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Home / Colorado / Denver

Amberwood Post Acute

4686 E Asbury Cir, Denver, CO 80222 · Denver County · (303) 756-1566

88 certified beds, about 83 residents a day · For profit - Corporation · Medicare and Medicaid since 1967

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 065034 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 15, 2024, inspectors cited 16 health deficiencies (the Colorado average is 8.7, the national average 9.2).

Of 39 health citations since February 2022, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $9,636 in the last three years; the largest was $9,636, and the latest is dated October 15, 2024.

Nurses and nurse aides worked 2.93 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.

44.1% of nursing staff left within the year CMS measured (Colorado average 47.1%).

CMS links it to PACS Group, an affiliated group of 275 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 39 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
27D
9E
2F
Potential for minimal harm
0A
0B
0C
April 23, 2026Complaint inspection · 3 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2026
    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 possible development and transmission of infectious diseases in four of four units. Specifically, the facility failed to:-Ensure staff performed hand hygiene before and after providing resident care; and,-Ensure staff followed enhanced barrier precautions (EBP) while providing direct resident care for residents who were identified as being on EBP.
  2. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2026
    Inspectors wroteBased on interviews and record review, the facility failed to ensure the resident's representative was informed of changes in condition for one (#1) of three residents out of 17 sample residents. Specifically, the facility failed to:-Inform Resident #1's physician-appointed healthcare proxy when the resident had a change in condition, including when the resident started on an antibiotic medication; and,-Return phone calls to Resident #1's healthcare proxy's voice messages requesting information about the resident's condition in a timely manner.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to investigate an allegation of verbal abuse involving one (#6) of seven residents of 17 sample residents. Specifically, the facility failed to investigate an allegation of verbal threats overhead by a family member between Resident #6 and Resident #15.
December 8, 2025Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 11, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to protect residents from physical abuse for two (#2 and #3) of five residents reviewed for abuse out of five sample residents. Specifically, the facility failed to protect Resident #2 and Resident #3 from physical abuse by Resident #1.
October 15, 2024Standard inspection · 16 citations
  1. E
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to ensure money from personal funds accounts was managed accurately for four (#7, #17, #33 and #39) of four residents reviewed for personal funds accounts out of 39 sample residents. Specifically, the facility failed to notify Residents #7, #17, #33 and #39, who were Medicaid funded, or their legal representative, when the resident's personal funds account reached $200.00 less than the eligibility resource limit for one person.
  2. E
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure three (#43, #51 and #66) of three residents with limited mobility reviewed for range of motion (ROM) received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion out of 39 sample residents. Specifically, the facility failed to establish a consistent restorative nursing program within the facility to ensure Resident #43, Resident #51 and Resident #66 did not have a potential decline in activities of daily living (ADL).
  3. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure it was free of a medication error rate of five percent (%) or greater. Specifically, the medication administration observation error rate was 14.63%, or six errors out of 41 opportunities for error.
  4. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to ensure all drugs and biologicals were properly stored in accordance with accepted professional standards for two of three treatment carts and one of three medication carts. Specifically, the facility failed to: -Ensure treatment carts were locked when unattended; and, -Ensure medication carts were locked when unattended.
  5. E
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to assist residents in obtaining routine or emergency dental services as needed for three (#18, #32 and #51) of four residents reviewed for dental services out of 39 sample residents. Specifically, the facility failed to ensure dental services were offered to Resident #18, Resident #32 and Resident #51.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the possible development and transmission of infectious diseases. Specifically, the facility failed to: -Ensure housekeeping staff followed proper infection control procedures for cleaning resident rooms; -Ensure residents were assisted with hand hygiene prior to meals; -Ensure glucometers were cleaned appropriately following use; and, -Ensure personal protective equipment (PPE) was worn appropriately and appropriate infection control procedures were followed during wound care for a resident on enhanced barrier precautions (EBP).
  7. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure residents were permitted to remain in the facility and not transfer or discharge for one (#76) of two residents out of 39 sample residents. Specifically, the facility failed to provide Resident #76 with an appropriate discharge process.
  8. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on record review and interviews the facility failed to permit a resident to return to the facility following a facility-initiated transfer to the hospital for one (#76) of two residents reviewed for discharge out of 39 sample residents. Specifically, the facility failed to reassess Resident #76's status at the time the resident sought to return to the facility after a facility-initiated transfer to the hospital, and directed the hospital to discharge the resident to a sister facility instead of allowing the resident to return to the facility.
