The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
SUITES AT HOLLY CREEK CARE CENTER, THE
CENTENNIAL, CO · Medicare-certified · 25 beds
Needs attention
Non-profit
5 of 5 overall
5 of 5 stars overall. Staffing is strong at 5.95 hours per resident per day, above the federal benchmark of 4.1, but the facility had a recent federal penalty and $21,678 in fines over the last 24 months; health inspection and quality measures are both 4 of 5 stars.
Facility ratings
Health inspections
Staffing
5.9515 hrs/resident/day
Quality measures
Last inspection: November 21, 2024Penalties, last 24 months: $21,678recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.9515.
Staffing detail
- Registered nurses
- 1.68
- Licensed practical nurses
- 0.93
- Nurse aides
- 3.33
- Weekend nursing
- 5.02
Hours per resident per day.
Total staff turnover: 23%
Registered nurse turnover: 14%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.1%Steady
Residents with a fall causing major injury
7.6%Steady
Residents with pressure ulcers (bedsores)
3.1%Steady
Residents with a urinary tract infection
1.6%Steady
Residents who lost too much weight
8.3%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
35.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.2%Steady
Short-stay residents newly given an antipsychotic
1.2%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26.3%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.5%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
69%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
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 November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited May 2022 — isolated incident, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $21,678 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $42,056 in total fines · 1 payment denial.
- $21,678
Federal fine
Nov 21, 2024
- 8 days
Medicare/Medicaid payment denial
Jul 31, 2023
- $20,378
Federal fine
Jul 31, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 25.1 residents on an average day (100% of 25 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 17 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.