Highline Post Acute
6060 E Iliff Ave · Denver, CO · 80222 · 3037594221
125 certified beds For profit - Limited Liability company Chain: Pacs Group
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).
- Federal penalties on record: $92,284 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$92,284 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 4 · $92,284 |
Inspection citations (36 in the current record)
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Immediate jeopardy · J December 11, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 24, 2025 · Pharmacy Service
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Actual harm · G July 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D April 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
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Immediate jeopardy · J February 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 26, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · F February 27, 2025 · found via complaint
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected March 7, 2025 · Administration
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Potential for harm · F February 27, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 20, 2025 · Administration
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Actual harm · G September 3, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 15, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 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 September 15, 2024 · Quality of Life and Care
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Potential for harm · E August 15, 2024 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected September 15, 2024 · Resident Rights
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Potential for harm · D August 15, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 15, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 15, 2024 · Quality of Life and Care
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Potential for harm · E August 15, 2024 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected September 15, 2024 · Nursing and Physician Services
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Potential for harm · D August 15, 2024 · found via complaint
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 September 15, 2024 · Pharmacy Service
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Potential for harm · D August 15, 2024 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 15, 2024 · Nutrition and Dietary
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Potential for harm · E August 15, 2024 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected September 15, 2024 · Nutrition and Dietary
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Potential for harm · E August 15, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 15, 2024 · Nutrition and Dietary
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Potential for harm · D August 15, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 15, 2024 · Infection Control
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Potential for harm · E August 15, 2024 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected September 15, 2024 · Nursing and Physician Services
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Potential for harm · E June 6, 2024 · found via complaint
Keep all essential equipment working safely.
Corrected June 23, 2024 · Environmental
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Actual harm · G January 11, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 11, 2024 · Quality of Life and Care
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Potential for harm · D January 11, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 11, 2024 · Resident Rights
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Potential for harm · D January 11, 2024 · found via complaint
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected February 3, 2024 · Administration
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Potential for harm · E January 11, 2024 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected February 3, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 11, 2025 | Fine | $35,225 |
| July 14, 2025 | Fine | $34,512 |
| February 27, 2025 | Fine | $15,759 |
| August 15, 2024 | Fine | $6,788 |
| January 11, 2024 | Payment Denial | 31 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 065256 · certified since April 15, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.