What is Suites at Clermont Park Care Center, the's Medicare star rating?

CMS rates Suites at Clermont Park Care Center, the 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Suites at Clermont Park Care Center, the get at its last inspection?

2 health deficiencies at the standard inspection on February 18, 2026. The Colorado average is 8.7.

Has Suites at Clermont Park Care Center, the been fined?

CMS lists no fines in the last three years.

Does Suites at Clermont Park Care Center, the 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 Suites at Clermont Park Care Center, the?

CMS lists 17 owners and managers. Legal business name: CHRISTIAN LIVING NEIGHBORHOODS.

Suites at Clermont Park Care Center, the: Inspections

The record in brief

At its most recent standard inspection, on February 18, 2026, inspectors cited 2 health deficiencies (the Colorado average is 8.7, the national average 9.2).

Of 13 health citations since September 2022, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.47 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.

36.8% 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.

409/22

701/24

202/26

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 13 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 18, 2026Standard inspection · 2 citations

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) March 19, 2026

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure one (#38) of two residents reviewed for resident rights out of 35 sample residents received appropriate treatment and services consistent with his interests, assessments and plan of care. Specifically, the facility failed to ensure Resident #38 received his showers consistently with his preferences.
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) March 19, 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. Specifically, the facility failed to rinse and store nebulizers (a small machine that turns liquid medication into a mist that can be inhaled to treat lung conditions) masks and reservoirs properly.

January 11, 2024Standard inspection · 7 citations

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 · Corrected (the home has a date of correction) February 28, 2024

Inspectors wroteBased on record review and interviews, the facility failed to provide a response, action and rationale to residents involved in group grievances. Specifically, the facility failed to follow up with residents' concerns regarding call light response times that were brought up by the resident council during regular meetings.
D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 15, 2024

Inspectors wroteBased on record review and interviews, the facility failed to maintain personal privacy during care for two (#36 and #4) of three residents reviewed for privacy of 41 sample residents. Specifically, the facility failed to: -Close Resident #36's bedroom door while she was assisted by staff with getting dressed after a shower; and, -Close Resident #4's bathroom and bedroom doors while she was assisted to the bathroom.
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 15, 2024

Inspectors wroteBased on observations, record review and interviews the facility failed to ensure that residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming and personal and oral hygiene for two (#18 and #30) of four residents out of 41 sample residents reviewed for ADLs Specifically, the facility failed to provide: -Assistance with hydration for Resident #30 and Resident #18; -Restorative therapy for Resident #18; and, -Change Resident #18 care plan when her assistance level had changed.
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) February 21, 2024

Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure adequate supervision and assistance devices to prevent accidents for two (#9 and #20) out of 41 sample residents. Specifically, the facility failed to: -Provide supervision to Resident #9 while suspended in a Hoyer mechanical lift; and, -Prevent skin injuries to Resident #20 during care with staff.
D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 15, 2024

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure residents received the appropriate treatment and services to maintain their highest practicable physical, mental and psychosocial well-being for two (#3 and #43) of four residents reviewed for dementia care out of 41 sample residents. Specifically, the facility failed to ensure Resident #3 and Resident #43, who had dementia, were provided consistent specialized services and support with activities of daily living (ADLs) and a meaningful activity program.
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) February 15, 2024

Inspectors wroteBased on observations and interviews, the facility failed to ensure medications and biologicals were stored and labeled properly on one of four medication carts. Specifically, the facility failed to: -Discard prepared and contaminated medication that had not been administered; and, -Maintain the temperature of opened food items on the medication cart.
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) February 15, 2024

Inspectors wroteBased on record reviews and staff 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 disease. Specifically, the facility failed to offer updated COVID-19 vaccinations and document consent or declination for vaccination for Residents #7 and #27.

September 15, 2022Standard inspection · 4 citations

G

Provide enough food/fluids to maintain a resident's health.

F692 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 24, 2022

Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#30) of two out of 26 sample residents received the care and services necessary to meet their nutrition needs to maintain their highest level of physical well-being. Resident #30 was admitted to the facility on [DATE] with a diagnosis of acute respiratory failure, repeated falls, macular degeneration (deterioration of the eye), dysphagia (swallowing difficulties) and developmental delays. Upon admission Resident #30 reported he thought he had lost approximately 20 pounds (lbs) during the food preferences assessment. The resident weighed 164 lbs on 7/29/22. The facility failed to implement a nutritional intervention upon admission, despite the resident reporting weight loss prior to admission. [...]
E

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, pattern · Corrected (the home has a date of correction) October 24, 2022

Inspectors wroteBased on interviews and record review the facility failed to honor resident choices for three (#16, #17 and #26) of four reviewed for self-determination, out of 26 sampled residents. Specifically, the facility failed to ensure dependent Residents #16, #17 and #26 received showers consistently according to their preference.
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) October 24, 2022

Inspectors wroteBased on observations and interviews the facility failed to ensure two out of two medication refrigerators stored and secured drugs and biologicals in accordance with accepted professional principles. Specifically, the facility failed to: -Ensure multi-dose vials of Tuberculin were dated when first opened; -Ensure alcohol for drinking was not stored with medications; -Ensure food and medications were not stored together; and, -Ensure expired medications were removed from the medication rooms.
D

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 24, 2022

Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure that the hospice services provided meet professional standards and principles that applied to individuals providing services in the facility for one (#37) of four residents reviewed for hospice services out of 26 sample residents. Specifically, the facility failed to: -Have a written agreement to ensure for Residents #37, a written plan of care included both the most recent hospice plan of care and a description of the services furnished by the long term care (LTC) facility; and, -Ensure that the LTC facility staff provide orientation regarding the policies and procedures of the facility, including patient rights, appropriate forms, and record keeping requirements, to hospice staff furnishing care to LTC residents.

