Ahc of Lakewood, LLC
Lakewood · 0.3 mi · 36 beds
Citations0Substantiated0
Lakewood Villa
1625 SIMMS ST, Lakewood, CO, 80215
Nursing home57 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 5 deficiencies against Lakewood Villa in Lakewood, Colorado at its most recent standard inspection on 2024-12-19, 2 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $40,006. CMS currently flags this home for abuse. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
57certified beds
5deficiencies at the last inspection
1immediate-jeopardy findings on record
4actual-harm findings on record
2federal fines, $40,006
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.1
Actual harmA resident was harmed, but not placed in immediate danger.4
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.16
Potential for minimal harmThe least serious band.0
Most recentDDFEDDDJFEGGFEDDDGGE
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-07-07 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-03-25 · from a complaint · 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 · 2024-12-19 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-12-19 · from a complaint · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2024-12-19 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2024-12-19 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-12-19 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-05-01 · from a complaint · Immediate jeopardy to resident health or safety
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2024-01-25 · from a complaint · No actual harm, potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2024-01-25 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2023-07-17 · from a complaint · Actual harm to a resident
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2023-07-17 · standard survey · Actual harm to a resident
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 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
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 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · F0553 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2023-07-17 · 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 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2019-10-31 · standard survey · Actual harm to a resident
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · F0744 · 2019-10-31 · standard survey · Actual harm to a resident
Have enough outside ventilation via a window or mechanical ventilation, or both.
Environmental Deficiencies · F0923 · 2019-10-31 · 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 are3 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.10152
Nursing staff turnoverShare of nursing staff who left in a year46.3%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$40,006
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership
Who owns Lakewood Villa
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 |
|---|---|---|---|
| CHIEF JOSEPH TRAIL, LLC | Organization | 100% | since 03/02/2026 |
| TIPPET, LLC | Organization | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| WHITE CANYON, LLC | Organization | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| CLEGG, MICHAEL | Individual | NO PERCENTAGE PROVIDED | since 03/02/2026 |
| CLEGG, MICHAEL | Individual | NOT APPLICABLE | since 06/26/2023 |
| IKERD, JOHN | Individual | NOT APPLICABLE | since 03/02/2026 |
| MADISON CREEK PARTNERS LLC | Organization | NOT APPLICABLE | since 06/01/2013 |
| CHRISTENSEN, COVEY | Individual | NOT APPLICABLE | since 06/01/2013 |
| CLEGG, MICHAEL | Individual | NOT APPLICABLE | since 06/26/2023 |
| HOPKINS, AMBER | Individual | NOT APPLICABLE | since 12/01/2021 |
| HOWE, ROBERT | Individual | NOT APPLICABLE | since 06/01/2018 |
| IKERD, JOHN | Individual | NOT APPLICABLE | since 04/25/2022 |
Part of the MADISON CREEK PARTNERS group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Western Hills Health Care Center
Lakewood · 2.1 mi · 140 beds
Citations0Substantiated0
Allison Care Center
Lakewood · 2.4 mi · 85 beds
Citations0Substantiated0
Harmony Pointe Care Center
Lakewood · 2.5 mi · 125 beds
Citations0Substantiated0
Mountain Vista Health Center
Wheat Ridge · 2.9 mi · 168 beds
Citations0Substantiated0
Cedars Healthcare Center
Lakewood · 3.7 mi · 130 beds
Citations0Substantiated0
Contact
Ask Lakewood Villa a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 065408.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction