The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited October 2021 — limited pattern, actual harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: H
Nursing home report
LOWRY HILLS CARE AND REHABILITATION
AURORA, CO · Medicare-certified · 108 beds
In good standing
For-profitChain member
2 of 5 overall
Lowry Hills Care and Rehabilitation in Aurora has an overall 2-star rating, with 2 stars for health inspections and 3 stars for staffing and quality measures. It reports 3.23 nurse staffing hours per resident per day versus the federal benchmark of 4.1, with no fines in the last 24 months; recent inspection issues included staffing coverage, discharge/transfer planning, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
3.2293 hrs/resident/day
Quality measures
Last inspection: June 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2293.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.63
- Nurse aides
- 2.00
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 65%
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
27.3%23.8%Improving
Residents with a fall causing major injury
0%2.1%Worsening
Residents with pressure ulcers (bedsores)
5%3.4%Improving
Residents with a urinary tract infection
3.5%1.1%Improving
Residents who lost too much weight
3.8%2.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8%3.6%Improving
Residents whose ability to walk got worse
13.3%7.2%Improving
Long-stay residents on antianxiety or sleep medication
10.1%15.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.4%19.5%Worsening
Residents with depressive symptoms
12%3.7%Improving
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
—95.7%—
Long-stay residents given the pneumonia vaccine
98.9%90.4%Worsening
Short-stay residents given the seasonal flu vaccine
—90.9%—
Short-stay residents given the pneumonia vaccine
93%79.6%Worsening
What the inspectors found
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 627 — 42 CFR §483.15(c) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $2,516 in total fines.
- $2,516
Federal fine
Dec 6, 2023
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of SWEETWATER CARE · 10 homes · 2.5 stars avg
- Occupancy
- 101.7 residents on an average day (94% of 108 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 57 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.