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Nursing home report

IRONDALE POST ACUTE

COMMERCE CITY, CO · Medicare-certified · 95 beds

Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
2 of 5 overall

IRONDale Post Acute (Commerce City, CO) has a 2-star overall rating, with a 1-star health inspection rating, 4-star staffing, and 5-star quality measures. It is a special focus candidate/facility, has had $122,353 in fines in the last 24 months, and reported nurse staffing is 3.35 hours per resident day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.3531 hrs/resident/day

Quality measures

Last inspection: February 12, 2026Penalties, last 24 months: $122,353special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3531.

Staffing detail

Registered nurses
0.60
Licensed practical nurses
0.55
Nurse aides
2.21
Weekend nursing
2.98

Hours per resident per day.

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

41.5%36.2%Improving

Residents with a fall causing major injury

3.9%1.3%Improving

Residents with pressure ulcers (bedsores)

3.5%5.6%Worsening

Residents with a urinary tract infection

1.3%1.3%No change

Residents who lost too much weight

5.8%4.3%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

41.8%22.7%Improving

Residents whose ability to walk got worse

9.5%16.3%Worsening

Long-stay residents on antianxiety or sleep medication

15.9%14.5%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

1.2%0%Improving

Residents with new or worsening incontinence

27.3%27.6%No change

Residents with depressive symptoms

1.4%4.5%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

91%

Long-stay residents given the pneumonia vaccine

93.4%80.3%Worsening

Short-stay residents given the seasonal flu vaccine

42.6%

Short-stay residents given the pneumonia vaccine

64.4%22.2%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: L

The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited February 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 688 — 42 CFR §483.25(c) — S/S: G

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited December 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The home failed to provide enough food and fluids to keep residents healthy. Cited September 2022 — isolated incident, actual harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: G

The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited October 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 867 — 42 CFR §483.75 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $50,400 was recorded.

  3. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $46,270 was recorded.

  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal fine of $17,345 was recorded.

  8. PENALTY

    A federal fine of $8,338 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $147,455 in total fines · 1 payment denial.

  • Federal fine

    Feb 12, 2026

    $50,400
  • Federal fine

    Oct 9, 2025

    $46,270
  • Federal fine

    Apr 30, 2025

    $17,345
  • Federal fine

    Nov 20, 2024

    $8,338
  • Medicare/Medicaid payment denial

    Dec 14, 2023

    32 days
  • Federal fine

    Dec 14, 2023

    $25,102

Operator & ownership

Recent ownership change · Mar 1, 2020

Now operated by Irondale Post Acute, previously Mission San Miguel Nursing and Rehabilitation Center.

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
79.2 residents on an average day (83% of 95 beds)
Resident voice
Resident council
Medicare history
Certified for 32 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.