Mapleton Post Acute

Nursing Home · Lakewood, CO

CMS overall rating 4/5 For profit - Corporation

CMS certification number065097

Contact & location

115 Ingalls ST
Lakewood, CO 80226
Jefferson County
Phone
(303) 237-1325
ZIP code
80226 – all care providers

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Facility details

Certified beds
90
Residents per day
76.0 (84% occupied)
Ownership
For profit - Corporation
Legal name
Castle Rock Healthcare, INC.
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
April 1, 1968
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.1
Health inspections★★★★★ 3/5
State avg 2.7
Staffing★★★★★ 2/5
State avg 3.1
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.18 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.56 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.43 (state 0.68 · U.S. 0.86)
Nurse aides
2.19 (state 2.22 · U.S. 2.32)
Weekend total
2.70 (state 3.30 · U.S. 3.42)
Nursing staff turnover
50.0 (state 47.1 · U.S. 45.8)%
RN turnover
55.6 (state 44.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
December 5, 2024
Health deficiencies (last cycle)
5.0 (state 8.6 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
28 health · 33 fire safety · includes actual harm
DateCitationSeverityStatus
2025-06-17 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-07
2025-06-17 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-07
2024-12-05 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.
F0761 · Pharmacy Service Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-01-01
2024-12-05 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-01
2024-12-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-01
2024-12-05 Plan the resident's discharge to meet the resident's goals and needs.
F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-01
2024-12-05 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-01
2024-03-19 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-04-09
2024-03-19 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-04-09
2024-03-19 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-04-09
2023-06-29 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2023-06-29 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.
F0849 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-24
2019-08-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-09-26
2019-08-29 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-09-20
2019-08-29 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-09-20
2019-08-29 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.
F0849 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-10-09

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Garden Investment Co., LLC (organization)Administrator · NOT APPLICABLE
Horton, Christopher (individual)Administrator · NOT APPLICABLE
McDonald, Dontre (individual)Administrator · NOT APPLICABLE
Jorgensen, David (individual)Corporate Director · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Dunyon, David (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Sato, Ami (individual)Corporate Officer · NOT APPLICABLE
Port, Barry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Horton, Christopher (individual)Managing Control - Governing Body · NOT APPLICABLE
McDonald, Dontre (individual)Managing Control - Governing Body · NOT APPLICABLE
Horton, Christopher (individual)Operational/managerial Control · NOT APPLICABLE
McDonald, Dontre (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Mapleton Post Acute?

Mapleton Post Acute has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Colorado.

How many beds does Mapleton Post Acute have?

It has 90 certified beds and cares for about 76 residents per day.

Has Mapleton Post Acute been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Mapleton Post Acute?

It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Mapleton Post Acute?

(303) 237-1325. The facility is located at 115 Ingalls ST, Lakewood, CO 80226.

Other nursing homes in Lakewood

Compare all nursing homes in Lakewood, CO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.