Skylake Post Acute

CMS star ratings

Overall★★★★★ 1/5

State avg 3.1

Health inspections★★★★★ 1/5

State avg 2.7

Staffing★★★★★ 4/5

State avg 3.1

Quality measures★★★★★ 4/5

State avg 4.1

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 2/5

Staffing

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

Total nurse staffing: 2.91 (state 3.72 · U.S. 3.86)
Registered nurses (RN): 0.61 (state 0.82 · U.S. 0.69)
Licensed practical nurses: 0.72 (state 0.68 · U.S. 0.86)
Nurse aides: 1.57 (state 2.22 · U.S. 2.32)
Weekend total: 2.62 (state 3.30 · U.S. 3.42)
Nursing staff turnover: 35.0 (state 47.1 · U.S. 45.8)%
RN turnover: 19.0 (state 44.6 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: December 1, 2025
Health deficiencies (last cycle): 15.0 (state 8.6 · U.S. 9.3)
From complaints: 6
Citations on record (3 years): 42 health · 12 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-05-11	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2026-05-28
2026-05-11	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-05-28
2026-03-04	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-03-26
2026-03-04	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 · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-03-26
2026-03-04	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 · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-03-26
2025-12-01	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-12-11
2025-12-01	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-12-11
2025-12-01	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-12-11
2025-12-01	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 2025-12-11
2025-12-01	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-12-11
2025-12-01	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 2025-12-11
2025-12-01	Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-12-15
2025-12-01	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-12-11
2025-12-01	Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-12-11
2025-12-01	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 2025-12-11
2025-05-07	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-02
2024-06-14	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2024-07-19
2024-06-14	Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. F0843 · Administration Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-07-19
2024-06-14	Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-19
2024-06-14	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 · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-19
2024-06-14	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-19
2024-01-09	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	Keep all essential equipment working safely. F0908 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	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. F0585 · Resident Rights Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-02-20
2024-01-09	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	E No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-02-27
2024-01-09	Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	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 2024-02-03
2024-01-09	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 · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-02-03
2024-01-09	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 2024-02-03
2024-01-09	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-02-07
2022-09-16	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	J Immediate jeopardy to resident health or safety	Corrected 2022-09-16
2022-09-16	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2022-09-19
2022-09-16	Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-19
2022-09-16	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-19

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

2 penalties in the last three years, including $25,572 in fines.

Date	Type	Amount
2024-06-14	Payment Denial	2 days payment denial
2024-06-14	Fine	$25,572

Ownership & management

Name	Role	Since
Panther Master Tenant, LLC (organization)	5%+ Direct Ownership Interest · 100%
Providence Group NH, LLC (organization)	5%+ Indirect Ownership Interest
Fraser, Malcolm (individual)	Contracted Managing Employee · NOT APPLICABLE
Apt, Frederick (individual)	Corporate Officer · NOT APPLICABLE
Jergensen, Joshua (individual)	Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)	Corporate Officer · NOT APPLICABLE
Goldhammer, Grady (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Skylake Post Acute?

Skylake Post Acute has a 1-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 Skylake Post Acute have?

It has 242 certified beds and cares for about 191 residents per day.

Has Skylake Post Acute been fined?

Yes. CMS lists 2 penalties totaling $25,572 in the last three years.

Who owns Skylake Post Acute?

It is part of Pacs Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Skylake Post Acute?

(303) 450-2700. The facility is located at 12080 Bellaire Wy, Thornton, CO 80241.

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Contact & location

Facility details