Silver Heights Skilled Nursing and Rehabilitation

Nursing Home · Castle Rock, CO

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number065285

Contact & location

4001 Home ST
Castle Rock, CO 80108
Douglas County
Phone
(303) 688-3174
ZIP code
80108 – all care providers

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Facility details

Certified beds
91
Residents per day
58.1 (64% occupied)
Ownership
For profit - Limited Liability company
Legal name
Home Street Operations, LLC
Chain
Madison Creek Partners (13 facilities, avg 3.2★)
Medicare certified since
December 1, 1990
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.1
Health inspections★★★★★ 3/5
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
2.90 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.84 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.48 (state 0.68 · U.S. 0.86)
Nurse aides
1.58 (state 2.22 · U.S. 2.32)
Weekend total
2.67 (state 3.30 · U.S. 3.42)
Nursing staff turnover
46.5 (state 47.1 · U.S. 45.8)%
RN turnover
33.3 (state 44.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
April 3, 2025
Health deficiencies (last cycle)
9.0 (state 8.6 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
30 health · 28 fire safety
DateCitationSeverityStatus
2025-04-03 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 2025-05-16
2025-04-03 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-16
2025-04-03 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 2025-05-16
2025-04-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-16
2025-04-03 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 2025-05-16
2025-04-03 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 2025-05-16
2025-04-03 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 2025-05-16
2025-04-03 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-16
2025-04-03 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 2025-05-16
2025-04-03 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 2025-05-16
2024-11-07 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 2024-12-13
2024-11-07 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 2024-12-13
2024-11-07 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-07 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-07 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 2024-12-13
2023-10-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-12-02
2023-10-19 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 2023-12-02
2023-10-19 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 2023-12-02
2023-10-19 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 2023-12-02
2023-10-19 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 2023-12-02
2023-10-19 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 2023-12-02
2023-10-19 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 2023-12-02
2023-10-19 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 2023-12-02
2022-07-21 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
F
No actual harm, potential for more than minimal harm
Corrected 2022-08-26
2022-07-21 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 2022-08-26
2022-07-21 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-08-26
2022-07-21 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-08-26
2022-07-21 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 2022-08-26
2022-07-21 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-08-26
2022-07-21 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 2022-08-26

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Chief Joseph Trail, LLC (organization)5%+ Direct Ownership Interest · 100%
Clegg, Michael (individual)5%+ Indirect Ownership Interest
Tippet, LLC (organization)5%+ Indirect Ownership Interest
White Canyon, LLC (organization)5%+ Indirect Ownership Interest
Christensen, Covey (individual)Administrator · NOT APPLICABLE
Clegg, Michael (individual)Administrator · NOT APPLICABLE
Hopkins, Amber (individual)Administrator · NOT APPLICABLE
Howe, Robert (individual)Administrator · NOT APPLICABLE
Ikerd, John (individual)Administrator · NOT APPLICABLE
Knecht, Andrew (individual)Administrator · NOT APPLICABLE
Madison Creek Partners LLC (organization)Administrator · NOT APPLICABLE
Clegg, Michael (individual)Managing Control - Governing Body · NOT APPLICABLE
Ikerd, John (individual)Managing Control - Governing Body · NOT APPLICABLE
Christensen, Covey (individual)Operational/managerial Control · NOT APPLICABLE
Clegg, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Hopkins, Amber (individual)Operational/managerial Control · NOT APPLICABLE
Howe, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Ikerd, John (individual)Operational/managerial Control · NOT APPLICABLE
Knecht, Andrew (individual)Operational/managerial Control · NOT APPLICABLE
Madison Creek Partners LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Silver Heights Skilled Nursing and Rehabilitation?

Silver Heights Skilled Nursing and Rehabilitation has a 4-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 Silver Heights Skilled Nursing and Rehabilitation have?

It has 91 certified beds and cares for about 58 residents per day.

Has Silver Heights Skilled Nursing and Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Silver Heights Skilled Nursing and Rehabilitation?

It is part of Madison Creek Partners 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 Silver Heights Skilled Nursing and Rehabilitation?

(303) 688-3174. The facility is located at 4001 Home ST, Castle Rock, CO 80108.

Other nursing homes in Castle Rock

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