Silver Heights Skilled Nursing and Rehabilitation
4001 Home St · Castle Rock, CO · 80108 · 3036883174
91 certified beds For profit - Limited Liability company Chain: Madison Creek Partners
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 76 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.90 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · E April 3, 2025
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 May 16, 2025 · Resident Rights
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Potential for harm · D April 3, 2025
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 May 16, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · E April 3, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 16, 2025 · Pharmacy Service
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Potential for harm · E April 3, 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 May 16, 2025 · Pharmacy Service
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Potential for harm · E April 3, 2025
Provide and implement an infection prevention and control program.
Corrected May 16, 2025 · Infection Control
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Potential for harm · D April 3, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 16, 2025 · Infection Control
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Potential for harm · D April 3, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
Provide or obtain dental services for each resident.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 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 May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 13, 2024 · Resident Rights
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Potential for harm · D November 7, 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 December 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 13, 2024 · Pharmacy Service
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Potential for harm · D November 7, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 19, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 2, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 19, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected December 2, 2023 · Quality of Life and Care
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Potential for harm · D October 19, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 2, 2023 · Quality of Life and Care
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Potential for harm · D October 19, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 2, 2023 · Quality of Life and Care
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Potential for harm · D October 19, 2023
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected December 2, 2023 · Quality of Life and Care
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Potential for harm · D October 19, 2023
Observe each nurse aide's job performance and give regular training.
Corrected December 2, 2023 · Nursing and Physician Services
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Potential for harm · D October 19, 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 December 2, 2023 · Pharmacy Service
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Potential for harm · F October 19, 2023
Provide and implement an infection prevention and control program.
Corrected December 2, 2023 · Infection Control
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Potential for harm · E July 21, 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 August 26, 2022 · Resident Rights
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Potential for harm · D July 21, 2022
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 26, 2022 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 065285 · certified since December 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.