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Littleton Care and Rehabilitation Center

5822 S Lowell Way, Littleton, CO 80123 · Arapahoe County · (303) 798-2497

35 certified beds, about 33 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994

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 065320 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 19, 2026, inspectors cited 1 health deficiency (the Colorado average is 8.7, the national average 9.2).

Of 10 health citations since September 2022, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $7,781 in the last three years; the largest was $7,781, and the latest is dated October 3, 2024.

Nurses and nurse aides worked 3.56 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.

CMS links it to The Ensign Group, an affiliated group of 344 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
1G
0H
0I
Potential for more than minimal harm
5D
3E
0F
Potential for minimal harm
0A
0B
1C
February 19, 2026Standard inspection · 1 citation
  1. 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) March 12, 2026
    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 for one of two units reviewed. Specifically, the facility failed to:-Ensure staff wore the appropriate personal protective equipment (PPE) for Resident #11, who was on enhanced barrier precautions (EBP);-Ensure proper infection control practices were followed during wound care;-Ensure hand hygiene was appropriately performed during wound care; and,-Ensure hand hygiene was appropriately performed during medication administration.
October 3, 2024Complaint inspection · 3 citations
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to ensure two (#1 and #5) 11 residents out of 12 sample residents were kept free from abuse. Resident #1, who had limited mobility and required staff assistance with bed mobility and transfers due to a recent hip surgery, was admitted to the facility on [DATE]. On the night of 7/21/24, Resident #1 used her call light to request staff assistance with being repositioned in bed. The resident later used her call light to request staff assistance with going to the bathroom. Both times, when staff had not responded to the resident's call light in over one hour, the resident called her legal representative. Both times, the resident's representative called the facility and staff eventually answered Resident #1's call light. Early in the morning on 7/22/24, Resident #1 again called her representative. [...]
  2. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure prompt action was taken upon the filing of a grievance of a group. Specifically, the facility failed to follow-up with concerns that were brought up by the group of residents during the resident council meetings regarding resident care and life in the facility.
  3. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · found on a complaint visit · deficient, provider has October 21, 2024
    Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to ensure staffing information was posted in a prominent place, readily accessible to residents and visitors. Specifically, the facility failed to: -Ensure nurse staffing data was posted on a consistent daily basis; -Ensure when nurse staffing data was posted, that it was posted in a prominent location, readily accessible to residents and visitors; and, -Ensure records of nurse staffing data were retained for 18 months.
January 9, 2024Standard 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 · Corrected (the home has a date of correction) January 28, 2024
    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 resident restrooms were cleaned appropriately; -Ensure surface disinfectant times were followed; and, -Ensure high touch surfaces were cleaned.
  2. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 28, 2024
    Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure one (#13) resident was free from physical restraints out of 21 sample residents. Specifically, the facility failed to: -Use the least restrictive device for the least time possible, when using a wander guard on Resident #13; -Have a physician's order in place to check for placement and functioning of Resident #13's wander guard; and, -Identify the wander guard as a restraint on Resident #13's minimum data set (MDS) assessment.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 28, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to ensure one (#7) two out of 21 sample residents with a pressure ulcer received the necessary treatment and services according to professional standards of practice. Specifically, the facility failed to follow physician orders for wound care and follow recommendations for linen on air mattresses for Resident #7.
September 7, 2023Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interviews, the facility failed to ensure notification of change for one (#1) of three residents reviewed out of four sample residents. Specifically, the facility failed to make a timely notify of Resident #1's when the resident had a change in medical condition and physical function; when the resident first complained of new symptoms of numbness in the left leg to the resident's physician.
September 14, 2022Standard inspection · 2 citations
  1. 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) October 4, 2022
    Inspectors wroteBased on record review and interviews, the facility failed to provide the assistance needed to maintain an ability to complete activities of daily living (ADLs) for one (#131) out of 18 sample residents. Specifically, the facility ailed to identify and develop a communication system due to the resident's aphasia (loss of ability to understand or express speech) and develop interventions for the staff to communicate effectively.
  2. D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 4, 2022
    Inspectors wroteBased on observations, record review and interviews, the facility failed to implement their policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. Specifically, the facility failed to develop a system to maintain sanitary food storage for Resident #3's personal refrigerator.

Fines and payment denials

DatePenaltyAmount or length
October 3, 2024Fine $7,781

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)3.563.723.86
Registered nurses1.020.820.69
All nursing staff on weekends3.073.293.42
Nurse aides2.05
Licensed practical nurses0.49
Nursing staff turnover (share who left in a year)not reported47.1%45.8%
Registered nurse turnovernot reported44.6%42.9%
Administrators who leftnot reported

CMS expects 3.80 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 3.76 on weekdays and 3.07 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.56 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.561.023.763.07 5.1%0 of 9033
Jul to Sep 20253.771.054.033.08 10.3%0 of 9231
Apr to Jun 20253.821.024.143.01 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 long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.213.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.60.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.61.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.013.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.53.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.020.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
14.320.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
2.412.112.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Littleton Care and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.8% 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

54.8% 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. 161 eligible stays.

Potentially preventable readmissions

12.1% 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. 181 eligible stays.

Infections that led to a hospital stay

8.1% 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. 110 eligible stays.

Self-care and mobility at discharge

40.4% 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. 52 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. 79 residents counted.

New or worsened pressure ulcers

2.9% 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. 79 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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. 10 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: LOWELL HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Horton, ChristopherManaging control - governing bodyIndividual04/01/2016
Jorgensen, DavidManaging control - governing bodyIndividual02/01/2009
Sato, AmiManaging control - governing bodyIndividual09/09/2024
Port, BarryCorporate directorIndividual01/01/2022
Burnam, SoonCorporate officerIndividual09/09/2024
Dunyon, DavidCorporate officerIndividual09/09/2024
Jorgensen, DavidCorporate officerIndividual09/09/2024
Keetch, ChadCorporate officerIndividual03/01/2011
Sato, AmiCorporate officerIndividual09/09/2024
Onshift IncOperational/managerial controlOrganization02/01/2009
Horton, ChristopherOperational/managerial controlIndividual04/01/2016
Jorgensen, DavidOperational/managerial controlIndividual02/01/2009
Caretrust Gp LLCAdp of the SNFOrganization02/01/2009
Ensign Services IncAdp of the SNFOrganization02/01/2009
Lowell Health Holdings LLCAdp of the SNFOrganization02/01/2009
The Ensign Group IncAdp of the SNFOrganization07/29/2002
Horton, ChristopherAdp of the SNFIndividual07/08/2025
Jorgensen, DavidAdp of the SNFIndividual07/08/2025

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. 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 February 19, 2026: "Provide and implement an infection prevention and control program."
  2. 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 October 3, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on October 3, 2024: "Honor the resident's right to organize and participate in resident/family groups in the facility."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 9, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 hours per resident per day, below the Colorado average of 3.29.

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 Littleton Care and Rehabilitation Center's Medicare star rating?
CMS rates Littleton Care and Rehabilitation Center 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 Littleton Care and Rehabilitation Center get at its last inspection?
1 health deficiency at the standard inspection on February 19, 2026. The Colorado average is 8.7.
Has Littleton Care and Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $7,781 in the last three years.
Does Littleton Care and Rehabilitation 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 Littleton Care and Rehabilitation Center?
CMS lists 18 owners and managers, and links the home to The Ensign Group. Legal business name: LOWELL HEALTHCARE, INC..

Sources

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