Total health inspections
8
Colorado average 4.8
Last Health inspection on Jul 2025
Lakewood Villa
Nursing Home, Skilled Nursing & Memory Care · Jefferson County, CO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Lakewood Villa
Nursing Home, Skilled Nursing & Memory Care · Jefferson County, CO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Lakewood Villa is a trusted nursing home in Lakewood, CO, that specializes in rehabilitation and specialized care. Here, older adults are guaranteed a worry-free retirement, with its nurturing and welcoming environment. Pain management, wound care, and 24-hour supervision are offered to meet residents’ unique needs and help them recover. Through personalized care plans, residents receive the utmost attention and care to live comfortably in their later years.
Light exercises and therapeutic activities ensure residents can live actively and maintain social connections. With cozy living spaces and thoughtfully designed amenities, residents can move around and relax. Surrounded by restaurants, shops, and public transportation in the lively neighborhood of Lakewood, the community ensures easy access to leisure and necessities. This nursing home is one of the best choices for senior living in Colorado, striving to help older adults thrive in retirement.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 74th out of 161 homes in Colorado.
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.
This home is ranked 74th out of 161 homes in Colorado.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.
3h 49m per day
Rank #74 / 161Nurse hours — state benchmarkedThis home is ranked 74th out of 161 homes in Colorado.Shows adjusted nurse hours per resident per day benchmarked to the Colorado average, with a ranking across 161 Colorado SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Colorado avg
-1%
Standout metric
Physical Therapist is +80% above state avg
| Staff type | Hours / day | 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.
| 38m per day | ▼ 24% 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.
| 26m per day | ▼ 37% 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.
| 1h 58m per day | ▼ 11% State avg: 2h 13m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 47m per day | ▼ 15% State avg: 3h 17m 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.
| 9m per day | ▲ 80% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 28m per day | ▼ 22% State avg: 36m per day · National avg: 29m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
86.2%
Rank #47 / 165Occupancy rate — state benchmarkedThis home is ranked 47th out of 165 homes in Colorado.Shows this facility's occupancy rate versus the Colorado average, with its statewide rank out of 165. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
17,659 days
Occupancy rate
86.2%
Rank #47 / 165Occupancy rate — state benchmarkedThis home is ranked 47th out of 165 homes in Colorado.Shows this facility's occupancy rate versus the Colorado average, with its statewide rank out of 165. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
17,659 days
Finances and operations
Privately-owned community
Home revenue
$6.6M
Operating loss
-$273.5K
Privately-owned community
Home revenue
$6.6M Rank #137 / 165Revenue — state benchmarkedThis home is ranked 137th out of 165 homes in Colorado.Shows this facility's annual revenue compared to the Colorado SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$273.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #139 / 165Payroll — state benchmarkedThis home is ranked 139th out of 165 homes in Colorado.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.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #139 / 165Payroll — state benchmarkedThis home is ranked 139th out of 165 homes in Colorado.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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.8M
Walk Score: 61 / 100 Rank #29 / 74Walk Score — state benchmarkedThis home is ranked 29th out of 74 homes in Colorado.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Colorado SNFs. Higher scores benefit residents, families, and staff.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: 2-story
On-site Medical Care and Health Services
Types of Care at Lakewood Villa
Skilled Nursing
Memory Care
Health Inspection History
Inspections
Total health citations
22
Rank #75 / 165Health citations — state benchmarkedThis home is ranked 75th out of 165 homes in Colorado.Shows this facility's total health deficiency citations benchmarked to the Colorado state average, with a ranking across all 165 CO SNFs. Lower citation counts earn a better rank.
Colorado average 24.8
Citations per inspection
2.75
Rank #26 / 165Citations per inspection — state benchmarkedThis home is ranked 26th out of 165 homes in Colorado.Shows average deficiency citations per CMS inspection for this facility versus the Colorado mean across 165 SNFs with citation data. Lower is better.
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
1
150% worse than Colorado averageColorado average: 0.4
Serious Health citations
4
4
90% worse than Colorado averageColorado average: 2.1
1 critical citation
4 serious citations
17 moderate citations
0 minor citations
Citations history (last 7 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 07, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 07, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 25, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 25, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 19, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 19, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 19, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 19, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Financial Assistance for
Nursing Home in Colorado
Lakewood Villa is located in Lakewood, Colorado.
Here are the financial assistance programs available to residents in Colorado.
Places of interest near Lakewood Villa
5.3 miles from city center
Estimated distance in miles from Lakewood's city center to Lakewood Villa's address, calculated via Google Maps.
