Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
137
66 employees · 71 contractors · 19 on an average day Littleton Care and Rehabilitation Center
Nursing Home, Memory Care & Skilled Nursing · Littleton, CO
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — 14 points above the Colorado average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — 14 points above the Colorado average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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.
Littleton Care and Rehabilitation Center
Nursing Home, Memory Care & Skilled Nursing · Littleton, CO
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — 14 points above the Colorado average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — 14 points above the Colorado average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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.
Littleton Care and Rehabilitation Center accepts Medicaid, Medicare, and private pay.
Overview of Littleton Care and Rehabilitation Center
Littleton Care and Rehabilitation Center is a nursing home in Littleton, CO offering skilled nursing and memory care. Skilled nursing provides licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for a resident at risk of wandering. The combination may suit someone who needs nursing care and memory support within the same community.
The center has 35 beds, making it a smaller community where staff and residents can get to know one another. Private and semi-private rooms provide a choice between a single living space and shared accommodation. Total nurse staffing is 3h 25m per resident per day, representing the daily hands-on nursing time assigned to each resident.
In-house therapy allows rehabilitation without arranging transportation elsewhere. The Stay active activities program gives residents structured opportunities to participate in activities, while landscaped grounds provide outdoor space on the property. A Walk Score of 69 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to reach certain errands independently.
Medicaid, Medicare, and private pay are accepted. Medicaid can help when a resident’s savings may not cover a long stay, Medicare applies to short-term skilled care after a hospital stay rather than long-term residence, and private pay means paying directly. Derrick Paul Landis serves as the administrator.
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
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 123rd out of 193 nursing homes we track 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.
3h 25m
This nursing home is ranked 123rd out of 193 nursing homes we track 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.
3h 25mStandout metric: Physical therapist is +71% above Colorado average
3 of 6 metrics below Colorado average
Daily care time per resident, by role
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. 27 total: 9 of the facility's own employees and 18 agency contractors.
27 staff · 9.9-hour shifts
1h 3m
↑ 26% · CO 50mThis facility: 1h 3m per resident per day, 26% above the Colorado average of 50m (among Colorado facilities reporting a recent figure).
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. 27 total: 9 of the facility's own employees and 18 agency contractors.
27 staff · 9.9-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 10 total: 2 of the facility's own employees and 8 agency contractors.
10 staff · 11.7-hour shifts
36m
↓ 12% · CO 41mThis facility: 36m per resident per day, 12% below the Colorado average of 41m (among Colorado facilities reporting a recent figure).
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. 10 total: 2 of the facility's own employees and 8 agency contractors.
10 staff · 11.7-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 65 total: 21 of the facility's own employees and 44 agency contractors.
65 staff · 9-hour shifts
1h 46m
↓ 21% · CO 2h 13mThis facility: 1h 46m per resident per day, 21% below the Colorado average of 2h 13m (among Colorado facilities reporting a recent figure).
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. 65 total: 21 of the facility's own employees and 44 agency contractors.