  9. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to incorporate the recommendations from the PASRR (preadmission screening and resident review) Level II determination and evaluation report into the assessment, care planning and transition of care for two (#65 and #43) of three residents reviewed out of 39 sample residents. Specifically, the facility failed to initiate therapy as recommended by the PASRR Level II in a timely manner for Resident #65 and Resident #43.
  10. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure services provided to residents met professional standards of quality for one (#15) of one resident out of 39 sample residents. Specifically, the facility failed to ensure Resident #15's as needed (PRN) pain medications had physician ordered parameters related to the strength of the medications and the severity of the resident's pain level (on a pain scale of 1-10).
  11. 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) November 15, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to provide the resident representative with the proper discharge notifications for one (#182) of two residents out of 39 sample residents. Specifically, the facility failed to develop and implement a collaborate discharge plan with Resident #182
  12. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain good grooming and personal hygiene for one (#24) of four residents reviewed for assistance with ADLs out of 39 sample residents. Specifically, the facility failed to ensure Resident #24's fingernails were trimmed and clean.
  13. 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) November 15, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents were provided services that meet professional standards for one (#51) of one resident out of 39 sample residents. Specifically, the facility failed to ensure Resident #51's leg wraps for lymphedema (a chronic condition that causes swelling due to a buildup of lymph fluid in the body) were ordered in a timely manner.
  14. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure proper treatment and assistive devices to maintain vision abilities for one (#18) of one resident out of 39 sample residents. Specifically, the facility failed to arrange optometry services timely for Resident #18.
  15. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure one (#65) of two residents reviewed for accidents out of 39 sample residents received adequate supervision to decrease and/or prevent risk for accident hazards. Specifically, the facility failed to implement a plan of care that adequately addressed the risks posed to Resident #65 and other residents in the facility due to Resident #65's smoking habit and history of self-inflicted injury from fire.
  16. 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) November 15, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to ensure one (#3) of one resident out of 39 sample residents were free of significant medication errors. Specifically, the facility failed to ensure the insulin pen was primed prior to administration for Resident #3.
May 18, 2023Standard inspection · 12 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on observations and interviews 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. Specifically the facility failed to: -Ensure the surface disinfectant time was followed for proper disinfection; -Ensure resident rooms were cleaned and disinfected properly; -Ensure staff performed proper hand hygiene; and, -Ensure facility maintained water management program for Legionella.
  2. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on record review, and staff interviews the facility failed to ensure one (#39) out of five residents m reviewed was free from a significant medication error of 31 sample residents. Specifically, the facility failed to ensure Resident #39 was administered an accurate dose of cholecalciferol (Vitamin D) medication.
  3. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on interviews and record review, the facility failed to ensure one (#72) of three residents had the right to participate in the development and implementation of his or her person-centered plan of care out of 31 sample residents. Specifically, the facility failed to: -Conduct care plan/conference meetings for Resident #72; and, -Ensure either the resident or the responsible party was involved in the care conferences.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure the resident's right to receive services in the facility with reasonable accommodation of the resident's needs and preferences for two (#21 and #54) of five residents reviewed out of 31 sample residents. Specifically, the facility failed to: -Follow the physical therapy discharge plan to install a pole in the resident's room for the purpose of assisting the Resident #21 with transferring; and, -Provide a Resident #54 with a call light option that was conducive to her abilities.
  5. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on record review and interviews, the facility failed to make prompt efforts to resolve a grievance for one (#60) of six residents reviewed for grievances out of 31 sample residents. Specifically, the facility failed to act on a report of a missing passport, driver's license/ID, and social security card for Resident #60.
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on observations, record review and interviews, the facility failed to develop a comprehensive care plan that included measurable objectives needed to provide effective and person centered care for two ( #29 and #21) out of 31 sample residents. Specifically, the facility failed to: -Ensure Resident #29's bed height preference was on the comprehensive care plan; and, -Revise Resident #21's care plan to include intravenous (IV) administration of antibiotics after hospitalization.
  7. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure one (#61) of two residents reviewed for communication out of 31 sample residents were provided appropriate treatment and services to maintain or improve their abilities. Specifically, the facility failed to ensure Resident #61 had access to a whiteboard for his communication needs.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to provide appropriate care and services to maintain the activities of daily living for two (#2 and 71) of five residents who required extensive assistance out of 31 sample residents. Specifically, the facility failed to: -Ensure Resident #2 and Resident #71 received consistent showers according to their preference and plan of care; and, -Ensure Resident #71 received regular nail care according to her preference and plan of care.
