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Why trust this guide?
Our editorial team analyzed 245 nursing homes in CO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in CO
Avg Overall CMS Rating:3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Colorado. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:3.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Colorado. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Colorado. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Info below is compiled from CMS reports & the CO Dept. of Public Health & Environment (CDPHE), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Colorado average is: 63.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$6.4M*Fiscal year ending 12/2017These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.5M*Fiscal year ending 12/2017These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
55.7%*Fiscal year ending 12/2017These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$7.5M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.2M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
56.5%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$5.4M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.2M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
59.7%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rowan Community is a 65-bed skilled nursing community at 4601 East Asbury Circle in Denver, Colorado. It offers person-centered rehabilitation, long-term care, and specialized programs for residents with progressive neurological disorders and behavioral health challenges. Accepted: Medicare, Medicaid, and private pay.
Three of four CMS sub-ratings sit above Colorado’s average, producing a 4-star overall rating 26.2 percent above state benchmark. Staffing runs 27.4 percent above Colorado’s average on a case-mix adjusted basis, and Quality Measures run 21.4 percent above state average. Nurse aide hours are 8 percent above state benchmark, reflecting a CNA-focused staffing model. No CMS fines or payment denials have been issued in the past three years, and the health inspection sub-rating sits modestly above Colorado’s average. Seven inspection reports cover January 2023 to December 2025; detailed findings inaccessible. Occupancy runs above Colorado’s 76.5 percent average.
The facility’s focus on progressive neurological conditions, including dementia and behavioral health programming, distinguishes it from general-purpose SNFs in Denver. Extending the service range are hospice and comfort care, short-term rehabilitation, and chronic disease management.
For Denver residents who need long-term skilled nursing or post-acute rehabilitation with specialized neurological or behavioral health programming, Rowan Community suits well, found within a smaller community-scale setting.
Overview of Westlake Lodge Health and Rehabilitation
Administered by Matthew Gordon, Westlake Lodge Health and Rehabilitation is a nursing home in Greeley, Colorado, that offers skilled nursing and rehabilitation. The community also accepts Medicare, Medicaid, and private pay, providing coverage options for older adults needing short-term rehabilitation or longer-term nursing care. It has 107 beds in a variety of private and semi-private rooms within a single-story building, with an average length of stay of 152 days, reflecting a stronger focus on longer-term care.
Care services are structured around both rehabilitation and ongoing nursing support for older adults, including short-stay recovery, long-term care, therapy services, discharge planning, and psychosocial, respite, palliative, and hospice support. Furthermore, the care team consists of attending physicians and registered nurses, with an average of about 3 hours and 5 minutes of nursing care per resident each day. Daily living is also supported through restaurant-style dining, housekeeping, laundry, a salon, internet access, pharmaceutical delivery, and shared lounge spaces.
An active resident council also gives older adults a voice in discussions about care quality, activities, and community policies. Its surrounding area is slightly walkable, with a Walk Score of 39, indicating that only a few services are accessible on foot, while most errands require transportation.
Inspection reports generally highlighted concerns related to medication administration accuracy, timely completion of prescribed treatments, and maintenance of mechanical systems and shared areas. Families considering Westlake Lodge are encouraged to ask how medication management and treatment follow-through are monitored on a daily basis.
Mapleton Post Acute is a skilled nursing facility located in Lakewood, Colorado. It offers 24-hour nursing care, in-house therapy, and a variety of activities to help residents regain strength and mobility. The facility features 90 beds and provides a comfortable and therapeutic environment for its guests.
Operated by Life Care Centers of America, Life Care Center of Pueblo is a 187-bed skilled nursing and rehabilitation facility in Pueblo, Colorado. Accepted are Medicare, Medicaid, and private pay. The facility on Chatalet Lane in Pueblo County provides skilled nursing, memory care, rehabilitation, and respite stays with 24-hour staffing.
Three of four CMS sub-ratings sit at or above Colorado average, producing a 4-star overall rating 26.2 percent above state benchmark. Quality Measures run 21.4 percent above Colorado average, and the health inspection sub-rating sits modestly above state norms. Staffing runs 4.5 percent below the case-mix adjusted Colorado average, with nurse hours of 3h 25m per resident day placing the facility near the 3.5 hours national average. The facility carries one CMS fine of approximately $10,000 issued in 2024, 55 percent fewer fines than the Colorado average in count. No inspection report detail available; the health inspection sub-rating and citation ranking (122nd/182 on total citations) reflect a compliance record near state average. Occupancy at 53 percent runs well below Colorado’s 76.5 percent average, with substantial availability for new residents.
Amenities feature a fine dining program, Community Re-Entry Program, landscaped grounds and courtyards, and a beauty salon and barber shop. Alzheimer’s and dementia care programming extends the care continuum beyond skilled nursing.
With above-average quality outcomes, the facility fits residents in Pueblo County requiring skilled nursing or post-acute rehabilitation.
Located in Rocky Ford, Colorado, Pioneer Health Care Center is a 101-bed skilled nursing home focused on post-acute rehabilitation and ongoing care. The facility operates at 82% occupancy, with steady demand for its services. The location’s Walk Score is 60, so it’s accessible for family visits and nearby errands.
Rehabilitation support is a major part of the home’s clinical focus. Specialized services include a therapy lab and dedicated rehabilitation programs. Residents receive an average of 4 hours and 9 minutes of nursing care each day. Registered nurses, nurse aides, and licensed practical nurses work around the clock to support residents with their needs.
Pioneer offers private skilled nursing rooms. There’s an on-site medical staff, so residents won’t have to leave the facility for medical appointments. The facility also invested in modern telehealth capabilities, giving residents and families more flexibility when managing healthcare. A dedicated kitchen supports dietary needs. Housekeeping and laundry services are part of daily operations as well.
