Deficiency Index

Arvada Care and Rehabilitation Center

Arvada, Colorado · CCN 065321

14 surveys since 2011. The first finding at harm level was recorded in 2024.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
52
Surveys
14
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file7/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
54
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
Jefferson
Medicare-certified since
1994

CMS ratings

Overall
5
Health inspection
4
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

Jan 15, 2026

298 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.463.60
Registered-nurse hours per resident day0.77—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$8,018 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG15.9%H—I—
No harm, potential for more than minimalD1164.7%E423.5%F—
No harm, potential for minimalA—B—C15.9%
CMS’s current file: 17 of the 52 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5783×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5751×

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

In the surveyor’s words

From the most serious findings on record at Arvada Care and Rehabilitation Center, in the surveyor’s own words.

  • Actual harm, isolatedF578Aug 14, 2024

    Based on record review and interviews, the facility failed to ensure each resident had the right to formulate an advanced directive for one (#1) of three residents reviewed for advanced directives out of 10 sample residents. Upon Resident #1's admission to the facility on [DATE], a licensed practical nurse (LPN) #3 interviewed Resident #1 and filled out the advanced directive paper form with the necessary information indicating the resident chose to be a DNR (do not resuscitate) status. LPN #1 did not record the resident's DNR status in Resident #1's electronic medical records (EMR) as he was required to do. On [DATE] the medical provider discussed the decision to be a DNR status with Resident #1 and her family. […]

  • No harm, potential for more than minimal, patternF812Jan 15, 2026

    Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions to prevent the potential for food borne illness for all residents who receive meals from the main kitchen. Specifically, the facility failed to ensure:-The food preparation area and kitchen were maintained under sanitary conditions; -Pans were air dried thoroughly before stacking and storing;-Perishable food was labeled properly with the type of food and expiration date; -Expired food was removed from storage areas by the expiration date; and,-Grease drained from the grease trap was not left in open containers stored in the food.Findings include:I. Failure to ensure the kitchen was kept in a sanitary mannerA. […]

  • No harm, potential for more than minimal, patternF655Mar 12, 2025

    Based on record review, observations and interviews, the facility failed to develop and implement a baseline care plan which included the instructions needed to provide effective and person-centered care for four (#9, #24, #201 and #39) of five residents reviewed for baseline care plans out of 32 sample residents. Specifically, the facility failed to ensure pertinent medical information was included on Resident #9, Resident #24, Resident #201 and Resident #39's baseline care plans within 48 hours of admission. Findings include: I. Resident #9 A. Resident status Resident #9, age 78, was admitted on [DATE]. […]

  • No harm, potential for more than minimal, patternF880Mar 12, 2025

    Based on observations, interviews and record review, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease on two of two units. Specifically, the facility failed to: -Ensure enhanced barrier precautions (EBP) were followed during wound care; -Ensure high touch surfaces in resident rooms were cleaned; and, -Ensure residents' personal hygiene items in shared bathrooms were labeled and stored in a sanitary manner. Findings include: I. EBP failures A. […]

  • No harm, potential for more than minimal, patternF880Aug 17, 2023

    Based on observations, interviews and record review, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to prevent the development and transmission of disease and infection in two out of two units. Specifically, the facility failed to: -Ensure resident rooms were cleaned in a sanitary manner; -Ensure manufacturer recommended surface contact times were followed for effective disinfection; -Ensure that oxygen tubing and nasal cannulas were stored off the floor, in a clean bag and replaced when contaminated; and, -Ensure that intravenous (IV) tubing was stored between antibiotic administrations in a clean and sanitary manner. Findings include: I. Housekeeping A. Professional reference Centers for Disease Control. […]

Read 20 findings in full →The most serious and the most recent: 20 of 52 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 15, 2026Complaint1 finding
  • Aug 20, 2025Complaint1 finding
  • Mar 12, 2025Standard and complaint5 findings
  • Aug 14, 2024Complaint1 finding · 1 harm
  • Jan 23, 2024Complaint1 finding
  • Aug 17, 2023Standard7 findings
  • May 18, 2022Standard1 finding
  • May 2, 2019Standard4 findings
Show the 6 earlier surveys
  • Feb 26, 2018Standard3 findings
  • Sep 19, 2016Standard and complaint4 findings
  • Sep 14, 2015Standard10 findings
  • Aug 14, 2014Standard8 findings
  • Sep 5, 2013—2 findings
  • Sep 6, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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