Cambridge Care Center
1685 Eaton St., Lakewood, CO 80214 · Jefferson County · (303) 232-4405
110 certified beds, about 93 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065296 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 11, 2026, inspectors cited 6 health deficiencies (the Colorado average is 8.7, the national average 9.2).
Of 20 health citations since December 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,151 in the last three years; the largest was $8,151, and the latest is dated April 2, 2024.
Nurses and nurse aides worked 2.90 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.
32.8% of nursing staff left within the year CMS measured (Colorado average 47.1%).
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.
612/22
504/24
108/24
102/25
106/25
606/26
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 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
13D
6E
0F
Potential for minimal harm
0A
0B
0C
June 11, 2026Standard inspection, Complaint inspection · 6 citations
- E Provide and implement an infection prevention and control program.
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 diseases and infection on two of four units. Specifically, the facility failed to: -Ensure housekeeping staff followed appropriate infection control procedures when cleaning and disinfecting residents' rooms and high-frequency touched areas (call lights, door handles, light switches and bed controls); and,-Ensure housekeeping staff followed disinfectant dwell times (the amount of time required to ensure germs are eliminated) when cleaning residents' rooms.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure the resident's right to self-determination and choice was honored for one (#4) of five residents out of 37 sample residents. Specifically, the facility failed to honor Resident #4's preference for getting out of bed and sitting in a wheelchair.
- 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.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents were provided prompt efforts by the facility to resolve grievances for one (#80) of five residents reviewed for grievances out of 37 sample residents. Specifically, the facility failed to ensure Resident #80's grievance concerning a lost personal item was documented and followed up on in a timely manner.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#39) of four residents reviewed out of 37 sample residents were kept free from resident-to-resident physical abuse. Specifically, the facility failed to protect Resident #39 from physical abuse by Resident #58.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure that residents received proper treatment and assistive devices to maintain hearing abilities for one (#34) of two residents reviewed for hearing services out of 37 sample residents. Specifically, the facility failed to ensure Resident #34's broken hearing aids were replaced in a timely manner.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure respiratory care was provided in accordance with professional standards for one (#92) of four residents out of 37 sample residents. Specifically, the facility failed to ensure oxygen was administered according to the physician's orders for Resident #92.
June 17, 2025Complaint inspection · 1 citation
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure three (#8, #6 and #1) of six residents reviewed for abuse out of 12 sample residents were kept free from abuse. Specifically, the facility failed to: -Protect Resident #9 from physical abuse by Resident #2; -Protect Resident #6 from physical abuse by Resident #2; and, -Protect Resident #1 from physical abuse by Resident #2.
February 12, 2025Complaint inspection · 1 citation
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents who required dialysis services received such services consistent with professional standards of practice for one (#4) of three residents reviewed for dialysis out of 13 sample residents. Specifically, the facility failed to: -Follow the physician's dialysis orders for Resident #4; -Consistently get Resident #4 to his dialysis appointments at his scheduled time; and, -Consistently and thoroughly complete dialysis communication forms between the facility and the dialysis center for Resident #4.
August 21, 2024Complaint inspection · 1 citation
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on record review and interviews, the facility failed to develop and implement an effective discharge plan for one (#1) of three residents reviewed for discharge planning out of 12 sample residents. Specifically, the facility failed to: -Ensure consistent efforts in the discharge planning process were made, which resulted in the potential delay in Resident #1's discharge to another facility; -Ensure Resident #1's representative received consistent communication regarding Resident #1's discharge planning process; and, -Ensure the discharge planning process was documented in Resident #1's electronic medical record (EMR).
April 2, 2024Standard inspection, Complaint inspection · 5 citations
- G 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.
Inspectors wroteBased on record review and interviews, the facility failed to ensure a facility-initiated discharge procedure for non-payment was followed for one (#140) of three residents reviewed for discharge out of 34 sample residents. Resident #140, who had a diagnosis of urinary tract infection, atrial fibrillation (abnormal heart rhythm), type II diabetes mellitus, history of falling, depression and anxiety disorder, was admitted to the facility on [DATE] and discharged on 3/8/24. The facility failed to provide preparations for a safe and orderly facility-initiated discharge for non payment. The resident chose not to transition to long term care (LTC) insurance. Resident #140 was found down on the floor of his motel room three days after the facility discharged him. The facility failed to provide the resident with a 30 day discharge notice and failed to notify the ombudsman of the discharge. [...]
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure one (#140) of three residents and/or their responsible person and the ombudsman were provided a written discharge notice to include the reasons for the move in a language and manner they would understand out of 34 sample residents. Specifically, the facility failed to provide Resident #140 an appropriate written notice of discharge from the facility that included: -The reason for transfer or discharge; -The effective date of transfer or discharge; -The location to which the resident was transferred or discharged ; -A statement of the resident's appeal rights, including the name, address (mailing and email), and telephone number of the entity which receives such requests; -Information on how to obtain an appeal form and assistance in completing the form and submitting the appeal-hearing request; [...]
- D Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on record review and interview, the facility failed to maintain medical records on each resident that were accurately documented for one (#11) out of 18 residents reviewed out of 34 sample residents. Specifically, the facility failed to ensure Resident #11's medical orders for scope of treatment (MOST) form corresponded with physician orders for resuscitation orders.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observations, interviews and record review, the facility failed to assist residents with making appointments and arranging transportation for vision services for one (#14) resident reviewed for vision/ancillary services out of 34 sample residents. Specifically, the facility failed to offer and make an appointment for optometry services for Resident #14.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#14) resident reviewed for ancillary services out of 34 sample residents received routine dental care obtaining routine and 24-hour emergency dental care. Specifically, the facility failed to refer Resident #14 to the dentist to obtain dentures and address his mild teeth pain.
