Brookshire Post Acute
4660 E Asbury Cir · Denver, CO · 80222 · 3037561546
67 certified beds For profit - Individual Chain: Pacs Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $46,638 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 2 · $75,713 |
Inspection citations (45 in the current record)
-
Potential for harm · D January 6, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J October 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 13, 2025 · Quality of Life and Care
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Potential for harm · F October 16, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected November 13, 2025 · Administration
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Potential for harm · D January 16, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 7, 2025 · Resident Rights
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Potential for harm · E January 16, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected February 12, 2025 · Resident Rights
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Potential for harm · D January 16, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 7, 2025 · Resident Rights
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Potential for harm · D January 16, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 16, 2025
Provide activities to meet all resident's needs.
Corrected February 14, 2025 · Quality of Life and Care
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Potential for harm · D January 16, 2025
Observe each nurse aide's job performance and give regular training.
Corrected February 14, 2025 · Nursing and Physician Services
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Potential for harm · D January 16, 2025
Provide or obtain dental services for each resident.
Corrected February 7, 2025 · Quality of Life and Care
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Potential for harm · F January 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 14, 2025 · Nutrition and Dietary
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Potential for harm · E January 16, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 12, 2025 · Environmental
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Potential for harm · E January 16, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected February 14, 2025 · Administration
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Potential for harm · D January 16, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 14, 2025 · Quality of Life and Care
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Potential for harm · D January 16, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 25, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 15, 2024 · Resident Rights
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Potential for harm · E January 25, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 15, 2024 · Resident Rights
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Potential for harm · D January 25, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 25, 2024
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 25, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 25, 2024
Respond appropriately to all alleged violations.
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 25, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected February 15, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 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 February 15, 2024 · Quality of Life and Care
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Potential for harm · D January 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 15, 2024 · Quality of Life and Care
-
Potential for harm · D January 25, 2024
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.
Corrected February 15, 2024 · 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 16, 2025 | Fine | $46,638 |
| October 12, 2023 | Fine | $29,075 |
| October 12, 2023 | Payment Denial | 12 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065242 · certified since October 1, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.