The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
OAKWOOD CARE AND REHABILITATION
LAKEWOOD, CO · Medicare-certified · 170 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
OAKWOOD CARE AND REHABILITATION in Lakewood, CO has a 1 of 5-star overall rating, with a 1-star health inspection rating and a recent abuse citation. Staffing is 3.00 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $53,151 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0013 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $53,151recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0013.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.56
- Nurse aides
- 1.95
- Weekend nursing
- 2.81
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 50%
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
21.1%25.6%Worsening
Residents with a fall causing major injury
0.9%3.4%Worsening
Residents with pressure ulcers (bedsores)
2.9%4.4%Worsening
Residents with a urinary tract infection
1%1.8%Worsening
Residents who lost too much weight
4.1%6.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.6%32.7%Worsening
Residents whose ability to walk got worse
2.1%23.5%Worsening
Long-stay residents on antianxiety or sleep medication
10.1%6.3%Improving
Short-stay residents newly given an antipsychotic
—6.2%—
Residents with a long-term catheter
0%0.8%Worsening
Residents with new or worsening incontinence
16.3%29.2%Worsening
Residents with depressive symptoms
22.8%18.9%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
—94.2%—
Long-stay residents given the pneumonia vaccine
98.1%94.1%Worsening
Short-stay residents given the seasonal flu vaccine
—62.5%—
Short-stay residents given the pneumonia vaccine
69.7%72.1%Improving
What the inspectors found
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — 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 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $53,151 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $217,271 in total fines · 2 payment denials.
- 8 days
Medicare/Medicaid payment denial
Jan 29, 2025
- $53,151
Federal fine
Jan 29, 2025
- $52,416
Federal fine
Apr 10, 2024
- 21 days
Medicare/Medicaid payment denial
Oct 9, 2023
- $111,704
Federal fine
Oct 9, 2023
Operator & ownership
Recent ownership change · Mar 1, 2024
Now operated by Oakwood Care and Rehabilitation, previously Bethany Nursing & Rehab Center.
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 126.2 residents on an average day (74% of 170 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.