Lamar Estates Nursing Center
205 S 10th St · Lamar, CO · 81052 · 7193363434
60 certified beds For profit - Limited Liability company Chain: Dakavia
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
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.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $42,390 |
Inspection citations (16 in the current record)
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Immediate jeopardy · J January 29, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected January 30, 2026 · Infection Control
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Actual harm · G January 29, 2026
Provide or obtain dental services for each resident.
Corrected February 19, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 20, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E January 29, 2026
Observe each nurse aide's job performance and give regular training.
Corrected February 13, 2026 · Nursing and Physician Services
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Potential for harm · D January 29, 2026
Ensure that residents are free from significant medication errors.
Corrected February 18, 2026 · Pharmacy Service
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Potential for harm · D January 29, 2026
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 January 30, 2026 · Pharmacy Service
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Potential for harm · E January 29, 2026
Provide and implement an infection prevention and control program.
Corrected January 30, 2026 · Infection Control
-
Potential for harm · D September 27, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 3, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E September 27, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 29, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 9, 2022 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 29, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 9, 2022 · Quality of Life and Care
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Potential for harm · E June 29, 2022
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected August 9, 2022 · Nursing and Physician Services
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Potential for harm · D June 29, 2022
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 August 9, 2022 · Quality of Life and Care
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Potential for harm · D June 29, 2022
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected August 9, 2022 · Quality of Life and Care
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Potential for harm · D June 29, 2022
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 August 9, 2022 · Pharmacy Service
-
Potential for harm · D June 29, 2022
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 9, 2022 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 29, 2026 | Fine | $42,390 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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 065294 · certified since December 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.