About Heights Care and Rehabilitation LLC
Heights Care And Rehabilitation Llc, located in DENVER, CO, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Heights Care and Rehabilitation LLC
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 3.17 hrs
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the PACS GROUP network. This chain operates 279 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Heights Care and Rehabilitation LLC provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 1 |
|
| Quality Measures | 5 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 190 | Jan 11, 2024 |
| Weighted Average | 194 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.0% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.2% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 3.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.5% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.2% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 3.3% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.5% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 79.6% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 5.7% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 9.2% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 75.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 9.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 16.6% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 21.8% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 11 complaints
- 2024: 10 complaints
- 2025: 2 complaints
- Total: 23 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Dec 22, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 30, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jul 29, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jun 07, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Jun 07, 2024 | Provide and implement an infection prevention and control program. |
| Apr 01, 2024 | Provide and implement an infection prevention and control program. |
| Apr 01, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Apr 01, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. |
| Mar 13, 2024 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. |
| Mar 13, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Feb 09, 2024 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. |
| Jan 12, 2024 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| Dec 04, 2023 | 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. |
| Nov 15, 2023 | Ensure the activities program is directed by a qualified professional. |
| Nov 11, 2023 | 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. |
| Sep 08, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Sep 08, 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. |
| Sep 08, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 08, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Sep 08, 2023 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. |
| Sep 08, 2023 | Provide and implement an infection prevention and control program. |
| Aug 14, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Aug 04, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
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Owner & Operator Information
Business Entity
HEIGHTS COMMUNITY HEALTHCARE LLC
Ownership Structure
- CENTENNIAL MASTER TENANT LLC Direct: 100%
- PROVIDENCE GROUP NH LLC Indirect
Management & Direction
- FREDERICK APT CORPORATE OFFICER
- MARK HANCOCK CORPORATE OFFICER
- JOSHUA JERGENSEN CORPORATE OFFICER
- SAMUEL KROMMENHOEK W-2 MANAGING EMPLOYEE
- JOHN MITCHELL CORPORATE OFFICER
- MICHAEL PLACHTA CONTRACTED MANAGING EMPLOYEE
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Beth Israel at Shalom Park | N/A | 5 |
| Vi at Highlands Ranch Skilled Nursing | N/A | 5 |
| The Center at Northridge, LLC | N/A | 5 |
| Sloan's Lake Rehabilitation Center | N/A | 5 |
| Continuing Care at Wind Crest | N/A | 5 |
| The Suites at Clermont Park Care Center | N/A | 5 |
| Littleton Care and Rehabilitation Center | N/A | 5 |
| Western Hills Health Care Center | N/A | 5 |
| Frasier Meadows Health Care Center | N/A | 5 |
| Advanced Health Care of Aurora | N/A | 5 |
Related Analysis
Best Nursing Homes in DENVER, CO
Compare Heights Care and Rehabilitation LLC to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Heights Care and Rehabilitation LLC directly at 3037610260. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.