65 staff · 9-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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
↑ 71% · CO 5mThis facility: 9m per resident per day, 71% above the Colorado average of 5m (among Colorado facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 47m
↓ 15% · CO 3h 17mThis facility: 2h 47m per resident per day, 15% below the Colorado average of 3h 17m (among Colorado facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
46m
↑ 28% · CO 36mThis facility: 46m per resident per day, 28% above the Colorado average of 36m (among Colorado facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
137
66 employees · 71 contractors · 19 on an average day
137 total staff / 35 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
3.91 : 1
↑ 124% · CO 1.75This facility: 3.91 staff per resident, 124% above the Colorado average of 1.75 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
137 staff ÷ 35 residents
See full Colorado ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.8 h
↑ 5% · CO 8.4 hThis facility: 8.8 h, 5% above the Colorado average of 8.4 h (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
15,141 staff hours this quarter
See full Colorado ranking →93.5% of staff hours were worked by the facility's own employees
Colorado average: 92.5% · Contractors this quarter: Certified Nursing Assistant (44), Registered Nurse (18), Licensed Practical Nurse (8), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
35
Rank #203 / 211Bed count — State benchmarked This nursing home is ranked 203rd out of 211 nursing homes we track in Colorado for bed count. Shows this facility's certified or reported bed count compared to other Colorado facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
35
Rank #203 / 211Bed count — State benchmarked This nursing home is ranked 203rd out of 211 nursing homes we track in Colorado for bed count. Shows this facility's certified or reported bed count compared to other Colorado facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #14 / 49Years in operation — State benchmarked This nursing home is ranked 14th out of 49 nursing homes we track in Colorado for years in operation. Shows how long this facility has been in operation compared to other Colorado facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #14 / 49Years in operation — State benchmarked This nursing home is ranked 14th out of 49 nursing homes we track in Colorado for years in operation. Shows how long this facility has been in operation compared to other Colorado facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
35
years
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #95 / 232Walk Score — State benchmarked This nursing home is ranked 95th out of 232 nursing homes we track in Colorado for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Colorado facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #95 / 232Walk Score — State benchmarked This nursing home is ranked 95th out of 232 nursing homes we track in Colorado for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Colorado facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
69
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #47 / 147Occupancy rate — State benchmarked This nursing home is ranked 47th out of 147 nursing homes we track in Colorado for occupancy. Shows this facility's occupancy rate versus the Colorado average, with its Statewide rank out of 147. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #47 / 147Occupancy rate — State benchmarked This nursing home is ranked 47th out of 147 nursing homes we track in Colorado for occupancy. Shows this facility's occupancy rate versus the Colorado average, with its Statewide rank out of 147. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
88.3%
This home usually has limited availability
Based on 30.9 residents and 35 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Higher than the Colorado average: 80.6%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
35
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
Facility TypeSkilled Nursing Facility / Nursing Facility Dual Certification
StatusActive
Littleton Care and Rehabilitation Center is administered by Derrick Paul Landis.
OwnerLowell Healthcare, Inc.
Resident Council
Accept Medicaid
Pets not allowed
Landscaped Grounds
Nutritious Satisfying Menus
Room Types
Private Room
Semi-Private / Shared Room
CMS Health Inspection History
ALM Inspection Grade
97 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
14 points above the Colorado average for CMS-certified facilities (83/100)
Category breakdown
Citations
Strong
20 severity-weighted points (10 deficiencies) · 4× lower than the typical CMS-certified CO facility (median: 82)
Enforcement
Typical
$7,781 in fines · 1 enforcement action
Persistence
Strong
19 days to fix issues · faster than the typical CMS-certified CO facility (median: 28)
Total health inspections
4
↓ 20% · CO 5This facility: 4, 20% below the Colorado average of 5 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
9
Rank #15 / 195Health citations — State benchmarked This nursing home is ranked 15th out of 195 nursing homes we track in Colorado for health citations. Shows this facility's total health deficiency citations benchmarked to the Colorado State average, with a ranking across all 195 CO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 64% · CO 25.1This facility: 9, 64% below the Colorado average of 25.1 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.25
Rank #13 / 195Citations per inspection — State benchmarked This nursing home is ranked 13th out of 195 nursing homes we track in Colorado for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Colorado mean across 195 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 55% · CO 5.04This facility: 2.25, 55% below the Colorado average of 5.04 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
9 of 9 citations corrected
Critical
J–L
0
↓ 100% · CO 0.4This facility: 0, 100% below the Colorado average of 0.4 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↓ 47% · CO 1.9This facility: 1, 47% below the Colorado average of 1.9 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
7
↓ 69% · CO 22.7This facility: 7, 69% below the Colorado average of 22.7 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↑ 400% · CO 0.2This facility: 1, 400% above the Colorado average of 0.2 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Feb 19, 2026 · 1 citation (Infection Control, moderate), corrected
Most cited category: Infection Control, 2 of 9 citations · 6 categories in total
Citations history
Most recent first
Feb 19, 2026
1 citation
Infection Control moderate citation
Corrected
Corrected
Oct 03, 2024
3 citations
Abuse/Neglect serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Nursing Services minor citation
Corrected
