Sierra Post Acute

Nursing Home · Lakewood, CO

CMS overall rating 2/5 Abuse citation For profit - Limited Liability company

CMS certification number065272
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1432 Depew ST
Lakewood, CO 80214
Jefferson County
Phone
(303) 238-1375
ZIP code
80214 – all care providers

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Facility details

Certified beds
102
Residents per day
82.7 (81% occupied)
Ownership
For profit - Limited Liability company
Legal name
Lakewood Healthcare LLC
Chain
Pacs Group (274 facilities, avg 2.9★)
Medicare certified since
March 1, 1990
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.7
Staffing★★★★★ 4/5
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
3.80 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.41 (state 0.82 · U.S. 0.69)
Licensed practical nurses
1.05 (state 0.68 · U.S. 0.86)
Nurse aides
2.33 (state 2.22 · U.S. 2.32)
Weekend total
3.35 (state 3.30 · U.S. 3.42)
Nursing staff turnover
50.0 (state 47.1 · U.S. 45.8)%
RN turnover
54.5 (state 44.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 29, 2026
Health deficiencies (last cycle)
10.0 (state 8.6 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
39 health · 1 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-29 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 · complaint inspection		 G
Actual harm		 Corrected 2026-02-07
2026-01-29 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		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-02-13
2026-01-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-02-04
2026-01-29 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-09
2026-01-29 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 2026-02-04
2026-01-29 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 2026-02-04
2026-01-29 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-09
2026-01-29 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 2026-02-07
2026-01-29 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 2026-02-04
2025-10-20 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 2025-11-13
2025-02-26 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 2025-03-17
2024-09-05 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 2024-08-21
2024-03-20 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-04-07
2024-03-20 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-07
2023-10-24 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		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2023-10-24 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2023-10-24 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2023-10-24 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 2023-11-17
2023-10-24 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 2023-11-17
2023-10-24 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2023-10-24 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2023-10-24 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-13
2023-10-24 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2023-10-24 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 2023-11-17
2023-10-24 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2023-11-17
2023-10-24 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-17
2022-09-15 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		 G
Actual harm		 Corrected 2022-09-22
2022-09-15 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2022-09-22
2022-09-15 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 2022-09-22
2022-09-15 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 2022-09-22
2022-09-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-09-22
2022-09-15 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-09-22
2022-09-15 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 2022-09-22
2022-09-15 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-09-22
2022-09-15 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 2022-09-22
2022-09-15 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 2022-09-22
2022-09-15 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 2022-09-22
2022-09-15 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 2022-09-22
2022-09-15 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 2022-09-22

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

4 penalties in the last three years, including $54,903 in fines.

DateTypeAmount
2026-01-29Fine$18,428
2025-10-20Fine$26,117
2024-09-05Fine$10,358
2023-10-24Payment Denial21 days payment denial

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
Eberhard, Jarom (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Sierra Post Acute?

Sierra Post Acute has a 2-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 Sierra Post Acute have?

It has 102 certified beds and cares for about 83 residents per day.

Has Sierra Post Acute been fined?

Yes. CMS lists 4 penalties totaling $54,903 in the last three years.

Who owns Sierra 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 Sierra Post Acute?

(303) 238-1375. The facility is located at 1432 Depew ST, Lakewood, CO 80214.

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.