About Oakwood Care and Rehabilitation
Oakwood Care And Rehabilitation, located in LAKEWOOD, CO, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Oakwood Care and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 2.90 hrs
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the THE ENSIGN GROUP network. This chain operates 342 facilities.
Chain Performance Overview
For AI Users, Agents, and Developers
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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
Oakwood Care and Rehabilitation 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 | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 120 | Sep 11, 2025 |
| Weighted Average | 205 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 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) | 18.9% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 7.4% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.6% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.5% |
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) | 29.6% |
| Percentage of long-stay residents who lose too much weight (QM404) | 5.9% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.1% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.7% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 19.9% |
| 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) | 2.1% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 97.4% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 60.3% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 7.5% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 22.8% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 9.0% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 94.2% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 62.5% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 30.0% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 20.7% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 15 complaints
- 2024: 10 complaints
- 2025: 13 complaints
- 2026: 8 complaints
- Total: 46 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 23, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Mar 23, 2026 | Respond appropriately to all alleged violations. |
| Mar 23, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Mar 23, 2026 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| Mar 23, 2026 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| Mar 23, 2026 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. |
| Jan 15, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Jan 15, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Dec 31, 2025 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| Dec 23, 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. |
| Oct 10, 2025 | Provide and implement an infection prevention and control program. |
| Oct 10, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jul 04, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Jul 04, 2025 | Ensure that residents are free from significant medication errors. |
| Jul 04, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| Mar 07, 2025 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| Mar 07, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Mar 07, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 07, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| Mar 07, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Mar 07, 2025 | Provide and implement an infection prevention and control program. |
| May 05, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| May 05, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| May 05, 2024 | Respond appropriately to all alleged violations. |
| May 05, 2024 | 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. |
| May 05, 2024 | Provide or obtain dental services for each resident. |
| May 05, 2024 | Provide safe, appropriate pain management for a resident who requires such services. |
| May 05, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| May 02, 2024 | Provide and implement an infection prevention and control program. |
| May 02, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| May 02, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. |
| Nov 28, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Nov 24, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Nov 09, 2023 | Provide safe, appropriate pain management for a resident who requires such services. |
| Nov 09, 2023 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| Nov 09, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Nov 09, 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. |
| Nov 09, 2023 | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
| Nov 09, 2023 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| Nov 09, 2023 | Observe each nurse aide's job performance and give regular training. |
| Nov 09, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Nov 09, 2023 | Respond appropriately to all alleged violations. |
| Nov 09, 2023 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. |
| Nov 09, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Aug 11, 2023 | Dispose of garbage and refuse properly. |
| Aug 11, 2023 | Provide and implement an infection prevention and control program. |
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Owner & Operator Information
Business Entity
FOX HOLLOW HEALTHCARE INC
Ownership Structure
Management & Direction
- EDDY BOYLES MANAGING CONTROL - GOVERNING BODY
- EDDY BOYLES ADP OF THE SNF
- EDDY BOYLES OPERATIONAL/MANAGERIAL CONTROL
- SOON BURNAM ADP OF THE SNF
- SOON BURNAM CORPORATE OFFICER
- CARETRUST GP LLC ADP OF THE SNF
- CARETRUST REIT INC ADP OF THE SNF
- CTR PARTNERSHIP LP ADP OF THE SNF
- DAVID DUNYON CORPORATE OFFICER
- ENSIGN SERVICES INC ADP OF THE SNF
- GREGORY GAHM ADP OF THE SNF
- GREGORY GAHM OPERATIONAL/MANAGERIAL CONTROL
- GREGORY GAHM MANAGING CONTROL - GOVERNING BODY
- DAVID JORGENSEN CORPORATE DIRECTOR
- KARE TECHNOLOGIES LLC OPERATIONAL/MANAGERIAL CONTROL
- CHAD KEETCH CORPORATE OFFICER
- ONSHIFT INC OPERATIONAL/MANAGERIAL CONTROL
- BARRY PORT INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- AMI SATO CORPORATE OFFICER
- SOS NURSING SERVICES INC OPERATIONAL/MANAGERIAL CONTROL
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 |
| Ahc of Lakewood, LLC | N/A | 5 |
| Frasier Meadows Health Care Center | N/A | 5 |
Related Analysis
Best Nursing Homes in LAKEWOOD, CO
Compare Oakwood Care and Rehabilitation 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 Oakwood Care and Rehabilitation directly at 3032388333. 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.