Corrected
Jan 09, 2024
3 citations
Infection Control moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Sep 14, 2022
2 citations
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Top deficiency categories
Share of 9 citations
Infection Control
2 deficiencies (22%)
Quality of Life & Care
2 deficiencies (22%)
Abuse, Neglect & Exploitation
2 deficiencies (22%)
Resident Rights
1 deficiency (11%)
Nutrition & Dietary
1 deficiency (11%)
Nursing & Physician Services
1 deficiency (11%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 9 citations resulted from standard inspections; and 3 of 9 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Oct 2026
1 penalty in the past 3 years
Latest: Oct 3, 2024 · $7,781 civil money penalty
Oct 3, 2024 · $7,781 civil money penalty
Total fines
$7,781
↓ 78% · CO $36KThis facility: $7,781, 78% below the Colorado average of $36,171. Average among the 126 Colorado facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #90 / 196Federal fines — State benchmarked This nursing home is ranked 90th out of 196 nursing homes we track in Colorado for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Colorado average among facilities with fines, and where it ranks among 196 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 46% · CO 1.87This facility: 1, 46% below the Colorado average of 1.87. Average among the 126 Colorado facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
CO avg 0.19Colorado average: 0.19. Average among the 126 Colorado facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Oct 3, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$7,781
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$7,781Fine amount comparison
This facility
$7,781
Colorado average
$36,171
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Colorado and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Colorado average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
4.0
Score · lower is better
↓ 44% · CO 7.2This facility: 4.0, 44% below the CO average of 7.2 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
9.8
Score · lower is better
↓ 35% · CO 15.1This facility: 9.8, 35% below the CO average of 15.1 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 10 better, 1 worse
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
10.3%
↓ 20% · CO 12.8This facility: 10.3, 20% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
10.3%
↓ 20% · CO 12.8This facility: 10.3, 20% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
0.0%
↓ 100% · CO 11.7This facility: 0.0, 100% below the CO average of 11.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
0.0%
↓ 100% · CO 11.7This facility: 0.0, 100% below the CO average of 11.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.0%
↓ 8% · CO 20.6This facility: 19.0, 8% below the CO average of 20.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.0%
↓ 8% · CO 20.6This facility: 19.0, 8% below the CO average of 20.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · CO 1.4This facility: 0.0, 100% below the CO average of 1.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · CO 1.4This facility: 0.0, 100% below the CO average of 1.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · CO 3.4This facility: 0.0, 100% below the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · CO 3.4This facility: 0.0, 100% below the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
7.0%
↑ 105% · CO 3.4This facility: 7.0, 105% above the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
7.0%
↑ 105% · CO 3.4This facility: 7.0, 105% above the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.8%
↓ 42% · CO 4.8This facility: 2.8, 42% below the CO average of 4.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.8%
↓ 42% · CO 4.8This facility: 2.8, 42% below the CO average of 4.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · CO 8.8This facility: 0.0, 100% below the CO average of 8.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · CO 8.8This facility: 0.0, 100% below the CO average of 8.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
0.0%
↓ 100% · CO 19.9This facility: 0.0, 100% below the CO average of 19.9 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
0.0%
↓ 100% · CO 19.9This facility: 0.0, 100% below the CO average of 19.9 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 7% · CO 93.4This facility: 100.0, 7% above the CO average of 93.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 7% · CO 93.4This facility: 100.0, 7% above the CO average of 93.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 7% · CO 93.7This facility: 100.0, 7% above the CO average of 93.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 7% · CO 93.7This facility: 100.0, 7% above the CO average of 93.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
38.0%
↓ 29% · US 53.7This facility: 38.0, 29% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
38.0%
↓ 29% · US 53.7This facility: 38.0, 29% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
54.8%
↑ 8% · US 50.6This facility: 54.8, 8% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
54.8%
↑ 8% · US 50.6This facility: 54.8, 8% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
↑ 8% · US 0.8This facility: 0.8, 8% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
↑ 8% · US 0.8This facility: 0.8, 8% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
↓ 24% · CO 1.6This facility: 1.2, 24% below the CO average of 1.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
↓ 24% · CO 1.6This facility: 1.2, 24% below the CO average of 1.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
↑ 28% · CO 77.0This facility: 98.5, 28% above the CO average of 77.0 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
↑ 28% · CO 77.0This facility: 98.5, 28% above the CO average of 77.0 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
↑ 34% · CO 73.6This facility: 99.0, 34% above the CO average of 73.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
↑ 34% · CO 73.6This facility: 99.0, 34% above the CO average of 73.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.2%
↑ 19% · CO 20.3This facility: 24.2, 19% above the CO average of 20.3 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.2%
↑ 19% · CO 20.3This facility: 24.2, 19% above the CO average of 20.3 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
5.7%
↓ 55% · CO 12.8This facility: 5.7, 55% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
5.7%
↓ 55% · CO 12.8This facility: 5.7, 55% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Littleton Care and Rehabilitation Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 191 Colorado nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
12.5% operating margin
−0.2 pts vs prior year
Positive margin in 8 of the last 8 reported years. Net income $0.7M after other income.
