Villa Manor Care Center
Lakewood · 2.7 mi · 110 beds
Citations0Substantiated0
Lakewood Post Acute and Rehabilitation
7395 W EASTMAN PL, Lakewood, CO, 80227
Nursing home108 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 11 deficiencies against Lakewood Post Acute and Rehabilitation in Lakewood, Colorado at its most recent standard inspection on 2025-03-27, 1 of them arising from complaints. 2 findings have been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $32,513. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
108certified beds
11deficiencies at the last inspection
0immediate-jeopardy findings on record
2actual-harm findings on record
1federal fines, $32,513
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.31
Potential for minimal harmThe least serious band.0
Most recentEEEDDDDDDDDGGFFEEEEE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · F0730 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0943 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · F0742 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · F0758 · 2025-03-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · F0808 · 2025-03-27 · from a complaint · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2023-09-28 · standard survey · Actual harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2023-09-28 · standard survey · Actual harm to a resident
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · F0761 · 2023-09-28 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-09-28 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · F0578 · 2023-09-28 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2023-09-28 · standard survey · No actual harm, potential for more than minimal harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · F0726 · 2023-09-28 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2023-09-28 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2023-09-28 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS6.95028
Nursing staff turnoverShare of nursing staff who left in a year44.7%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$32,513
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Lakewood Post Acute and Rehabilitation
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PANTHER MASTER TENANT, LLC | Organization | 100% | since 09/01/2023 |
| PROVIDENCE GROUP NH, LLC | Organization | 100% | since 09/01/2023 |
| JAVERY, SHAHID | Individual | NOT APPLICABLE | since 07/20/2023 |
| BIRRELL, AUSTIN | Individual | NOT APPLICABLE | since 05/15/2024 |
| APT, FREDERICK | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Individual | NOT APPLICABLE | since 01/01/2024 |
Part of the PACS GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Hallmark Nursing Center
Denver · 2.9 mi · 143 beds
Citations0Substantiated0
Heights Care & Rehabilitation LLC
Denver · 3.1 mi · 110 beds
Citations0Substantiated0
Westwood Post Acute
Denver · 3.7 mi · 85 beds
Citations0Substantiated0
Parkview Care Center
Denver · 3.8 mi · 73 beds
Citations0Substantiated0
Littleton Care and Rehabilitation Center
Littleton · 4.1 mi · 35 beds
Citations0Substantiated0
Contact
Ask Lakewood Post Acute and Rehabilitation a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 065400.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction