Brookshire Post Acute

Nursing Home · Denver, CO

CMS overall rating 1/5 Abuse citation For profit - Individual

CMS certification number065242
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

4660 E Asbury Cir
Denver, CO 80222
Denver County
Phone
(303) 756-1546
ZIP code
80222 – all care providers

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Facility details

Certified beds
67
Residents per day
57.7 (86% occupied)
Ownership
For profit - Individual
Legal name
Brookshire Healthcare LLC
Chain
Pacs Group (274 facilities, avg 2.9★)
Medicare certified since
October 1, 1988
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.7
Staffing★★★★★ 3/5
State avg 3.1
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 4/5
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
3.27 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.71 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.47 (state 0.68 · U.S. 0.86)
Nurse aides
2.10 (state 2.22 · U.S. 2.32)
Weekend total
3.05 (state 3.30 · U.S. 3.42)
Nursing staff turnover
57.8 (state 47.1 · U.S. 45.8)%
RN turnover
61.5 (state 44.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
January 16, 2025
Health deficiencies (last cycle)
15.0 (state 8.6 · U.S. 9.3)
From complaints
5
Citations on record (3 years)
45 health · 1 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-06 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2025-10-16 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 · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-11-13
2025-10-16 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 2025-11-13
2025-01-16 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 2025-02-14
2025-01-16 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-12
2025-01-16 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2025-01-16 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-12
2025-01-16 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2025-01-16 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2025-01-16 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2025-01-16 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2025-01-16 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2025-01-16 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2025-01-16 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2025-01-16 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2024-01-25 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-15
2024-01-25 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 2024-02-15
2024-01-25 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-15
2024-01-25 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-15
2024-01-25 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-15
2024-01-25 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-15
2024-01-25 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 2024-02-15
2024-01-25 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 2024-02-15
2024-01-25 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-15
2024-01-25 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 2024-02-15
2024-01-25 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 2024-02-15
2024-01-25 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.
F0742 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-15
2024-01-25 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-15
2023-10-12 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		 G
Actual harm		 Corrected 2023-11-08
2023-10-12 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2023-11-13
2023-10-12 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 · complaint inspection		 G
Actual harm		 Corrected 2023-11-22
2023-10-12 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 2023-11-22
2023-10-12 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 2023-11-13
2023-10-12 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-13
2022-09-29 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		 J
Immediate jeopardy to resident health or safety		 Corrected 2022-10-04
2022-09-29 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 2022-10-04
2022-09-29 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-10-04
2022-09-29 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 2022-10-04
2022-09-29 Ensure staff are vaccinated for COVID-19
F0888 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-10-04
2022-09-29 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-04
2022-09-29 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 2022-10-04
2022-09-29 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-04
2022-09-29 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-04
2022-09-29 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 2022-10-04
2022-09-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-04

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

3 penalties in the last three years, including $75,713 in fines.

DateTypeAmount
2025-10-16Fine$46,638
2023-10-12Payment Denial12 days payment denial
2023-10-12Fine$29,075

Ownership & management

NameRoleSince
Centennial Master Tenant, LLC (organization)5%+ Direct Ownership Interest · 100%
Providence Group NH, LLC (organization)5%+ Indirect Ownership Interest · 100%
Horton, Christopher (individual)Contracted Managing Employee · NOT APPLICABLE
Apt, Frederick (individual)Corporate Officer · NOT APPLICABLE
Hancock, Mark (individual)Corporate Officer · NOT APPLICABLE
Jergensen, Joshua (individual)Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)Corporate Officer · NOT APPLICABLE
Mbida, Zacharie (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Brookshire Post Acute?

Brookshire 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 Brookshire Post Acute have?

It has 67 certified beds and cares for about 58 residents per day.

Has Brookshire Post Acute been fined?

Yes. CMS lists 3 penalties totaling $75,713 in the last three years.

Who owns Brookshire Post Acute?

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

What is the phone number of Brookshire Post Acute?

(303) 756-1546. The facility is located at 4660 E Asbury Cir, Denver, CO 80222.

Other nursing homes in Denver

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