Does it invest in staff?
Spends less on payroll than most Colorado homes
59.8% payroll share of revenue
CO average 63.3%Rank #93 / 191Payroll % of net patient revenue — State benchmarked This nursing home is ranked 93rd out of 191 nursing homes we track in Colorado for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Colorado average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.3M while revenue rose $0.5M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Colorado homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | CO median | Compared with CO homesRank in CO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $6.0M | +$0.5M | Trend 20172024 | CO median $10.0M | Rank in CO Rank #170 / 191Net patient revenue — State benchmarked This nursing home is ranked 170th out of 191 nursing homes we track in Colorado for net patient revenue. Shows this facility's net patient revenue compared to the Colorado average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 11% of homes | Below CO median Higher net patient revenue than 11% of CO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $5.2M | +$0.5M | Trend 20172024 | CO median $10.4M | Rank in CO Rank #184 / 191Operating expenses — State benchmarked This nursing home is ranked 184th out of 191 nursing homes we track in Colorado for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Colorado homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 4% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.7M | +$0.1M | Trend 20172024 | CO median −$0.1M | Rank in CO Rank #31 / 191Net patient income — State benchmarked This nursing home is ranked 31st out of 191 nursing homes we track in Colorado for net patient income. Shows net patient revenue minus operating expenses, compared with other Colorado homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 84% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 12.5% | −0.2 pts | Trend 20172024 | CO median −1.6% | Rank in CO Rank #16 / 191Operating margin — State benchmarked This nursing home is ranked 16th out of 191 nursing homes we track in Colorado for operating margin. Shows net patient income as a share of net patient revenue, compared with other Colorado homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 92% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | −$0.0M | — | Trend — | CO median $0.0M | Rank in CO Rank #150 / 152Other income — State benchmarked This nursing home is ranked 150th out of 152 nursing homes we track in Colorado for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Colorado homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 1% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.7M | +$0.0M | Trend — | CO median $0.1M | Rank in CO Rank #39 / 191Net income — State benchmarked This nursing home is ranked 39th out of 191 nursing homes we track in Colorado for net income. Shows the bottom line after other income, compared with other Colorado homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 80% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Colorado homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | CO median | Compared with CO homesRank in CO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.6M | +$0.3M | Trend 20172024 | CO median $6.0M | Rank in CO Rank #160 / 191Payroll costs — State benchmarked This nursing home is ranked 160th out of 191 nursing homes we track in Colorado for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Colorado average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 16% of homes | Below CO median Higher payroll than 16% of CO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 59.8% | +0.1 pts | Trend 20172024 | CO median 59.7% | Rank in CO Rank #93 / 191Payroll % of net patient revenue — State benchmarked This nursing home is ranked 93rd out of 191 nursing homes we track in Colorado for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Colorado average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 52% of homes | 3.5 pts under CO average The CO average is 63.3% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · CO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Colorado payroll average.