December 15, 2022Standard inspection · 6 citations
- E Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Inspectors wroteBased on record review and interviews, the facility failed to ensure four (#2, #9, #65 and #76) of seven out of 22 sample residents who displayed or was diagnosed with a mental disorder or psychosocial adjustment difficulty, or who had a history of trauma and/or post-traumatic stress disorder, received appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being. Specifically, the facility failed to provide mental health services for Residents #2, #9, #65 and #76.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on interviews, observations and record review, the facility failed to consistently serve food that was palatable and attractive at the appropriate temperatures for all residents. Specifically, the facility failed to ensure resident food was palatable in temperature.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews and record review the facility failed to store, prepare, distribute, and serve food in a sanitary manner in a resident room and in one of two satellite kitchens. Specifically, the facility failed to: -Ensure food was reheated properly in Resident #58's room; and, -Ensure drinks were served in a sanitary manner in the first floor dining room.
- E Provide and implement an infection prevention and control program.
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 development and transmission of disease and infection in one of two dining rooms and laundry areas. Specifically, the facility failed to: -Use appropriate hand hygiene practices during meals or after touching unclean surfaces; and, -Bag laundry items when a laundry chute was in use and ensure laundry bags were closed with no loose items.
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on record review and interview, the facility failed to develop and implement an effective discharge plan for one (#76) out of three residents reviewed for discharge planning out of 22 sample residents. Specifically, the facility failed to: -Ensure the discharge planning process was ongoing during Resident #76's admission to the facility; and, -Ensure Resident #76 was assisted to discharge to a lower level of care per the resident's preadmission screening and resident review (PASRR) level II.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#10) of two residents reviewed for accidents out of 22 sample residents received adequate supervision to prevent accidents. Specifically, the facility failed to: -Ensure Resident #10 had a wander guard in place per physician orders; and, -Ensure Resident #10 was not a hazard toward other residents.
Fire safety inspections
19 fire safety citations on file: 2 on June 11, 2026, 9 on April 2, 2024, 8 on December 15, 2022.
Every fire safety citation19 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install proper backup exit lighting.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F Ensure proper usage of power strips and extension cords.
- D Install a fire alarm system that can be heard throughout the facility.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 2, 2024 | Fine | $8,151 |
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.
| Measure | This home | Colorado | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.90 | 3.72 | 3.86 |
| Registered nurses | 0.74 | 0.82 | 0.69 |
| All nursing staff on weekends | 2.73 | 3.29 | 3.42 |
| Nurse aides | 1.63 | ||
| Licensed practical nurses | 0.53 | ||
| Nursing staff turnover (share who left in a year) | 32.8% | 47.1% | 45.8% |
| Registered nurse turnover | 25.0% | 44.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.40 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 2.97 on weekdays and 2.73 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.98 in April to June 2025 to 2.90 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.90 | 0.74 | 2.97 | 2.73 | 0.0% | 0 of 90 | 93 |
| Oct to Dec 2025 | 3.14 | 0.79 | 3.21 | 2.96 | 2.1% | 0 of 92 | 90 |
| Jul to Sep 2025 | 3.03 | 0.80 | 3.16 | 2.68 | 0.0% | 0 of 92 | 90 |
| Apr to Jun 2025 | 2.98 | 0.75 | 3.04 | 2.83 | 0.0% | 0 of 91 | 88 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Colorado, Jan to Mar 2026 | 3.59 | 0.76 | 3.75 | 3.18 | 5.9% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Colorado | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 1.9 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.3 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.8 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.5 | 20.0 | 15.4 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on June 11, 2026: "Assist a resident in gaining access to vision and hearing services."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on June 11, 2026: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 11, 2026: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on June 11, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.73 hours per resident per day, below the Colorado average of 3.29.
Other nursing homes nearby
- Edgewater Health and Rehabilitation Lakewood, 0 mi · 5 of 5 stars · 12 citations
- Cedars Healthcare Center Lakewood, 0.1 mi · 2 of 5 stars · 38 citations
- Sierra Post Acute Lakewood, 0.3 mi · 2 of 5 stars · 40 citations
- Harmony Pointe Care Center Lakewood, 1.1 mi · 3 of 5 stars · 34 citations
- Wheatridge Care Center Wheat Ridge, 1.1 mi · 3 of 5 stars · 21 citations
- Allison Care Center Lakewood, 1.6 mi · 2 of 5 stars · 19 citations
- Sloan's Lake Rehabilitation Center Denver, 1.6 mi · 5 of 5 stars · 12 citations
- Western Hills Health Care Center Lakewood, 1.6 mi · 3 of 5 stars · 16 citations
Colorado contacts for a concern about a nursing home
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Colorado State Long-Term Care Ombudsman Program, 303-862-3524. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Find and compare facilities, where Colorado publishes its own records on licensed homes.
Common questions
- What is Cambridge Care Center's Medicare star rating?
- CMS rates Cambridge Care Center 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cambridge Care Center get at its last inspection?
- 6 health deficiencies at the standard inspection on June 11, 2026. The Colorado average is 8.7.
- Has Cambridge Care Center been fined?
- Yes. CMS lists 1 fine totaling $8,151 in the last three years.
- Does Cambridge Care Center 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 Cambridge Care Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.