Sierra Post Acute
1432 Depew St · Lakewood, CO · 80214 · 3032381375
102 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $78,888 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$78,888 in federal fines in the last 24 months
3 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: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 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 | 49% | median 45% |
| Fines (3-yr window) | 3 · $78,888 |
Inspection citations (39 in the current record)
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Actual harm · G January 29, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 7, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 4, 2026 · Resident Rights
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Potential for harm · E January 29, 2026
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected February 9, 2026 · Resident Rights
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Potential for harm · D January 29, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 7, 2026 · Quality of Life and Care
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Potential for harm · E 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 February 4, 2026 · Pharmacy Service
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Potential for harm · F January 29, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 13, 2026 · Nutrition and Dietary
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Potential for harm · D January 29, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 4, 2026 · Infection Control
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Potential for harm · D January 29, 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 February 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F January 29, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 4, 2026 · Infection Control
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Actual harm · G October 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 17, 2025 · Quality of Life and Care
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Immediate jeopardy · J September 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 21, 2024 · Quality of Life and Care
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Potential for harm · E March 20, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 7, 2024 · Environmental
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Potential for harm · F March 20, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 7, 2024 · Environmental
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Actual harm · G October 24, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected November 17, 2023 · Quality of Life and Care
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Potential for harm · D October 24, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected November 17, 2023 · Resident Rights
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Potential for harm · F October 24, 2023
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 November 17, 2023 · Resident Rights
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Potential for harm · E October 24, 2023
Provide activities to meet all resident's needs.
Corrected November 17, 2023 · Quality of Life and Care
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Potential for harm · D October 24, 2023
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected December 13, 2023 · Quality of Life and Care
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Potential for harm · D October 24, 2023
Ensure that residents are free from significant medication errors.
Corrected November 17, 2023 · Pharmacy Service
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Potential for harm · D October 24, 2023
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 November 17, 2023 · Pharmacy Service
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Potential for harm · E October 24, 2023
Keep all essential equipment working safely.
Corrected November 17, 2023 · Environmental
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Potential for harm · F October 24, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 17, 2023 · Environmental
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Potential for harm · E October 24, 2023 · found via complaint
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 November 17, 2023 · Resident Rights
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Potential for harm · F October 24, 2023 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 17, 2023 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 29, 2026 | Fine | $28,350 |
| October 20, 2025 | Fine | $40,180 |
| September 5, 2024 | Fine | $10,358 |
| October 24, 2023 | Payment Denial | 21 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 065272 · certified since March 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.