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.















