's electronic medication administration record (eMAR).
December 21, 2023Standard inspection · 7 citations
  1. F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review, and staff interviews, the facility failed to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. Specifically, the facility failed to develop a facility assessment which included the use of an electronic elopement prevention system, dialysis services and hospice services.
  2. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review and interviews, the facility failed to complete a performance review of every nurse aide at least once every 12 months and must provide regular in-service education based on the outcome of these reviews for three of five certified nurse aides (CNAs) reviewed. Specifically, the facility had not provided inservice education based on the outcome of the performance reviews for CNA #1, #2 and #4.
  3. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to honor resident choices for two (#22 and #94) of three residents reviewed for showers out of 21 sample residents. Specifically, the facility failed to ensure Resident #22 and Resident #94 received two showers a week and identified on the baseline care plan.
  4. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 8, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to develop and implement a baseline care plan that included the instructions needed to provide effective and person-centered care of the resident that met professional standards of quality care for one (#22) of three residents out of 21 sample residents. Specifically, the facility failed to develop a person-centered baseline care plan for Resident #22 that included dialysis care and services.
  5. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on record review and interviews, the facility failed to develop and implement an effective discharge plan for one (#242) resident reviewed for discharge planning out of 21 sample residents. Specifically, the facility failed to ensure the discharge planning process was developed, communicated and documented in Resident #242's medical records.
  6. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure that residents were free from significant medication errors for one (#242) of five residents reviewed for medication errors of 21 sample residents. Specifically, the facility failed to ensure that Resident #242 was administered the correct dose of insulin by properly priming the insulin pen before insulin administration.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on observations, interviews and record review, 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 in one out of one units. Specifically, the facility failed to: -Ensure an intravenous (IV) administration set was stored in a sanitary manner; and, -Ensure the hub of an insulin pen was cleaned off prior to the administration of insulin
August 31, 2022Standard inspection · 0 citations

Fire safety inspections

14 fire safety citations on file: 3 on March 19, 2026, 11 on December 21, 2023.

Every fire safety citation14 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 19, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 19, 2026 · Corrected (the home has a date of correction)
  3. D
    Have properly located and lighted "Exit" signs.
    K 293 · March 19, 2026 · Corrected (the home has a date of correction)
  4. F
    Conduct testing and exercise requirements.
    E 39 · December 21, 2023 · Corrected (the home has a date of correction)
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 21, 2023 · Corrected (the home has a date of correction)
  6. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · December 21, 2023 · Corrected (the home has a date of correction)
  7. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · December 21, 2023 · Corrected (the home has a date of correction)
  8. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · December 21, 2023 · Corrected (the home has a date of correction)
  9. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · December 21, 2023 · Corrected (the home has a date of correction)
  10. E
    Provide properly protected cooking facilities.
    K 324 · December 21, 2023 · Corrected (the home has a date of correction)
  11. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 21, 2023 · Corrected (the home has a date of correction)
  12. E
    Have proper medical gas storage and administration areas.
    K 923 · December 21, 2023 · Corrected (the home has a date of correction)
  13. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · December 21, 2023 · Corrected (the home has a date of correction)
  14. D
    Have simulated fire drills held at unexpected times.
    K 712 · December 21, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 6, 2023Fine $4,545
October 30, 2023Fine $4,545
October 23, 2023Fine $4,545
October 17, 2023Fine $4,545
October 10, 2023Fine $4,545
October 2, 2023Fine $4,545
September 25, 2023Fine $4,587
September 18, 2023Fine $4,587

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeColoradoUnited States
All nursing staff (RN, LPN and aides)5.363.723.86
Registered nurses1.460.820.69
All nursing staff on weekends4.213.293.42
Nurse aides3.17
Licensed practical nurses0.74
Nursing staff turnover (share who left in a year)61.9%47.1%45.8%
Registered nurse turnover75.0%44.6%42.9%
Administrators who left0

CMS expects 5.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.84 on weekdays and 4.21 on weekends, 28% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.10 in April to June 2025 to 5.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.361.465.844.21 1.5%0 of 9034
Oct to Dec 20255.861.636.304.73 4.5%0 of 9232
Jul to Sep 20256.251.636.665.21 6.9%0 of 9230
Apr to Jun 20256.102.016.654.73 4.3%0 of 9130
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Colorado, Jan to Mar 20263.590.763.753.185.9%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Colorado

JobMedianMiddle halfEmployed
Colorado, all employers
CNAs (nursing assistants)$22.78$21.42 to $24.0022,240
LPNs and LVNs$35.52$29.76 to $38.374,920
Registered nurses$48.20$40.67 to $52.3754,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeColoradoUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.11.61.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.620.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.812.112.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for AHC of Lakewood, LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (74.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

74.1% this home

Better than the national rate

US median of homes 51.5% · Colorado: 39 better, 8 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 401 eligible stays.

Potentially preventable readmissions

10.2% this home

No different from the national rate

US median of homes 10.7% · Colorado: 3 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 436 eligible stays.

Infections that led to a hospital stay

6.6% this home

No different from the national rate

US median of homes 7.1% · Colorado: 4 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 288 eligible stays.

Self-care and mobility at discharge

67.0% this home

Median of homes: Colorado65.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 224 residents counted.

Falls with major injury

1.3% this home

Median of homes: Colorado0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 321 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Colorado0.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 320 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Colorado99.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 59 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: AHC OF LAKEWOOD, LLC. CMS links this home to Advanced Health Care, a group of 26 nursing homes averaging 4.7 stars overall.

NameRoleTypeShareSince
New AHC Holdings, LLC5% or greater direct ownership interestOrganization100%01/01/2021
The Gail Miller Gst Trust5% or greater indirect ownership interestOrganization72%01/01/2024
The Bryan Miller Utah Dynasty Trust Dated April 22, 2014Indirect ownership interestOrganization01/01/2024
The G&h Miller Utah Trust Dated February 26, 2019Indirect ownership interestOrganization01/01/2024
Oxnam, NathanCorporate officerIndividual01/01/2024
Barnes, DeborahOperational/managerial controlIndividual04/02/2024
Lhmsh LLCAdp of the SNFOrganization01/01/2024
New AHC Holdings, LLCAdp of the SNFOrganization04/16/2025
Barnes, DeborahAdp of the SNFIndividual04/16/2025
Waintrub, MauricioAdp of the SNFIndividual04/16/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 19, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 19, 2026: "Ensure medication error rates are not 5 percent or greater."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 19, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on December 21, 2023: "Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies."

Other nursing homes nearby

Colorado contacts for a concern about a nursing home

These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.

Common questions

What is AHC of Lakewood, LLC's Medicare star rating?
CMS rates AHC of Lakewood, LLC 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did AHC of Lakewood, LLC get at its last inspection?
3 health deficiencies at the standard inspection on March 19, 2026. The Colorado average is 8.7.
Has AHC of Lakewood, LLC been fined?
Yes. CMS lists 8 fines totaling $36,444 in the last three years.
Does AHC of Lakewood, LLC accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns AHC of Lakewood, LLC?
CMS lists 10 owners and managers, and links the home to Advanced Health Care. Legal business name: AHC OF LAKEWOOD, LLC.

Sources

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