Fire safety inspections

8 fire safety citations on file: 6 on February 18, 2026, 1 on January 11, 2024, 1 on September 15, 2022.

Every fire safety citation8 citations

F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · February 18, 2026 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · February 18, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 18, 2026 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · February 18, 2026 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · February 18, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 18, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 11, 2024 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · September 15, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)	4.47	3.72	3.86
Registered nurses	1.00	0.82	0.69
All nursing staff on weekends	3.90	3.29	3.42
Nurse aides	2.51
Licensed practical nurses	0.95
Nursing staff turnover (share who left in a year)	36.8%	47.1%	45.8%
Registered nurse turnover	30.8%	44.6%	42.9%
Administrators who left	1

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 4.70 on weekdays and 3.90 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.52 in April to June 2025 to 4.47 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	4.47	1.00	4.70	3.90	9.5%	0 of 90	60
Oct to Dec 2025	4.39	1.04	4.62	3.78	16.8%	0 of 92	61
Jul to Sep 2025	4.37	0.99	4.53	3.96	10.0%	0 of 92	60
Apr to Jun 2025	4.52	1.09	4.76	3.93	9.0%	0 of 91	58
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	27.6	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	0.0	1.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.6	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.9	1.6	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	31.9	13.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.4	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	27.0	20.0	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	29.4	20.3	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	6.0	12.1	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.2	1.4	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.2	1.7	1.8

Owners and operators

Legal business name: CHRISTIAN LIVING NEIGHBORHOODS.

Name	Role	Type	Since
Christian Living Neighborhoods	Direct ownership interest	Organization	05/09/1972
Fralick, Traci	Corporate director	Individual	11/05/2018
Childs, Bryon	Corporate officer	Individual	05/28/2007
Keller, Jayne	Corporate officer	Individual	04/01/2021
Vitale-Aussem, Jill	Corporate officer	Individual	11/01/2020
Christian Living Neighborhoods	Operational/managerial control	Organization	05/09/1972
Franken, Jan	Operational/managerial control	Individual	07/09/2007
Childs, Bryon	Trustee of the SNF	Individual	05/28/2007
Fralick, Traci	Trustee of the SNF	Individual	11/05/2018
Keller, Jayne	Trustee of the SNF	Individual	04/01/2021
Vitale-Aussem, Jill	Trustee of the SNF	Individual	11/01/2020
Christian Living Neighborhoods	Adp of the SNF	Organization	03/26/2025
Childs, Bryon	Adp of the SNF	Individual	05/28/2007
Fralick, Traci	Adp of the SNF	Individual	11/05/2018
Franken, Jan	Adp of the SNF	Individual	07/09/2007
Keller, Jayne	Adp of the SNF	Individual	04/01/2021
Vitale-Aussem, Jill	Adp of the SNF	Individual	11/01/2020

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on February 18, 2026: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on January 11, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
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 18, 2026: "Provide and implement an infection prevention and control program."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 11, 2024: "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."
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

South Valley Post Acute Rehabilitation
Denver, 0.7 mi · 4 of 5 stars · 11 citations
Brookshire Post Acute
Denver, 0.8 mi · 1 of 5 stars · 45 citations
Amberwood Post Acute
Denver, 0.8 mi · 2 of 5 stars · 39 citations
Rowan Community, Inc
Denver, 0.8 mi · 4 of 5 stars · 28 citations
Holly Heights Care and Rehabilitation
Denver, 1.1 mi · 3 of 5 stars · 23 citations
Highline Post Acute
Denver, 1.1 mi · 1 of 5 stars · 36 citations
Julia Temple Healthcare Center
Englewood, 2 mi · 3 of 5 stars · 13 citations
Englewood Post Acute and Rehabilitation
Englewood, 2.5 mi · 4 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 Suites at Clermont Park Care Center, the's Medicare star rating?: CMS rates Suites at Clermont Park Care Center, the 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Suites at Clermont Park Care Center, the get at its last inspection?: 2 health deficiencies at the standard inspection on February 18, 2026. The Colorado average is 8.7.
Has Suites at Clermont Park Care Center, the been fined?: CMS lists no fines in the last three years.
Does Suites at Clermont Park Care Center, the 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 Suites at Clermont Park Care Center, the?: CMS lists 17 owners and managers. Legal business name: CHRISTIAN LIVING NEIGHBORHOODS.

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.