% of net patient revenue
Payroll share Operating margin CO payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.1M | $4.0M | $4.1M | $4.8M | $5.1M | $5.5M | $5.5M | $6.0M |
| Operating expenses | $3.8M | $3.7M | $3.7M | $4.1M | $4.3M | $4.7M | $4.8M | $5.2M |
| Net patient income | $0.3M | $0.3M | $0.4M | $0.7M | $0.8M | $0.8M | $0.7M | $0.7M |
| Operating margin | 8.4% | 7.3% | 9.6% | 14.4% | 15.0% | 14.5% | 12.7% | 12.5% |
| Net income | $0.3M | $0.3M | $0.4M | $0.7M | $0.8M | $0.8M | $0.7M | $0.7M |
| Payroll costs | $2.5M | $2.5M | $2.5M | $2.8M | $3.0M | $3.2M | $3.3M | $3.6M |
| Payroll share of revenue | 62.0% | 63.6% | 62.1% | 58.7% | 58.6% | 59.5% | 59.7% | 59.8% |
| Beds | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 |
| Gross revenue | $4.6M | $4.4M | $4.3M | $5.0M | $5.6M | $5.7M | $5.8M | $6.5M |
| Salaries | $2.2M | $2.2M | $2.2M | $2.4M | $2.6M | $2.8M | $2.8M | $3.1M |
| Wage-related costs | $0.3M | $0.4M | $0.3M | $0.3M | $0.4M | $0.4M | $0.4M | $0.5M |
| Contract labor | $0.0M | $0.1M | $0.1M | $0.1M | $0.1M | $0.1M | $0.1M | $0.1M |
| Other operating costs | $1.2M | $1.2M | $1.1M | $1.3M | $1.3M | $1.4M | $1.5M | $1.7M |
| Net patient revenue per day | $355 | $353 | $352 | $409 | $422 | $451 | $452 | $503 |
| Cost per day | $325 | $327 | $318 | $350 | $358 | $386 | $394 | $440 |
| Average length of stay | 52.5 days | 41.3 days | 53.0 days | 64.7 days | 62.3 days | 44.8 days | 44.0 days | 35.0 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
338 admissions · FY2024
Residents admitted during the year.
Medicare
126 · 37%
Medicaid
1 · <1%
Private pay & other
211 · 62%
Resident snapshot
35 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
9 · 26%
Medicaid
15 · 43%
Private pay & other
11 · 31%
Leaving
341 discharges · FY2024
Residents discharged during the year.
Medicare
111 · 33%
Medicaid
0 · 0%
Private pay & other
230 · 67%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near Littleton Care and Rehabilitation Center
1.1 miles from city center
Estimated distance in miles from Littleton's city center to Littleton Care and Rehabilitation Center's address, calculated via Google Maps.
— 3.56 miles to nearest hospital (AdventHealth Littleton)
Calculate Travel Distance to Littleton Care and Rehabilitation Center
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Compare Nursing Homes around Littleton
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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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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.
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Care Types in This Table
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.
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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.
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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.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 63.3% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Littleton Care and Rehabilitation Center | NH MC SNF | Littleton | 35
Facility
35
CO AVG
95
Rank
#203 / 211 | A+ |
88.3%
Facility
88.3%
CO AVG
80.6%
Rank
#47 / 147 | +10% | 3.42
Facility
3.42
CO AVG
3.91
Rank
#123 / 193 | +41% | -12% | $7.8k
Facility
$7.8k
CO AVG
$36.8k
Rank
#90 / 196 | 9
Facility
9
CO AVG
25.1
Rank
#15 / 195 | 2.3
Facility
2.3
CO AVG
5.0
Rank
#13 / 195 | 1 | 31 | A+ |
69
Facility
69
CO AVG
60
Rank
#95 / 232 | Lowell Healthcare, Inc | $6.0MFiscal year ending 12/2024
Facility
$6.0MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#170 / 191 | $3.6MFiscal year ending 12/2024
Facility
$3.6MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#160 / 191 | 59.8%Fiscal year ending 12/2024
Facility
59.8%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#93 / 191 | 065320 | ||||
| Cherrelyn Healthcare Center | NH SNF | Littleton | 190
Facility
190
CO AVG
95
Rank
#8 / 211 | B- |
93.2%
Facility
93.2%
CO AVG
80.6%
Rank
#26 / 147 | +16% | 2.53
Facility
2.53
CO AVG
3.91
Rank
#187 / 193 | -8% | -35% | $0
Facility
