Lakewood Villa

Nursing Home, Memory Care & Nursing Care · Lakewood, CO

CMS overall rating

1625 Simms St, Lakewood, CO 80215-2611 View map

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Lakewood Villa accepts Medicaid and Medicare.

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Lakewood Villa accepts Medicaid and Medicare.

Overview of Lakewood Villa

Lakewood Villa is a senior living facility in Lakewood, CO. It provides patient-centered care with a focus on memory care and rehabilitation services. The facility is certified by Medicare and Medicaid to provide 24-hour nursing care.

Facility Direct Line (303) 238-8161

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Colorado state averages

Total nursing care / resident

3h 49m per day

This facility Colorado avg (3h 52m per day)

vs Colorado avg

-1%

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	41m per day	▼ 16% State avg: 49m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	28m per day	▼ 33% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 3m per day	▼ 6% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 58m per day	▼ 9% State avg: 3h 16m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	▼ 57% State avg: 5m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	30m per day	▼ 16% State avg: 36m per day · National avg: 29m per day

Capacity and availability

17,659 days

57-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 85 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

BBB Rating: A (Not Accredited)

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About this community

Occupancy

Occupancy rate

88%

Higher than the Colorado average: 76.5%

Occupied beds

50 / 57

Average occupied beds in Colorado homes 72 beds

Facility TypeSkilled Nursing Facility / Nursing Facility Dual Certification

StatusActive

CMS Certification Number065408

Lakewood Villa is administered by Kendra James.

Owner NameLakewood Villa Operations, LLC

Accept Medicaid

Accept Medicare

Rehabilitation Services

24-Hour Staffing

Touring Hours10AM-8PM

Since 2019 · 7 years of data 61 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Colorado state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Colorado state average

Overall vs. CO average

Latest Inspection July 7, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	CO Average	vs. CO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	61	30	This facility has 103% more total deficiencies than a typical Colorado nursing home (61 vs. CO avg 30).↑ 103% worse
Deficiencies per year Average deficiencies per year since 2019.	8.7	4.3	This facility has 102% more deficiencies per year than a typical Colorado nursing home (8.7 vs. CO avg 4.3).↑ 102% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

July 7, 2025 complaint investigation substantiated resident-to-resident physical abuse and failures to implement care plans preventing dining room collisions.
December 19, 2024 complaint investigation substantiated physical abuse of Resident #37 by a staff member and multiple infection control and housekeeping deficiencies.
March 25, 2025 complaint investigation substantiated multiple resident-to-resident abuse incidents involving Resident #3, with updated care plans and ongoing staff education.

Show Inspection Reports

Inspections since 2019

Total health inspections 8

Colorado average 4.8

Last Health inspection on Jul 2025

Total health citations

Colorado average 24.8

Citations per inspection

2.75

Colorado average 5.2

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

13 of 22 citations resulted from standard inspections; 6 of 22 resulted from complaint investigations; and 3 of 22 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)

Critical health citations

150% worse than Colorado average

Colorado average: 0.4

Serious health citations

90% worse than Colorado average

Colorado average: 2.1

1 critical citation Colorado average: 0.4

4 serious citations Colorado average: 2.1

17 moderate citations Colorado average: 22.2

0 minor citations Colorado average: 0.2

Citations history (last 7 years)

Abuse/Neglect moderate citation Jul 07, 2025

Corrected

Abuse/Neglect moderate citation Mar 25, 2025

Corrected

Abuse/Neglect moderate citation Dec 19, 2024

Corrected

Infection Control moderate citation Dec 19, 2024

Corrected

Total staff 120

Employees 50

Contractors 70

Staff to resident ratio 2.73 : 1

45% more staff per resident than Colorado average

Avg staff/day 21

Average shift 9.1 hours

10% better than Colorado average

Total staff hours (quarter) 17,671

Nursing staff breakdown

9.4 hours

9.5 hours

9.4 hours

Contractor staffing

2,157 contractor hours this quarter

Certified Nursing Assistant: 41 Registered Nurse: 15 Licensed Practical Nurse: 14

Staff by category


Certified Nursing Assistant	22	41	63	9,919	92	100%	9.4
Registered Nurse	8	15	23	2,359	92	100%	9.4
Licensed Practical Nurse	5	14	19	2,290	92	100%	9.5
Speech Language Pathologist	2	0	2	515	64	70%	7.7
Administrator	1	0	1	512	64	70%	8
Nurse Practitioner	1	0	1	512	64	70%	8
Clinical Nurse Specialist	1	0	1	512	64	70%	8
Other Dietary Services Staff	2	0	2	477	68	74%	7
Nurse Aide in Training	1	0	1	228	19	21%	12
Respiratory Therapy Technician	2	0	2	183	20	22%	7.9
Dental Services Staff	1	0	1	139	17	18%	8.2
Physical Therapy Assistant	3	0	3	20	7	8%	2.8
Physical Therapy Aide	1	0	1	6	3	3%	2.1

