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.

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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%.

Score breakdown

Inspection record 30% of score 31
Serious harm & abuse 20% 6
Staffing 20% 67
Federal penalties 15% 32
Trend 10% 51
Context 5% 100

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-day3.393.48 min · 4.1 strong
RN hours / resident-day0.860.55–0.75
Weekend hours / resident-day3.08≈ weekday level
Nursing turnover / year60%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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · E January 16, 2025

    Provide activities to meet all resident's needs.

    Corrected February 14, 2025 · Quality of Life and Care

  • 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

  • Potential for harm · D January 16, 2025

    Provide or obtain dental services for each resident.

    Corrected February 7, 2025 · Quality of Life and Care

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D January 25, 2024

    Respond appropriately to all alleged violations.

    Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • 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

  • 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

  • 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

DateTypeAmount / length
October 16, 2025Fine$46,638
October 12, 2023Fine$29,075
October 12, 2023Payment Denial12 days

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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.