Cedars Healthcare Center
1599 Ingalls St · Lakewood, CO · 80214 · 3032323551
130 certified beds For profit - Limited Liability company Chain: Stellar Senior Living
Why this verdict
- 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).
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
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.
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.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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 | 3.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 24% | median 45% |
| Fines (3-yr window) | 1 · $31,663 |
Inspection citations (41 in the current record)
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Immediate jeopardy · J July 16, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 13, 2025 · Quality of Life and Care
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Potential for harm · D July 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 August 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 20, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 9, 2024 · Quality of Life and Care
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Potential for harm · D March 19, 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 April 28, 2024 · Pharmacy Service
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Potential for harm · D March 19, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 19, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 28, 2024 · Quality of Life and Care
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Potential for harm · D March 19, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 28, 2024 · Quality of Life and Care
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Potential for harm · D March 19, 2024 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 28, 2024 · Quality of Life and Care
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Potential for harm · E March 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 28, 2024 · Infection Control
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Immediate jeopardy · J October 17, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 9, 2023 · Quality of Life and Care
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Potential for harm · D October 17, 2023 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected November 9, 2023 · Quality of Life and Care
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Potential for harm · E September 27, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 24, 2023 · Infection Control
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Potential for harm · D December 1, 2022
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected December 28, 2022 · Resident Rights
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Potential for harm · E December 1, 2022
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 December 28, 2022 · Resident Rights
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Potential for harm · D December 1, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 28, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 28, 2022 · Quality of Life and Care
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Potential for harm · E December 1, 2022
Provide activities to meet all resident's needs.
Corrected December 28, 2022 · Quality of Life and Care
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Potential for harm · E December 1, 2022
Ensure the activities program is directed by a qualified professional.
Corrected December 28, 2022 · Quality of Life and Care
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Potential for harm · D December 1, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 28, 2022 · Quality of Life and Care
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Potential for harm · D December 1, 2022
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 28, 2022 · Quality of Life and Care
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Potential for harm · E December 1, 2022
Ensure that residents are free from significant medication errors.
Corrected December 28, 2022 · Pharmacy Service
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Potential for harm · E December 1, 2022
Provide and implement an infection prevention and control program.
Corrected January 9, 2023 · Infection Control
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Actual harm · G August 18, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 17, 2021 · Resident Rights
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Potential for harm · E August 18, 2021
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected September 17, 2021 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 27, 2023 | Fine | $31,663 |
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 065202 · certified since December 27, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.