  9. 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) July 7, 2023
    Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure one (#40) out of 31 sample residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. Specifically, the facility failed to investigate, determine origin and monitor a bruise to Resident #40's wrist.
  10. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure three (#83, #187 and #24) of six out of 31 sample residents who required respiratory care were provided such care and services consistent with professional standards of practice. Specifically, the facility failed to: -Ensure a physician's order was obtained for Resident #83 and Resident #187 for use of supplemental oxygen; and, -Ensure Resident #24's supplemental oxygen was on correct order liter flow per physician's order
  11. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure assessment, inspection and maintenance of a bed cane (fixed bed rail assistive device) was completed for one (#51) resident of three residents reviewed using bed cane for positioning out of 31 sample residents. Specifically, for Resident #51, the facility failed to: -Assess the resident for risk of entrapment prior to installing or using a bed cane/bed rail; -Obtain consent from resident; and, -Check bed rail/bed cane regularly for ongoing maintenance.
  12. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 7, 2023
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure proper storage of medications for one of two medication storage rooms and one of three medication storage carts. Specifically, the facility failed to: -Discard prepared medications on the medication cart that had not been administered to residents; -Maintain medication storage room in a clean and orderly manner; and, -Discard medication that had expired.
February 15, 2022Standard inspection · 7 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) February 16, 2022
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure two (#43 and #116) of four residents reviewed out of 30 sample residents were as free from accident hazards as possible. The facility failed to assess and implement interventions to prevent Residents #43 and #116 from falling. As a result, Resident #43's hospital records indicated a head cat scan was completed in comparison from 12/7/22 and 12/11/22 and revealed a head injury; and Resident #116 was not fully assessed after an unwitnessed fall for potential injuries. Resident #43 had a history of falls prior to initial admission to the facility on [DATE]. The facility was aware of the resident's fall risk upon admission. The resident's medical record revealed the resident had diagnoses of dementia and Parkinson's disease with increasing confusion, poor safety awareness, impulsivity and an unsteady gait. [...]
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 16, 2022
    Inspectors wroteBased on observations, staff interviews, and record review, the facility failed to ensure food was served and stored under sanitary conditions during meal services. Specifically, the facility failed to: -Offer, assist or encourage resident to perform hand hygiene prior to eating meals and after eating meals and handling and throwing away trash from the meal, in one of one dining rooms and two of three units; and, -Clean refrigerator used to store resident snacks and outside foods; date and label sandwiches for resident consumption and discard expired food items, in two of two unit refrigerators used for resident food.
  3. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 16, 2022
    Inspectors wroteBased on resident interviews, staff interviews, and the tasting of the test tray, the facility failed to consistently serve food that was palatable and at the proper temperature. Specifically, the facility failed to ensure resident food was palatable in taste, texture, appearance, and temperature.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 16, 2022
    Inspectors wroteBased on record review and interviews the facility failed to notify, make immediate notification to the resident representative when the resident had a significant change in condition requiring a need to alter treatment; initiate a resident transfer or discharge from the facility; or when the resident was involved in an accident with an injury or portent for an injury for two (#62 and #116) of three residents out of 30 sample residents. Specifically, the facility failed to immediately inform the resident representative(s): -For Resident #62 when the resident was transferred to the hospital for assessment and treatment of a medical illness; and, -For Resident #116 after a fall which could have resulted in an injury with the potential for a need for physician intervention. (Cross-Referenced to F689 failure to prevent a resident fall).
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 16, 2022
    Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure two (#42 and #117) of five residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, hygiene, dressing and grooming, out of 30 sample residents. Specifically, the facility failed to: -Provide timely incontinent care and repositioning for Resident #42 and #117, who required staff assistance for bed mobility and incontinence care; and, -Provide Resident #42 positioning and set-up assistance for eating meals.
  6. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 16, 2022
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#15) of three residents with limited mobility reviewed for range of motion (ROM) received appropriate services, equipment, and assistance to maintain maximal mobility and services to prevent further decrease in ROM, out of 30 sample residents reviewed. Specifically, the facility failed to ensure Resident #15 received consistent restorative services for daily splinting assistance and passive range of motion (ROM) six day a week as written in the resident comprehensive care plan based on therapy services recommendations; to address limitations related to self-care deficits due to decreased mobility and limited ROM.
  7. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 16, 2022
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure appropriate care and services were provided for incontinence care for one (#24) of three residents reviewed out of 30 sample residents. Specifically, the facility failed to ensure Resident #24 had physician orders and a corresponding person centered care plan related to the nephrostomy bags.

