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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Continuing Care at Wind Crest is a 44-bed skilled nursing and continuing care community in Highlands Ranch, Colorado, operated by National Senior Communities, Inc. The facility offers nursing home care, assisted living, memory care, and independent living — a full continuum on a single campus serving Douglas County.
CMS has awarded Wind Crest a 5-star overall rating, placing it 57.7% above the Colorado average. All three component ratings — Health Inspection, Staffing, and Quality Measures — are each rated 5 stars, a distinction achieved by a small number of Colorado SNFs across the board.
Staffing is a clear differentiator. Total nursing hours run 5 hours and 2 minutes per resident per day, ranked 19th of 177 Colorado SNFs against a state average of 3 hours and 51 minutes — 31% higher. RN hours are especially notable at 1 hour and 43 minutes per resident per day, more than double the Colorado average of 50 minutes. That level of registered nurse presence reflects meaningful clinical oversight for residents with complex care needs.
The inspection record over three standard surveys (December 2021, March 2023, August 2024) produced 7 total citations — 2.33 per inspection against a Colorado average of 5.2, ranking 8th of 182 Colorado nursing homes. All 7 citations were moderate in severity, none critical or immediate-jeopardy, and all were corrected. The most recent inspection in August 2024 cited one nutrition-related deficiency, and two quality-of-care citations appeared in March 2023. The facility has incurred $0 in fines across the review window.
The facility’s occupancy rate is 97% — 43 of 44 beds filled — ranked 4th statewide out of 185 Colorado facilities. That figure, against a Colorado average of 76.5%, reflects consistent local demand. Wind Crest accepts Medicare and private pay but does not participate in Medicaid. On-campus amenities include a fitness center, indoor aquatics space, and scenic walking paths.
Continuing Care is best suited to residents seeking short-term rehabilitation, memory care, or respite care. Families seeking a community with high staffing in Highlands Ranch will find this community a strong fit.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 19th out of 177 homes in Colorado for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 1h 43m per day | ▲ 106% State avg: 50m 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.
| 38m per day | ▼ 7% 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 41m per day | ▲ 22% State avg: 2h 12m 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.
| 4h 20m per day | ▲ 33% State avg: 3h 16m per day · National avg: 3h 26m 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.
| 8m per day | ▲ 60% 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.
| 1h 11m per day | ▲ 97% State avg: 36m per day · National avg: 28m per day |
Higher than the Colorado average: 76.5%Continuing Care at Wind Crest is administrated by Kelsey J Ficca.
In Colorado, the Department of Public Health and Environment, Health Facilities Division is the regulatory body that performs unannounced surveys and publishes facility inspection findings.
This scorecard compares key inspection, citation, 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
| This Facility | CO Average | vs. CO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 10 | 30 | This facility has 67% fewer total deficiencies than a typical Colorado nursing home (10 vs. CO avg 30).↓ 67% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 2 | 6 | This facility has 67% fewer deficiencies per year than a typical Colorado nursing home (2 vs. CO avg 6).↓ 67% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.3 | 5 | This facility has 34% fewer deficiencies per inspection than a typical Colorado nursing home (3.3 vs. CO avg 5).↓ 34% better |
Inspections
| This Facility | CO Average | vs. CO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 6 | This facility has 50% fewer total inspections than a typical Colorado nursing home (3 vs. CO avg 6).↓ 50% better |
Colorado average 4.8
Last Health inspection on Aug 2024
Colorado average 24.8
Colorado average 5.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
100% better than Colorado averageColorado average: 0.4
100% better than Colorado averageColorado average: 2.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
66% more staff per resident than Colorado average
6% worse than Colorado average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 21 RN Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 14 LPN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
All 66 CNA Staff are full-time employees. No contractors work on this role.
