Heights Care & Rehabilitation LLC

3131 S FEDERAL BLVD, DENVER, CO 80236 · CCN 065191 · 110 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-05-15 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-01-11 IMMEDIATE JEOPARDY (tag F0740, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
2024-01-11 ACTUAL HARM (tag F0867, severity G)
Administration Deficiencies · correction not recorded in CMS data
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
2023-08-16 ACTUAL HARM (tag F0690, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2023-08-16 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

3.25

state median 3.24

Weekend staffing gap

−16%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.42

registered nurses only

Contract (agency) staff

53%

share of all nursing hours

Nursing staff turnover

76%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $68,159 in fines.

DateTypeAmount
2024-05-15Fine$28,912
2024-01-11Fine$39,247
2024-01-11Payment Denialpayment denial

Ownership

Ownership type: For profit - Limited Liability company. Part of the PACS GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 4 · Potential for more than minimal harm: 50 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-04-06F0585Resident Rights DeficienciesDnot recorded
2026-04-06F0676Quality of Life and Care DeficienciesDnot recorded
2026-04-06F0684Quality of Life and Care DeficienciesDnot recorded
2026-04-06F0759Pharmacy Service DeficienciesDnot recorded
2026-04-06F0760Pharmacy Service DeficienciesDnot recorded
2026-04-06F0805Nutrition and Dietary DeficienciesEnot recorded
2026-04-06F0812Nutrition and Dietary DeficienciesFnot recorded
2026-04-06F0880Infection Control DeficienciesEnot recorded
2025-12-09F0689Quality of Life and Care DeficienciesDnot recorded
2025-05-08F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-07-09F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-05-15F0686Quality of Life and Care DeficienciesGnot recorded
2024-05-15F0880Infection Control DeficienciesDnot recorded
2024-03-19F0554Resident Rights DeficienciesDnot recorded
2024-03-19F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-19F0880Infection Control DeficienciesDnot recorded
2024-01-11F0552Resident Rights DeficienciesDnot recorded
2024-01-11F0559Resident Rights DeficienciesDnot recorded
2024-01-11F0576Resident Rights DeficienciesEnot recorded
2024-01-11F0582Resident Rights DeficienciesCnot recorded
2024-01-11F0584Resident Rights DeficienciesEnot recorded
2024-01-11F0585Resident Rights DeficienciesEnot recorded
2024-01-11F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-01-11F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-01-11F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-01-11F0626Resident Rights DeficienciesDnot recorded
2024-01-11F0685Quality of Life and Care DeficienciesDnot recorded
2024-01-11F0688Quality of Life and Care DeficienciesEnot recorded
2024-01-11F0689Quality of Life and Care DeficienciesEnot recorded
2024-01-11F0740Quality of Life and Care DeficienciesJnot recorded
2024-01-11F0744Quality of Life and Care DeficienciesDnot recorded
2024-01-11F0807Nutrition and Dietary DeficienciesDnot recorded
2024-01-11F0808Nutrition and Dietary DeficienciesEnot recorded
2024-01-11F0809Nutrition and Dietary DeficienciesEnot recorded
2024-01-11F0867Administration DeficienciesGnot recorded
2024-01-11F0880Infection Control DeficienciesEnot recorded
2024-01-11F0947Nursing and Physician Services DeficienciesEnot recorded
2023-10-19F0680Quality of Life and Care DeficienciesEnot recorded
2023-10-19F0688Quality of Life and Care DeficienciesEnot recorded
2023-10-19F0727Nursing and Physician Services DeficienciesFnot recorded
2023-08-16F0585Resident Rights DeficienciesDnot recorded
2023-08-16F0684Quality of Life and Care DeficienciesGnot recorded
2023-08-16F0689Quality of Life and Care DeficienciesDnot recorded
2023-08-16F0690Quality of Life and Care DeficienciesGnot recorded
2023-08-16F0838Administration DeficienciesFnot recorded
2023-08-16F0880Infection Control DeficienciesEnot recorded
2023-07-25F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2022-09-16F0578Resident Rights DeficienciesDnot recorded
2022-09-16F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2022-09-16F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2022-09-16F0623Resident Rights DeficienciesEnot recorded
2022-09-16F0625Resident Rights DeficienciesEnot recorded
2022-09-16F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2022-09-16F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2022-09-16F0677Quality of Life and Care DeficienciesDnot recorded
2022-09-16F0919Environmental DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Heights Care & Rehabilitation LLC, DENVER” at medicare.gov/care-compare.