Fines and payment denials

DatePenaltyAmount or length
October 15, 2024Fine $9,636

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)2.933.723.86
Registered nurses0.470.820.69
All nursing staff on weekends2.903.293.42
Nurse aides1.70
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)44.1%47.1%45.8%
Registered nurse turnover22.2%44.6%42.9%
Administrators who left0

CMS expects 3.77 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 2.95 on weekdays and 2.90 on weekends, 2% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 2.93 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.930.472.952.90 6.4%0 of 9083
Oct to Dec 20252.990.483.002.97 5.7%0 of 9283
Jul to Sep 20253.230.553.233.21 7.8%0 of 9281
Apr to Jun 20253.160.533.203.05 11.5%0 of 9185
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. If you work here, your report helps start one.

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.

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For Amberwood Post Acute. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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 long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.813.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.90.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.61.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.93.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.71.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.413.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.83.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.920.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.920.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.112.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.71.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Amberwood Post Acute's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.0% 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

49.0% this home

No different from 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. 27 eligible stays.

Potentially preventable readmissions

10.4% 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. 51 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 12 eligible stays.

Self-care and mobility at discharge

76.9% 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. 26 residents counted.

Falls with major injury

0.0% 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. 37 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. 37 residents counted.

Medication list given at discharge

Not reported

CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.

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.

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: AMBERWOOD HEALTHCARE LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Centennial Master Tenant, LLC5% or greater direct ownership interestOrganization100%02/01/2023
Providence Group Nh, LLC5% or greater indirect ownership interestOrganization100%06/30/2023
Naquin, KennedyW-2 managing employeeIndividual07/10/2023
Apt, FrederickCorporate officerIndividual01/01/2024
Hancock, MarkCorporate officerIndividual01/01/2024
Jergensen, JoshuaCorporate officerIndividual01/01/2024
Mitchell, JohnCorporate officerIndividual01/01/2024

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on October 15, 2024: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on April 23, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on October 15, 2024: "Ensure medication error rates are not 5 percent or greater."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on October 15, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.90 hours per resident per day, below the Colorado average of 3.29.

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Common questions

What is Amberwood Post Acute's Medicare star rating?
CMS rates Amberwood Post Acute 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Amberwood Post Acute get at its last inspection?
16 health deficiencies at the standard inspection on October 15, 2024. The Colorado average is 8.7.
Has Amberwood Post Acute been fined?
Yes. CMS lists 1 fine totaling $9,636 in the last three years.
Does Amberwood Post Acute 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 Amberwood Post Acute?
CMS lists 7 owners and managers, and links the home to PACS Group. Legal business name: AMBERWOOD HEALTHCARE LLC.

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