HALLMARK NURSING CENTER – Nursing Home, DENVER, Colorado
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 14 November 2024 · 65 health and 63 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
3701 W RADCLIFF AVE
DENVER, CO 80236
Phone: (303) 794-6484
Compare to CO average
See how this facility compares to the CO state average among rated nursing homes (225 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | CO average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 5 | 3.19 | 5 |
| Health inspection | 4 | 2.72 | 3 |
| Staffing | 4 | 3.22 | 5 |
| Quality measures | 5 | 4.21 | 5 |
| Certified beds | 143 | 91.8 | — |
| Citations on file (health + fire) | 128 | ~8.3 health* | — |
- AMBERWOOD POST ACUTE — 2★ overall
- BERKLEY MANOR CARE CENTER — 5★ overall
- BRIARWOOD HEALTH CARE CENTER — 4★ overall
- BROOKSHIRE POST ACUTE — 2★ overall
- CENTER AT LOWRY, LLC — 2★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| PRESTON, FORREST L | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 100.00 | 01/25/1984 |
| THURMOND, JOAN E | CORPORATE OFFICER | Individual | - | 06/24/2014 |
| CROSS, CINDY S | CORPORATE OFFICER | Individual | - | 06/24/2014 |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | 100.00 | 11/01/2014 |
| PUEBLO MEDICAL INVESTORS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/24/2014 |
| BARNES, DEBORAH | W-2 MANAGING EMPLOYEE | Individual | - | 08/25/2015 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
128 citations on file · Latest survey: 14 November 2024 · 65 health · 63 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-11-14 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-11-14 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-11-14 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-02-06 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-02-06 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-02-06 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-02-06 | F684 | E — Minimal harm, pattern | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-02-06 | F684 | E — Minimal harm, pattern | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-02-06 | F684 | E — Minimal harm, pattern | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-02-06 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2024-02-06 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2024-02-06 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2023-10-05 | F804 | E — Minimal harm, pattern | Health | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2023-10-05 | F804 | E — Minimal harm, pattern | Health | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2023-10-05 | F804 | E — Minimal harm, pattern | Health | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2023-04-13 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2023-04-13 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2022-10-17 | F807 | D — Minimal harm, isolated | Health | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. |
| 2022-10-17 | F807 | D — Minimal harm, isolated | Health | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. |
| 2022-10-17 | F807 | D — Minimal harm, isolated | Health | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-02-06 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2024-02-06 | K363 | D — Minimal harm, isolated | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2024-02-06 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-02-06 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2024-02-06 | K363 | D — Minimal harm, isolated | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2024-02-06 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-02-06 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2024-02-06 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-02-06 | K363 | D — Minimal harm, isolated | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2022-10-17 | K914 | F — Minimal harm, widespread | Fire Safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2022-10-17 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2022-10-17 | K923 | E — Minimal harm, pattern | Fire Safety | Have proper medical gas storage and administration areas. |
| 2022-10-17 | K925 | E — Minimal harm, pattern | Fire Safety | Ensure that sources of ignition are removed from patients receiving respiratory therapy. |
| 2022-10-17 | K926 | E — Minimal harm, pattern | Fire Safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. |
| 2022-10-17 | K372 | E — Minimal harm, pattern | Fire Safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2022-10-17 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2022-10-17 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2022-10-17 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2022-10-17 | K372 | E — Minimal harm, pattern | Fire Safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2022-10-17 | K511 | E — Minimal harm, pattern | Fire Safety | Have properly installed electrical wiring and gas equipment. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 2 |
| Staffing Rating | 4 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 1.88917 |
| Reported LPN Staffing Hours per Resident per Day | 0.69236 |
| Reported RN Staffing Hours per Resident per Day | 0.83421 |
| Reported Licensed Staffing Hours per Resident per Day | 1.52656 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.68863 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.01587 |
| Casemix CNA Staffing Hours per Resident per Day | 2.0466 |
| Casemix LPN Staffing Hours per Resident per Day | 0.67407 |
| Casemix RN Staffing Hours per Resident per Day | 0.31368 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.03435 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.90563 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.72413 |
| Adjusted RN Staffing Hours per Resident per Day | 0.87249 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.85791 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-06-19 |
Date of Standard Health Survey (Cycle 2) | 2018-04-12 |
Total Number of Health Deficiencies (Cycle 1) | 3 |
Number of Standard Health Deficiencies (Cycle 1) | 2 |
Number of Complaint Health Deficiencies (Cycle 1) | 1 |
Health Deficiency Score (Cycle 1) | 24 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 24 |
Health Deficiency Score (Cycle 2) | 0 |
Date of Standard Health Survey (Cycle 3) | 2016-10-25 |
Total Number of Health Deficiencies (Cycle 3) | 7 |
Number of Standard Health Deficiencies (Cycle 3) | 7 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 32 |
Total Health Score (Cycle 3) | 32 |
Total Weighted Health Survey Score | 45 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 1 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 6788 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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