63 Certified Nursing Assistant

% of Days 100%

23 Registered Nurse

% of Days 100%

19 Licensed Practical Nurse

% of Days 100%

2 Speech Language Pathologist

% of Days 70%

1 Administrator

% of Days 70%

1 Nurse Practitioner

% of Days 70%

1 Clinical Nurse Specialist

% of Days 70%

2 Other Dietary Services Staff

% of Days 74%

1 Nurse Aide in Training

% of Days 21%

2 Respiratory Therapy Technician

% of Days 22%

1 Dental Services Staff

% of Days 18%

3 Physical Therapy Assistant

% of Days 8%

1 Physical Therapy Aide

% of Days 3%

View All Staffing Data in Lakewood

Total fines amount $77K

94% higher than Colorado average

Colorado average: $40K

Number of fines 10

350% more fines than Colorado average

Colorado average: 2.2

Payment Denials 1

276% more payment denials than Colorado average

Colorado average: 0.3

Fines amount comparison

This facility $77K

Colorado average $40K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty May 1, 2024

$17K

Payment Denial Aug 8, 2023

6 days

Civil Money Penalty Jul 17, 2023

$23K

Last updated: Jan 2026

High-risk clinical events score 11.5

28% worse than Colorado average

Colorado average: 9.0

Functional decline score 24.8

32% worse than Colorado average

Colorado average: 18.8

Long-stay resident measures

Need for Help with Daily Activities Increased 23.9%

49% worse than Colorado average

Colorado average: 16.0%

Walking Ability Worsened 19.0%

12% worse than Colorado average

Colorado average: 17.0%

Low Risk Residents with Bowel/Bladder Incontinence 31.5%

36% worse than Colorado average

Colorado average: 23.2%

Falls with Major Injury 4.3%

29% worse than Colorado average

Colorado average: 3.3%

High Risk Residents with Pressure Ulcers 3.1%

21% better than Colorado average

Colorado average: 3.9%

Urinary Tract Infection 1.1%

23% better than Colorado average

Colorado average: 1.4%

Lost Too Much Weight 7.5%

43% worse than Colorado average

Colorado average: 5.2%

Depressive Symptoms 2.2%

70% better than Colorado average

Colorado average: 7.2%

Antipsychotic Use 61.1%

225% worse than Colorado average

Colorado average: 18.8%

Pneumococcal Vaccine 78.5%

16% worse than Colorado average

Colorado average: 93.3%

Influenza Vaccine 75.0%

21% worse than Colorado average

Colorado average: 94.7%

Short-stay resident measures

Pneumococcal Vaccine 25.5%

67% worse than Colorado average

Colorado average: 76.6%

Total residents 44

Medicare

4.5% of residents

Medicaid

95.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Lakewood Villa from 2014–2023, based on CMS SNF Cost Reports.

Occupancy Rate 86.2% ↑ 1.3pp vs 2022

Net Patient Income -$272.7K ↑ ~$554.4K vs 2022

Payroll Costs $2.9M ↑ ~$259.1K vs 2022

Operating Margin -5.0% ↑ 12.2pp vs 2022

Metric	2014	2015	2016	2017	2018	2021	2022	2023
Occupancy %	93.6%	96.0%	94.3%	96.5%	90.6%	85.7%	84.9%	86.2%
Beds	57	57	57	57	57	57	57	57
Net Income	$207,100	$333,218	$394,917	$66,708	-$277,780	-$373,343	-$287,116	-$273,478
Gross Revenue	$3,765,397	$4,093,486	$4,591,455	$4,433,901	$4,510,324	$4,984,357	$5,457,188	$6,573,271
Operating Expenses	$3,303,717	$3,413,520	$3,571,204	$3,803,376	$4,108,325	$5,005,435	$5,630,062	$5,708,645
Net Patient Income	$195,472	$324,583	$373,033	$50,581	-$304,129	-$497,583	-$827,126	-$272,743
Net Patient Revenue	$3,499,189	$3,738,103	$3,944,237	$3,853,957	$3,804,196	$4,507,852	$4,802,936	$5,435,902
Payroll Costs	$1,857,033	$1,913,908	$1,987,392	$2,093,230	$2,218,598	$2,707,156	$2,687,644	$2,946,777
Operating Margin %	5.6%	8.7%	9.5%	1.3%	-8.0%	-11.0%	-17.2%	-5.0%
Medicare %	0.5%	0.4%	1.1%	1.0%	0.0%	4.9%	6.7%	2.3%
Medicaid %	91.6%	94.2%	92.3%	76.7%	91.2%	73.7%	75.7%	81.8%
Private %	7.8%	5.4%	6.6%	22.3%	8.8%	21.4%	17.6%	15.9%
Net Patient Revenue/Day	$180	$187	$201	$192	$202	$253	$272	$303
Cost/Day	$170	$171	$182	$189	$218	$281	$319	$318
Avg Length of Stay	423.2 days	539.8 days	357.6 days	393.7 days	608.0 days	N/A	17,659.0 days	N/A

