Amberwood Post Acute
4686 E Asbury Cir · Denver, CO · 80222 · 3037561566
88 certified beds For profit - Corporation Chain: Pacs Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.99 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 2.97 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $9,636 |
Inspection citations (39 in the current record)
-
Potential for harm · D April 23, 2026 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 23, 2026 · found via complaint
Respond appropriately to all alleged violations.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 23, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
-
Potential for harm · D December 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E October 15, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected November 15, 2024 · Resident Rights
-
Potential for harm · D October 15, 2024
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected November 15, 2024 · Resident Rights
-
Potential for harm · D October 15, 2024
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected November 15, 2024 · Resident Rights
-
Potential for harm · D October 15, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 15, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 15, 2024
Plan the resident's discharge to meet the resident's goals and needs.
Corrected November 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 15, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 15, 2024 · Quality of Life and Care
-
Potential for harm · D October 15, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 15, 2024 · Quality of Life and Care
-
Potential for harm · D October 15, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected November 15, 2024 · Quality of Life and Care
-
Potential for harm · E October 15, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected November 15, 2024 · Quality of Life and Care
-
Potential for harm · D October 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 15, 2024 · Quality of Life and Care
-
Potential for harm · E October 15, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected November 15, 2024 · Pharmacy Service
-
Potential for harm · D October 15, 2024
Ensure that residents are free from significant medication errors.
Corrected November 15, 2024 · Pharmacy Service
-
Potential for harm · E October 15, 2024
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.
Corrected November 15, 2024 · Pharmacy Service
-
Potential for harm · E October 15, 2024
Provide or obtain dental services for each resident.
Corrected November 15, 2024 · Quality of Life and Care
-
Potential for harm · E October 15, 2024
Provide and implement an infection prevention and control program.
Corrected November 15, 2024 · Infection Control
-
Potential for harm · D May 18, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected July 7, 2023 · Resident Rights
-
Potential for harm · D May 18, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected July 7, 2023 · Resident Rights
-
Potential for harm · D May 18, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected July 7, 2023 · Resident Rights
-
Potential for harm · D May 18, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 7, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D May 18, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected July 7, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 15, 2024 | Fine | $9,636 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065034 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.