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Nursing home report

Castle Rock Care Center

Registered name: SILVER HEIGHTS SKILLED NURSING AND REHABILITATION

CASTLE ROCK, CO · Medicare-certified · 91 beds

In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall

Castle Rock Care Center in Castle Rock, CO has an overall 4-star rating, with strong quality measures (5 stars) and staffing (4 stars), though health inspections are lower at 3 stars. Reported nurse staffing is 2.90 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.8975 hrs/resident/day

Quality measures

Last inspection: April 3, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8975.

Staffing detail

Registered nurses
0.84
Licensed practical nurses
0.48
Nurse aides
1.58
Weekend nursing
2.67

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 33%

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

23.1%24.1%Worsening

Residents with a fall causing major injury

5.8%2.1%Improving

Residents with pressure ulcers (bedsores)

4%2.5%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%9.3%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

11.9%25.6%Worsening

Residents whose ability to walk got worse

11.9%

Long-stay residents on antianxiety or sleep medication

4.8%0%Improving

Short-stay residents newly given an antipsychotic

2.9%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

42.3%24.7%Improving

Residents with depressive symptoms

4.2%2.5%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

86.9%

Long-stay residents given the pneumonia vaccine

86.5%63.8%Worsening

Short-stay residents given the seasonal flu vaccine

81.2%

Short-stay residents given the pneumonia vaccine

80%42.1%Worsening

What the inspectors found

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 October 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited July 2022 — widespread issue, potential for harm.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: F

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited April 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 758 — 42 CFR §483.45(e) — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited April 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

Recent history

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found

Operator & ownership

Recent ownership change · Sep 15, 2021

Now operated by Silver Heights Skilled Nursing and Rehabilitation, previously Castle Rock Care Center.

Ownership
For profit - Limited Liability company
Chain
Part of MADISON CREEK PARTNERS · 13 homes · 3.2 stars avg
Occupancy
58.1 residents on an average day (64% of 91 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.