Oakwood Care and Rehabilitation
Nursing Home · Lakewood, CO
CMS certification number065248
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
5301 W 1ST AveLakewood, CO 80226
Jefferson County
- Phone
- (303) 238-8333
- ZIP code
- 80226 – all care providers
Facility details
- Certified beds
- 170
- Residents per day
- 126.2 (74% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Fox Hollow Healthcare INC
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- March 1, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.00 (state 3.72 · U.S. 3.86)
- Registered nurses (RN)
- 0.50 (state 0.82 · U.S. 0.69)
- Licensed practical nurses
- 0.56 (state 0.68 · U.S. 0.86)
- Nurse aides
- 1.95 (state 2.22 · U.S. 2.32)
- Weekend total
- 2.81 (state 3.30 · U.S. 3.42)
- Nursing staff turnover
- 53.7 (state 47.1 · U.S. 45.8)%
- RN turnover
- 50.0 (state 44.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- September 11, 2025
- Health deficiencies (last cycle)
- 16.0 (state 8.6 · U.S. 9.3)
- From complaints
- 12
- Citations on record (3 years)
- 54 health · 26 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-02-26 | 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 2026-03-23 |
| 2026-02-26 | 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 2026-03-23 |
| 2026-02-26 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-02-26 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-02-26 | 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 2026-03-23 |
| 2026-02-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2025-12-18 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-23 |
| 2025-12-18 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-31 |
| 2025-12-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-15 |
| 2025-12-18 | 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 2026-01-15 |
| 2025-09-11 | 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 · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-09-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-09-11 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-09-11 | 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 2025-10-10 |
| 2025-09-11 | 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 2025-10-10 |
| 2025-09-11 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-10 |
| 2025-06-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-04 |
| 2025-06-12 | 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 2025-07-04 |
| 2025-06-12 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-04 |
| 2025-01-29 | 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 · complaint inspection |
G Actual harm |
Corrected 2025-03-07 |
| 2025-01-29 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-07 |
| 2025-01-29 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-07 |
| 2025-01-29 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-07 |
| 2025-01-29 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-07 |
| 2025-01-29 | 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 2025-03-07 |
| 2024-04-10 | 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 2024-05-05 |
| 2024-04-10 | Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-04-10 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-04-10 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-04-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-02 |
| 2024-04-10 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-02 |
| 2024-04-10 | 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 2024-05-05 |
| 2024-04-10 | 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 2024-05-02 |
| 2024-04-10 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-04-10 | 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 2024-05-05 |
| 2024-04-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-04-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-04-10 | 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 2024-05-02 |
| 2024-04-10 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2024-04-10 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-02 |
| 2024-04-10 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-05 |
| 2023-10-09 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2023-11-24 |
| 2023-10-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-11-09 |
| 2023-10-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-11-09 |
| 2023-10-09 | 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 2023-11-09 |
| 2023-10-09 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-11-09 |
| 2023-10-09 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-11-09 |
| 2023-10-09 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-09 |
| 2023-10-09 | 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 2023-11-09 |
| 2023-10-09 | 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 2023-11-09 |
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
5 penalties in the last three years, including $217,271 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-01-29 | Payment Denial | 8 days payment denial |
| 2025-01-29 | Fine | $53,151 |
| 2024-04-10 | Fine | $52,416 |
| 2023-10-09 | Payment Denial | 21 days payment denial |
| 2023-10-09 | Fine | $111,704 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Boyles, Eddy (individual) | Administrator · NOT APPLICABLE | |
| Burnam, Soon (individual) | Administrator · NOT APPLICABLE | |
| Caretrust GP LLC (organization) | Administrator · NOT APPLICABLE | |
| Caretrust Reit INC (organization) | Administrator · NOT APPLICABLE | |
| CTR Partnership LP (organization) | Administrator · NOT APPLICABLE | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Gahm, Gregory (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 | |
| Boyles, Eddy (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gahm, Gregory (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Boyles, Eddy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Gahm, Gregory (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kare Technologies LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Onshift INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Sos Nursing Services, INC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Oakwood Care and Rehabilitation?
Oakwood Care and Rehabilitation 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 Oakwood Care and Rehabilitation have?
It has 170 certified beds and cares for about 126 residents per day.
Has Oakwood Care and Rehabilitation been fined?
Yes. CMS lists 5 penalties totaling $217,271 in the last three years.
Who owns Oakwood Care and Rehabilitation?
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 Oakwood Care and Rehabilitation?
(303) 238-8333. The facility is located at 5301 W 1ST Ave, Lakewood, CO 80226.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.