The home serves residents with complex care needs, including individuals requiring specialized dementia care and behavioral health support. Staff participate in continuing education programs to maintain clinical competency. Social services are available for residents and families. The facility also provides spiritual care through an appointed chapel and structured return-to-home planning for residents transitioning to lower levels of care.
The facility has inspection records covering five years, showing ongoing state oversight and quality review.
Overview of Silver Heights Skilled Nursing and Rehabilitation
Serving Douglas County residents, Silver Heights Skilled Nursing and Rehabilitation is a 91-bed skilled nursing and rehabilitation facility accepting Medicare, Medicaid, and private pay in Castle Rock, Colorado. Operated by Home Street Operations, LLC, at 4001 Home Street, the community comes with skilled nursing, memory care, and a broad range of rehabilitation and specialty services with 24-hour staffing.
Quality Measures run 21.4 percent above Colorado’s average, the facility’s clearest strength and consistent with several other Douglas County facilities in the region. Nurse hours of 3h 46m per resident day rank 76th among 177 Colorado SNFs, running near the 3h 51m state average. The 3-star CMS overall rating reflects a health inspection sub-rating 28.6 percent below Colorado’s benchmark as the primary drag; staffing sits marginally below state average. The facility carries one CMS fine of approximately $3,000, 92 percent below Colorado’s average in dollar amount, indicating a minimal enforcement history. Six inspection reports cover July 2022 to April 2025; detailed findings unavailable. Occupancy runs below Colorado’s 76.5 percent average.
Silver Heights Skilled Nursing and Rehabilitation provides an array of specialty services, including dialysis support; IV therapy; pulmonary care; a sensory program for pain, dementia, and PTSD; hospice and VA respite services; dysphagia treatment, aphasia and cognitive impairment therapy; addiction counseling; and a home therapy assessment program. Such a clinical breadth is uncommon in a 91-bed facility.
The community suits Douglas County residents who seek post-acute rehabilitation or long-term skilled nursing with specialized medical support. It’s also best for those with complex care needs like dialysis, dementia programming, or behavioral health services.
Overview of Lakeshore Post Acute and Rehabilitation Center
Specializing in post-acute recovery and short-term respite care, Lakeshore Post Acute and Rehabilitation Center is a 106-bed skilled nursing and rehabilitation facility in Pueblo, Colorado. It’s owned by Steel City Healthcare Inc and accepts Medicare, Medicaid, and private pay. This gives families several routes to afford rehabilitation stays or transitions from hospital care. The facility typically caters to residents for about 225 days on average, reflecting its focus on skilled recovery instead of long-term residential care. It currently runs at 77 percent occupancy, with 81 residents in the 106-bed community.
Staffing is configured to support active rehabilitation and recovery needs. Daily nursing care averages 3 hours 13 minutes per resident, with registered nurses providing about 49 minutes of direct care each day, nurse aides contributing 2 hours 1 minute, and licensed nurses rounding out the team with 29 minutes daily. This staffing mix is built to handle post-acute rehab residents who are transitioning toward home or a lower level of care. The facility’s car-dependent location on California Street in Pueblo has a Walk Score of 0, so visiting families will rely on driving to reach the center.
For families evaluating post-acute rehabilitation options, Lakeshore Post Acute and Rehabilitation Center’s focus on therapy-driven recovery and its staffing profile make it a grounded choice for people recuperating from surgery, hospitalization, or other acute medical events who need structured nursing support to return home.
Overview of The Rehabilitation Center at Sandalwood
The Rehabilitation Center at Sandalwood is a 103-bed nursing home in Wheat Ridge, Colorado, run by owner Richard Whelan. Right now, about 83 percent of the beds are occupied. Stays average around 83 days, which means the staff spends most of their time on short-term rehab to help folks get back home rather than permanent residential care. For billing, the office works with standard private pay, traditional Medicare, and state Medicaid.
Visiting families can easily handle errands on foot since the neighborhood has a high walk score of 76 out of 100. Inside the building, residents get about 3 hours and 51 minutes of direct, hands-on attention every day. This round-the-clock crew of nurses and aides runs the daily physical therapy setups and takes care of short-term respite patients when families need temporary backup.
State inspectors visit the building regularly to check on health and safety guidelines. The facility’s management is responsible for keeping all therapy schedules, medical records, and building maintenance up to standard.
Interested individuals can call the front desk to see if there are any open beds, ask about how the short-term respite check-ins work, or pick an afternoon to come look around the property.
Found in the charming Greenwood Village, Colorado, Brookdale Greenwood Village offers an exceptional senior living experience with a focus on luxury and care. Nestled just south of Denver, this community enjoys convenient access to Highway 87 and boasts over 300 acres of parks and open space, providing a serene and scenic environment for residents. They are most known as a continuing care retirement community (CCRC) that caters to a variety of needs with independent living, assisted living, memory care, and skilled nursing all available on one campus.
Their seamless integration ensures that residents can remain in the same community even if their care requirements change over time. Brookdale Greenwood Village is designed to help residents live their best lives, offering a range of amenities that promote both comfort and engagement. The beautifully landscaped grounds feature courtyards and gardens, while the interiors include pet-friendly apartments, a fitness center, a beauty/barber shop, and private dining rooms. Whether it’s engaging in new hobbies, exploring the surrounding parks, or simply enjoying the tranquil environment, Brookdale Greenwood Village is the perfect place to call home.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Colorado
What's the difference between assisted living and a nursing home in Colorado?
Assisted living in Colorado is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Colorado Medicaid cover nursing home care?
Yes — Colorado Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 245 nursing homes in Colorado. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Colorado?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Colorado, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Colorado?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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