66
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
35 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 66 | 0 | 66 | 10,632 | 92 | 100% | 8.3 |
| Registered Nurse | 21 | 0 | 21 | 4,220 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 14 | 0 | 14 | 2,352 | 90 | 98% | 9.2 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,437 | 74 | 80% | 8.1 |
| Administrator | 2 | 0 | 2 | 848 | 63 | 68% | 8 |
| Physical Therapy Assistant | 6 | 0 | 6 | 805 | 69 | 75% | 5.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 620 | 59 | 64% | 8 |
| Qualified Social Worker | 5 | 0 | 5 | 603 | 63 | 68% | 6 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 536 | 64 | 70% | 4.5 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Dietitian | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 382 | 59 | 64% | 6.5 |
| Speech Language Pathologist | 2 | 0 | 2 | 176 | 40 | 43% | 4.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 143 | 17 | 18% | 8.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 39 | 42% | 0.9 |
| Medical Director | 1 | 0 | 1 | 13 | 13 | 14% | 1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.5
60% worse than Colorado averageColorado average: 9.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.4
46% worse than Colorado averageColorado average: 18.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
32.0%
100% worse than Colorado averageColorado average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
35.0%
106% worse than Colorado averageColorado average: 17.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.2%
35% better than Colorado averageColorado average: 23.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
50% better than Colorado averageColorado average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
1.7%
56% better than Colorado averageColorado average: 3.9%
Percent of long-stay residents with a urinary tract infection
5.1%
254% worse than Colorado averageColorado average: 1.4%
Percent of long-stay residents who lose too much weight
2.0%
62% better than Colorado averageColorado average: 5.2%
Percent of long-stay residents who have depressive symptoms
2.6%
63% better than Colorado averageColorado average: 7.2%
Percent of long-stay residents who received an antipsychotic medication
10.9%
42% better than Colorado averageColorado average: 18.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.6%
In line with Colorado averageColorado average: 93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
In line with Colorado averageColorado average: 94.7%
Number of hospitalizations per 1,000 long-stay resident days.
0.90
31% better than Colorado averageColorado average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.96
43% better than Colorado averageColorado average: 1.67
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.7%
In line with Colorado averageColorado average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Colorado averageColorado average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.3%
23% better than Colorado averageColorado average: 75.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.8%
22% better than Colorado averageColorado average: 20.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.1%
65% worse than Colorado averageColorado average: 12.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Colorado averageColorado average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.4%
17% worse than Colorado averageColorado average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.5%
18% better than Colorado averageColorado average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
79% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Continuing Care at Wind Crest based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 182Payroll — State benchmarkedThis home is ranked 1st out of 182 homes in Colorado for payroll. Shows total annual staff payroll benchmarked to the Colorado average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
2.2 miles from city center
Estimated distance in miles from Highlands Ranch's city center to Continuing Care at Wind Crest's address, calculated via Google Maps.
Add your location
Continuing Care at Wind Crest is located in HIGHLANDS RANCH, Colorado.
Here are the financial assistance programs available to residents in Colorado.
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
| Continuing Care at Wind Crest |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Highlands Ranch (Westridge) | 44
Facility
44
CO AVG
77
Rank
#383 / 535 | 97.1% | +27% | 5.03 | +9% | +30% | $0 | 7 | 2.3 | - | 41 | - |
31
Facility
31
CO AVG
51
Rank
#673 / 874 | National Senior Communities, Inc | $123.0M | $33.7M | 27.4% | 65409 | ||||
| Peaks Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Longmont (Coffman Street) | 92
Facility
92
CO AVG
77
Rank
#198 / 535 | 80.1% | +5% | 3.50 | +41% | -9% | $0 | 22 | 4.4 | 1 | 77 | A+ |
80
Facility
80
CO AVG
51
Rank
#108 / 874 | Bogie33 | $11.7M | $5.1M | 43.5% | 65189 | ||||
| Liberty Heights |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Colorado Springs (Northgate) | 60
Facility
60
CO AVG
77
Rank
#307 / 535 | 95.2% | +24% | 4.51 | +17% | +17% | $0 | 13 | 4.3 | - | 38 | - |
40
Facility
40
CO AVG
51
Rank
#574 / 874 | Ccrc Ops Mb1-T LLC | $15.5M | $9.2M | 59.1% | 65305 | ||||
| Life Care Center of Aurora |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Aurora (Southeast Crossing) | 166
Facility
166
CO AVG
77
Rank
#29 / 535 | 31.9% | -58% | 3.95 | +17% | +2% | $41.4k | 28 | 5.6 | 2 | 53 | A+ |
41
Facility
41
CO AVG
51
Rank
#570 / 874 | David Strain | $17.4M | $10.7M | 61.7% | 65332 | ||||
| Life Care Center of Littleton |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Littleton | 120
Facility
120
CO AVG
77
Rank
#82 / 535 | 80.6% | +5% | 4.35 | +29% | +13% | $0 | 26 | 8.7 | 1 | 97 | A+ |
54
Facility
54
CO AVG
51
Rank
#430 / 874 | Sara Dent | $18.4M | $9.8M | 53.4% | 65370 |
Continuing Care at Wind Crest is in the Westridge neighborhood of HIGHLANDS RANCH.
The legal owner and operator of Continuing Care at Wind Crest is Wind Crest, Inc.
Continuing Care at Wind Crest has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Continuing Care at Wind Crest's occupancy is 97%.
Kelsey J Ficca is the administrator of Continuing Care at Wind Crest.
Continuing Care at Wind Crest has 44 beds.
Yes — there are 12 photos of Continuing Care at Wind Crest in the photo gallery on this page.
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