The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
VILLAGE CARE AND REHABILITATION CENTER, THE
WESTMINSTER, CO · Medicare-certified · 60 beds
In good standing
Non-profitChain member
4 of 5 overall
4 out of 5 stars overall. This facility has 4-star health inspection and staffing ratings, 3-star quality measures, reported nurse staffing above the federal benchmark (4.37 vs 4.1 hours per resident per day), and no fines in the last 24 months, though recent inspection citations included accident hazards/supervision, infection prevention and control, and care planning.
Facility ratings
Health inspections
Staffing
4.3662 hrs/resident/day
Quality measures
Last inspection: December 19, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3662.
Staffing detail
- Registered nurses
- 0.87
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.72
- Weekend nursing
- 3.83
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 46%
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
5%4.3%Improving
Residents with a fall causing major injury
0%8.1%Worsening
Residents with pressure ulcers (bedsores)
9.9%5.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.7%3.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24%28%Worsening
Residents whose ability to walk got worse
—35.1%—
Long-stay residents on antianxiety or sleep medication
15.4%7.4%Improving
Short-stay residents newly given an antipsychotic
6.5%1.3%Improving
Residents with a long-term catheter
6%3.4%Improving
Residents with new or worsening incontinence
27.7%34.3%Worsening
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).
Long-stay residents given the seasonal flu vaccine
—88.6%—
Long-stay residents given the pneumonia vaccine
87.2%89.2%Improving
Short-stay residents given the seasonal flu vaccine
—60.2%—
Short-stay residents given the pneumonia vaccine
56.7%79.8%Improving
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 December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide a proper room for residents to eat and do activities, with enough space, lighting, air flow, and furniture. Cited August 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 920 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- 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 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Chain
- Part of COVENANT LIVING · 15 homes · 4.3 stars avg
- Occupancy
- 51.8 residents on an average day (86% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.