Calculate Travel Distance to Lakewood Villa
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
151
Employees
44
Contractors
107
Staff to resident ratio
3.43:1
80% better than Colorado averageColorado average ratio: 1.91:1
Avg staff/day
20
Average shift
9.3 hours
12% better than Colorado averageColorado average: 8.3 hours
Total staff hours (quarter)
16,857
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
32
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
35
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
66
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
20.4%
3,435 contractor hours this quarter
Certified Nursing Assistant: 50
Licensed Practical Nurse: 32
Registered Nurse: 25
Staff by category
| Certified Nursing Assistant | 16 | 50 | 66 | 9,264 | 91 | 100% | 10.1 |
| Registered Nurse | 7 | 25 | 32 | 2,386 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 3 | 32 | 35 | 1,921 | 86 | 95% | 9.9 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 919 | 67 | 74% | 7.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 607 | 78 | 86% | 7.2 |
| Speech Language Pathologist | 2 | 0 | 2 | 532 | 67 | 74% | 7.9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 374 | 47 | 52% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 168 | 21 | 23% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 66 | 12 | 13% | 5.5 |
| Physical Therapy Aide | 4 | 0 | 4 | 55 | 14 | 15% | 3.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 46 | 9 | 10% | 5.1 |
66 Certified Nursing Assistant
% of Days
100%
32 Registered Nurse
% of Days
100%
35 Licensed Practical Nurse
% of Days
95%
3 Respiratory Therapy Technician
% of Days
74%
3 Other Dietary Services Staff
% of Days
86%
2 Speech Language Pathologist
% of Days
74%
1 Administrator
% of Days
71%
1 Dental Services Staff
% of Days
52%
1 Clinical Nurse Specialist
% of Days
23%
1 Qualified Activities Professional
% of Days
13%
4 Physical Therapy Aide
% of Days
15%
2 Physical Therapy Assistant
% of Days
10%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44
Medicare
2
4.5% of residents
Medicaid
42
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.5
28% worse than Colorado averageColorado average: 9.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
32% worse than Colorado averageColorado average: 18.8
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
23.9%
Percent of long-stay residents whose need for help with daily activities has increased
23.9%
49% worse than Colorado averageColorado average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.0%
Percent of long-stay residents whose ability to move independently worsened
19.0%
12% worse than Colorado averageColorado average: 17.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.5%
36% worse than Colorado averageColorado average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
29% worse than Colorado averageColorado average: 3.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
21% better than Colorado averageColorado average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
23% better than Colorado averageColorado average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.5%
Percent of long-stay residents who lose too much weight
7.5%
43% worse than Colorado averageColorado average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.2%
Percent of long-stay residents who have depressive symptoms
2.2%
70% better than Colorado averageColorado average: 7.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
61.1%
Percent of long-stay residents who received an antipsychotic medication
61.1%
225% worse than Colorado averageColorado average: 18.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
16% worse than Colorado averageColorado average: 93.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
75.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
75.0%
21% worse than Colorado averageColorado average: 94.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.80
Number of hospitalizations per 1,000 long-stay resident days.
0.80
38% better than Colorado averageColorado average: 1.30
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.20
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.20
28% better than Colorado averageColorado average: 1.67
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
25.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
25.5%
67% worse than Colorado averageColorado average: 76.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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 (Data as of Jan 2026)
Total fines amount
$77K
94% higher than Colorado averageColorado average: $40K
Number of fines
10
350% more fines than Colorado averageColorado average: 2.2
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
276% more payment denials than Colorado averageColorado average: 0.3
Fines amount comparison
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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2024
$17K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 8, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 8, 2023
6 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2023
$23K
Last updated: Jan 2026
Compare Nursing Home around Jefferson County The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
Filter by care type
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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).
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. | Evergreen (Evergreen West Central) | 97 | 53.1% | -31% | 3.50 | +46% | -9% | 0 | 11 | 3.7 | - | 56 | 33 | Carlson, Amber | $8.7M | $4.9M | 56.6% | 65276 | ||||
| Western Hills Health 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).
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. | Lakewood (Morse Park) | 103 | 84.2% | +10% | 3.74 | +4% | -3% | 0 | 22 | 5.5 | - | 90 | 84 | Goeglein, Amy | $11.9M | $6.2M | 52.2% | 65209 | ||||
| Lakewood Villa |
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).
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.
SN Skeilled Nursing | Lakewood (Applewood) | 57 | 86.2% | +13% | 3.82 | +57% | -1% | 16 | 22 | 2.8 | 5 | 52 | 61 | - | $6.6M | $2.5M | 38.8% | 65408 |
Financial Trends
Historical financial and operational data for Lakewood Villa based on CMS SNF Cost Reports.
Occupancy Rate
86.2%
↑ 1.3pp vs 2022
Net Income
-$273.5K
↑ ~$13.6K vs 2022
Total Payroll
$3.8M
↑ ~$210.2K vs 2022
Profit Margin
-4.2%
↑ 1.1pp vs 2022
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Frequently Asked Questions about Lakewood Villa
What neighborhood is Lakewood Villa in?
Lakewood Villa is in the Applewood neighborhood.
Is Lakewood Villa in a walkable area?
Lakewood Villa has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Who is the administrator of Lakewood Villa?
field_administrator is the administrator of Lakewood Villa.
What is the address of Lakewood Villa?
Lakewood Villa is located at 1625 Simms St, Lakewood, CO 80215.
What is the phone number of Lakewood Villa?
(303) 238-8161 will put you in contact with the team at Lakewood Villa.
Is Lakewood Villa Medicare or Medicaid certified?
Yes — Lakewood Villa is a CMS-certified provider of Medicare and Medicaid.
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