Juniper Village - the Spearly Center
2205 W 29th Ave · Denver, CO · 80211 · 3034581112
135 certified beds For profit - Individual Chain: Juniper Communities
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $139,324 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
$139,324 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.78 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 2.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.33 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 7 · $274,182 |
Inspection citations (31 in the current record)
-
Potential for harm · E December 4, 2025
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 December 5, 2025 · Pharmacy Service
-
Potential for harm · D December 4, 2025
Provide and implement an infection prevention and control program.
Corrected December 5, 2025 · Infection Control
-
Immediate jeopardy · J April 25, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 26, 2025 · Quality of Life and Care
-
Potential for harm · D April 25, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected April 26, 2025 · Resident Rights
-
Potential for harm · D April 25, 2025
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected April 26, 2025 · Resident Rights
-
Potential for harm · D April 25, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 25, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 26, 2025 · Quality of Life and Care
-
Potential for harm · D April 25, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 26, 2025 · Quality of Life and Care
-
Potential for harm · E April 25, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 26, 2025 · Nutrition and Dietary
-
Potential for harm · E April 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 26, 2025 · Nutrition and Dietary
-
Potential for harm · D April 25, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected April 26, 2025 · Administration
-
Potential for harm · F April 25, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 26, 2025 · Administration
-
Potential for harm · E April 25, 2025
Provide and implement an infection prevention and control program.
Corrected April 26, 2025 · Infection Control
-
Immediate jeopardy · L December 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 12, 2024 · Quality of Life and Care
-
Potential for harm · F December 11, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 4, 2025 · Administration
-
Actual harm · G October 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 25, 2024 · Quality of Life and Care
-
Immediate jeopardy · L May 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 24, 2024 · Quality of Life and Care
-
Immediate jeopardy · K May 23, 2024 · found via complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected May 24, 2024 · Quality of Life and Care
-
Potential for harm · D May 23, 2024 · found via complaint
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 May 24, 2024 · Resident Rights
-
Potential for harm · D May 23, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 24, 2024 · Quality of Life and Care
-
Potential for harm · D May 23, 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 May 24, 2024 · Pharmacy Service
-
Potential for harm · F May 23, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected May 24, 2024 · Nutrition and Dietary
-
Potential for harm · F May 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2024 · Nutrition and Dietary
-
Potential for harm · F May 23, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 24, 2024 · Administration
-
Potential for harm · D May 23, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 24, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 22, 2025 | Fine | $10,953 |
| December 11, 2024 | Fine | $114,111 |
| October 23, 2024 | Fine | $14,260 |
| June 5, 2024 | Fine | $42,965 |
| June 5, 2024 | Payment Denial | 76 days |
| May 23, 2024 | Fine | $66,256 |
| December 19, 2023 | Fine | $19,286 |
| August 7, 2023 | Fine | $6,351 |
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 065327 · certified since April 11, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.