Westwood Post Acute

Nursing Home · Denver, CO

CMS overall rating 2/5 SFF candidate For profit - Corporation

CMS certification number065274
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

3185 W Arkansas Ave
Denver, CO 80219
Denver County
Phone
(303) 922-1169
ZIP code
80219 – all care providers

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Facility details

Certified beds
85
Residents per day
69.0 (81% occupied)
Ownership
For profit - Corporation
Legal name
North Star Healthcare LLC
Chain
Pacs Group (274 facilities, avg 2.9★)
Medicare certified since
April 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★★★★★ 3/5
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
3.24 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.49 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.77 (state 0.68 · U.S. 0.86)
Nurse aides
1.98 (state 2.22 · U.S. 2.32)
Weekend total
2.91 (state 3.30 · U.S. 3.42)
Nursing staff turnover
50.7 (state 47.1 · U.S. 45.8)%
RN turnover
50.0 (state 44.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 25, 2025
Health deficiencies (last cycle)
21.0 (state 8.6 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
50 health · 27 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-04-25 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		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-04-30
2025-04-25 Provide a neutral and fair arbitration process and agree to arbitrator and venue.
F0848 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-05-12
2025-04-25 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 2025-05-15
2025-04-25 Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-09
2025-04-25 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-15
2025-04-25 Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
F0807 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-01
2025-04-25 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F0809 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-15
2025-04-25 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-01
2025-04-25 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
F0626 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-15
2025-04-25 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 2025-05-15
2025-04-25 Provide care by qualified persons according to each resident's written plan of care.
F0659 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-15
2025-04-25 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 2025-05-16
2025-04-25 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 2025-05-15
2025-04-25 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 2025-05-15
2025-04-25 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 2025-05-15
2025-04-25 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-15
2025-04-25 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 2025-05-15
2025-04-25 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 2025-05-15
2025-04-25 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 2025-05-15
2025-04-25 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-15
2025-04-25 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2025-05-01
2024-03-07 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-04-30
2024-03-07 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		 G
Actual harm		 Corrected 2024-04-30
2024-03-07 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 · complaint inspection		 G
Actual harm		 Corrected 2024-04-30
2024-03-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-04-05
2024-03-07 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 2024-04-05
2024-03-07 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 2024-04-30
2024-03-07 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-30
2024-03-07 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-30
2024-03-07 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 2024-04-30
2024-03-07 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 2024-04-30
2024-03-07 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 2024-04-30
2024-03-07 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-30
2024-03-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-30
2024-03-07 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-30
2024-03-07 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-30
2024-03-07 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 2024-04-30
2024-03-07 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 2024-04-30
2023-09-28 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 G
Actual harm		 Corrected 2023-10-21
2023-09-28 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-21
2023-09-28 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 2023-10-21
2023-09-28 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 2023-10-21
2023-09-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-21
2020-02-27 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 2020-04-11
2020-02-27 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 2020-04-10
2020-02-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-04-02
2020-02-27 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 2020-03-18
2020-02-27 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 2020-03-27
2020-02-27 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 2020-03-27
2020-02-27 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 2020-03-27

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 $65,470 in fines.

DateTypeAmount
2025-04-25Payment Denial12 days payment denial
2025-04-25Fine$23,959
2024-03-07Payment Denial25 days payment denial
2024-03-07Fine$29,177
2023-09-28Fine$12,334

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
Connor, Angela (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Westwood Post Acute?

Westwood 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 Westwood Post Acute have?

It has 85 certified beds and cares for about 69 residents per day.

Has Westwood Post Acute been fined?

Yes. CMS lists 5 penalties totaling $65,470 in the last three years.

Who owns Westwood Post Acute?

It is part of Pacs 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 Westwood Post Acute?

(303) 922-1169. The facility is located at 3185 W Arkansas Ave, Denver, CO 80219.

Other nursing homes in Denver

Compare all nursing homes in Denver, CO →

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