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$5.4M

Net patient income

-$272.7K

For-profit Operated by a single business entity.

Net patient revenue

$5.4M

Net patient income

-$272.7K

Other income

$612

Payroll costs

$2.9M 54.2% of net patient revenue

Other operating costs

$2.8M

Total costs

$5.7M

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The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.

5 facilities compared · CMS & CO Dept. of Health data


Western Hills Health Care Center	NH MC	Lakewood (Morse Park)	140 Facility 140 CO AVG 76 Rank #54 / 533	84.2% Facility 84.2% CO AVG 76.5% Rank #84 / 221	+10%	3.74 Facility 3.74 CO AVG 3.86 Rank #96 / 215	+22%	-3%	$0 Facility $0 CO AVG $39.2k Rank #1 / 221	22 Facility 22 CO AVG 24.8 Rank #100 / 221	5.5 Facility 5.5 CO AVG 5.2 Rank #132 / 221	-	91	-	84 Facility 84 CO AVG 51 Rank #68 / 872	Amy Goeglein	$10.0M Facility $10.0M CO AVG $11.2M Rank #108 / 221	$7.2M Facility $7.2M CO AVG $4.9M Rank #64 / 221	71.8% Facility 71.8% CO AVG 46.6% Rank #21 / 221	65209
Westlake Care Community	NH	Lakewood (South Alameda)	69 Facility 69 CO AVG 76 Rank #274 / 533	45.0% Facility 45.0% CO AVG 76.5% Rank #189 / 221	-41%	3.98 Facility 3.98 CO AVG 3.86 Rank #66 / 215	+3%	+3%	$0 Facility $0 CO AVG $39.2k Rank #1 / 221	12 Facility 12 CO AVG 24.8 Rank #27 / 221	4.0 Facility 4.0 CO AVG 5.2 Rank #67 / 221	1	67	A+	85 Facility 85 CO AVG 51 Rank #56 / 872	Mark Bedinger	$7.3M Facility $7.3M CO AVG $11.2M Rank #192 / 221	$3.4M Facility $3.4M CO AVG $4.9M Rank #168 / 221	47% Facility 47% CO AVG 46.6% Rank #44 / 221	65171
Lakewood Villa	NH MC NC	Lakewood (South Alameda)	57 Facility 57 CO AVG 76 Rank #329 / 533	87.7% Facility 87.7% CO AVG 76.5% Rank #61 / 221	+15%	3.82 Facility 3.82 CO AVG 3.86 Rank #88 / 215	+36%	-1%	$40.0k Facility $40.0k CO AVG $39.2k Rank #174 / 221	22 Facility 22 CO AVG 24.8 Rank #100 / 221	2.8 Facility 2.8 CO AVG 5.2 Rank #30 / 221	5	54	A	85 Facility 85 CO AVG 51 Rank #56 / 872	-	$5.4M Facility $5.4M CO AVG $11.2M Rank #197 / 221	$2.9M Facility $2.9M CO AVG $4.9M Rank #185 / 221	54.2% Facility 54.2% CO AVG 46.6% Rank #80 / 221	65408
Cedars Healthcare Center Rehab, Skilled Nursing & Short Term Care	NH	Lakewood (Edgewood)	130 Facility 130 CO AVG 76 Rank #66 / 533	26.2% Facility 26.2% CO AVG 76.5% Rank #213 / 221	-66%	4.04 Facility 4.04 CO AVG 3.86 Rank #66 / 215	-15%	+5%	$31.7k Facility $31.7k CO AVG $39.2k Rank #157 / 221	44 Facility 44 CO AVG 24.8 Rank #199 / 221	5.5 Facility 5.5 CO AVG 5.2 Rank #132 / 221	3	34	A+	77 Facility 77 CO AVG 51 Rank #138 / 872	Snh Proj Lincoln Trs LLC	$8.8M Facility $8.8M CO AVG $11.2M Rank #150 / 221	$6.9M Facility $6.9M CO AVG $4.9M Rank #77 / 221	78.3% Facility 78.3% CO AVG 46.6% Rank #5 / 221	65202
Bethany Nursing and Rehab	NH	Lakewood	170 Facility 170 CO AVG 76 Rank #24 / 533	65.3% Facility 65.3% CO AVG 76.5% Rank #157 / 221	-15%	3.24 Facility 3.24 CO AVG 3.86 Rank #158 / 215	-5%	-16%	$217.3k Facility $217.3k CO AVG $39.2k Rank #219 / 221	65 Facility 65 CO AVG 24.8 Rank #218 / 221	8.1 Facility 8.1 CO AVG 5.2 Rank #195 / 221	11	119	-	57 Facility 57 CO AVG 51 Rank #392 / 872	-	$12.9M Facility $12.9M CO AVG $11.2M Rank #66 / 221	$8.3M Facility $8.3M CO AVG $4.9M Rank #30 / 221	64.3% Facility 64.3% CO AVG 46.6% Rank #28 / 221	65248

