The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Edgewater Health and Rehabilitation
LAKEWOOD, CO · Medicare-certified · 67 beds
In good standing
For-profitChain member
5 of 5 overall
Edgewater Health and Rehabilitation has a 5-star overall rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reported 3.18 nurse hours per resident per day versus the 4.1 federal benchmark, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1837 hrs/resident/day
Quality measures
Last inspection: August 27, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1837.
Staffing detail
- Registered nurses
- 0.83
- Licensed practical nurses
- 0.46
- Nurse aides
- 1.89
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 43%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.3%17.2%Worsening
Residents with a fall causing major injury
0%1.7%Worsening
Residents with pressure ulcers (bedsores)
3.8%1.5%Improving
Residents with a urinary tract infection
3.7%0%Improving
Residents who lost too much weight
11.1%6.2%Improving
Residents who were physically restrained
1.8%0%Improving
Residents needing more help with daily activities
17.8%13%Improving
Residents whose ability to walk got worse
5.3%21.9%Worsening
Long-stay residents on antianxiety or sleep medication
0%4.2%Worsening
Short-stay residents newly given an antipsychotic
3.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.4%24.6%Worsening
Residents with depressive symptoms
7.4%11.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
96.5%98.3%Improving
Short-stay residents given the seasonal flu vaccine
—89.5%—
Short-stay residents given the pneumonia vaccine
85.7%91.1%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 66.7 residents on an average day (100% of 67 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.