LAKEWOOD VILLA in Lakewood, CO has an overall 3-star rating. Health inspections are 2 stars, staffing is 3 stars, quality measures are 5 stars, reported nurse staffing is 3.10 hours per resident day versus the 4.1 federal benchmark, and it has a recent abuse citation; there were no fines in the last 24 months.
Last inspection: July 7, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1015.
Staffing detail
Registered nurses
0.62
Licensed practical nurses
0.47
Nurse aides
2.01
Weekend nursing
2.90
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 64%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
64.3%69.7%Worsening
Residents with a fall causing major injury
0%3.7%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.7%6.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.1%14.3%Worsening
Residents whose ability to walk got worse
10.7%2.3%Improving
Long-stay residents on antianxiety or sleep medication
4.3%11.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32%16.8%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—75%—
Long-stay residents given the pneumonia vaccine
50%29.6%Worsening
Short-stay residents given the pneumonia vaccine
—5.6%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2023 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited October 2019 — isolated incident, actual harm.
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F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 5 health deficiencies.
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PENALTY
A federal fine of $16,801 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $40,006 in total fines · 1 payment denial.
Federal fine
May 1, 2024
$16,801
Medicare/Medicaid payment denial
Aug 8, 2023
6 days
Federal fine
Jul 17, 2023
$23,205
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of MADISON CREEK PARTNERS · 13 homes · 3.2 stars avg
Occupancy
53.9 residents on an average day (95% of 57 beds)
Resident voice
Resident council
Medicare history
Certified for 13 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.