Nursing Home Explorer

Elderly, Blind, and Disabled Waiver

Colorado Medicaid EBD Waiver

Age 65+ or disabled

General Colorado resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

Requires level-of-care assessment by case manager.

Benefits

Personal care (5-7 hours/day) Respite care (up to 240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Old Age Pension (OAP) Health Care Program

Colorado OAP

Age 60+

General Colorado resident.

Income Limits ~$1,215/month individual

Asset Limits $2,000 individual

Supplements SSI; limited medical coverage.

Benefits

Cash (~$100-$800/month) Limited in-home care (2-3 hours/week) Medical assistance

Program of All-Inclusive Care for the Elderly (PACE)

Colorado Medicaid PACE

Age 55+

General Colorado resident, nursing home-level care need, safe with PACE support.

Income Limits (2025) ~$2,829/month 300% FBR

Asset Limits $2,000 (individual), $3,000 (couple).

Limited to specific regions (e.g., Denver, Pueblo).

Benefits

All-inclusive care—personal care (5-7 hours/day) Meals Transportation Therapy Medical visits

Home Care Allowance (HCA)

Colorado Home Care Allowance (HCA)

Age —

General Seniors typically 65+, Age 5+ with disability, Colorado resident, financial/functional need.

Income Limits (2025) ~$1,004/month individual, stricter than waivers

Asset Limits $2,000 (individual), $3,000 (couple).

Must need help with ADLs; not Medicaid-waiver eligible.

Benefits

Personal care (~4-6 hours/day, paid to provider) E.g. Bathing Dressing

What neighborhood is Lakewood Villa in?

Lakewood Villa is in the South Alameda neighborhood of LAKEWOOD.

Who is the owner of Lakewood Villa?

Lakewood Villa is legally operated by Lakewood Villa Operations, Llc, and administered by Kendra James.

Is Lakewood Villa in a walkable area?

Lakewood Villa has a walk score of 85. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Lakewood Villa?

Lakewood Villa's occupancy is 88%.

Does Lakewood Villa operate as a for-profit or non-profit?

Lakewood Villa is registered as a for-profit in CO.

Who is the administrator of Lakewood Villa?

Kendra James is the administrator of Lakewood Villa.

How many beds does Lakewood Villa have?

Lakewood Villa has 57 beds.

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Lakewood Villa

Overview of Lakewood Villa

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Lakewood Villa

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Colorado state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

63 Certified Nursing Assistant

23 Registered Nurse

19 Licensed Practical Nurse

2 Speech Language Pathologist

1 Administrator

1 Nurse Practitioner

1 Clinical Nurse Specialist

2 Other Dietary Services Staff

1 Nurse Aide in Training

2 Respiratory Therapy Technician

1 Dental Services Staff

3 Physical Therapy Assistant

1 Physical Therapy Aide

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Places of interest near Lakewood Villa

Calculate Travel Distance to Lakewood Villa

Compare Nursing Homes around Lakewood

Financial Assistance for Nursing Home in Colorado

Elderly, Blind, and Disabled Waiver

Old Age Pension (OAP) Health Care Program

Program of All-Inclusive Care for the Elderly (PACE)

Home Care Allowance (HCA)

Guides for Better Senior Living

Financial Assistance for
Nursing Home in Colorado