$0
CO AVG
$36.8k
Rank
#1 / 196 | 38
Facility
38
CO AVG
25.1
Rank
#156 / 195 | 7.6
Facility
7.6
CO AVG
5.0
Rank
#174 / 195 | 7 | 177 | A+ |
78
Facility
78
CO AVG
60
Rank
#61 / 232 | Snh Co Tenant LLC | $22.2MFiscal year ending 12/2024
Facility
$22.2MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#4 / 191 | $14.5MFiscal year ending 12/2024
Facility
$14.5MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#5 / 191 | 65.6%Fiscal year ending 12/2024
Facility
65.6%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#48 / 191 | 065203 | ||||
| Life Care Center of Littleton | NH SNF | Littleton | 120
Facility
120
CO AVG
95
Rank
#41 / 211 | B+ |
83.1%
Facility
83.1%
CO AVG
80.6%
Rank
#76 / 147 | +3% | 4.21
Facility
4.21
CO AVG
3.91
Rank
#34 / 193 | +32% | +8% | $0
Facility
$0
CO AVG
$36.8k
Rank
#1 / 196 | 26
Facility
26
CO AVG
25.1
Rank
#102 / 195 | 8.7
Facility
8.7
CO AVG
5.0
Rank
#182 / 195 | 1 | 100 | A+ |
54
Facility
54
CO AVG
60
Rank
#144 / 232 | Arapahoe Ltc Investors, LLC | $15.1MFiscal year ending 05/2025
Facility
$15.1MFiscal year ending 05/2025
CO AVG
$10.8M
Rank
#28 / 191 | $10.0MFiscal year ending 05/2025
Facility
$10.0MFiscal year ending 05/2025
CO AVG
$6.7M
Rank
#22 / 191 | 66.4%Fiscal year ending 05/2025
Facility
66.4%Fiscal year ending 05/2025
CO AVG
63.3%
Rank
#42 / 191 | 065370 | ||||
| Pearl Street Health and Rehabilitation Center | NH RC SNF | Englewood | 81
Facility
81
CO AVG
95
Rank
#128 / 211 | B- |
87.9%
Facility
87.9%
CO AVG
80.6%
Rank
#49 / 147 | +9% | 3.49
Facility
3.49
CO AVG
3.91
Rank
#105 / 193 | -17% | -11% | $0
Facility
$0
CO AVG
$36.8k
Rank
#1 / 196 | 39
Facility
39
CO AVG
25.1
Rank
#158 / 195 | 3.6
Facility
3.6
CO AVG
5.0
Rank
#57 / 195 | - | 71 | A+ |
80
Facility
80
CO AVG
60
Rank
#55 / 232 | - | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#152 / 191 | $3.7MFiscal year ending 12/2024
Facility
$3.7MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#158 / 191 | 52.8%Fiscal year ending 12/2024
Facility
52.8%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#144 / 191 | 065208 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CO nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Colorado
Littleton Care and Rehabilitation Center is in Littleton, Colorado. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
Elderly, Blind, and Disabled Waiver
Colorado Medicaid EBD Waiver
- Income limit
- 2026 · Standard EBD financial pathway uses 300% of SSI ($2,982/month in 2026). Alternative working-disabled eligibility and trust rules require screening.
- Asset limit
- Standard individual countable-resource limit is $2,000; spousal protections and alternative eligibility categories require review.
Eligibility
- General
- Adults age 65+ with significant functional impairment or adults age 18–64 who are blind, physically disabled or have HIV/AIDS; Medicaid and nursing-facility level-of-care criteria apply.
- CO specifics
- Selected services transitioned to Community First Choice by July 1 2026; distinguish remaining waiver benefits from CFC services.
What it provides
- Waiver services authorized through an assessed care plan; selected home and community services transitioned to Community First Choice.
Home Care Allowance (HCA)
Colorado Home Care Allowance (HCA)
Eligibility
- General
- Colorado residents age 5+ with a disability who qualify for Home Care Allowance.
What it provides
- Cash assistance to pay a home-care provider for help with daily activities in the home.
Community First Choice
Colorado Health First Colorado Community First Choice (CFC)
Eligibility
- General
- In-home and community support for Health First Colorado members who meet CFC Medicaid and institutional-level-of-care requirements and have an assessed support plan.
- CO specifics
- Members whose Medicaid eligibility depends on a waiver must continue at least one qualifying waiver service monthly. Authorizations and current limits apply. This is not room-and-board coverage.
What it provides
- Authorized personal care; homemaker and other home/community supports; with agency or self-directed options. CFC does not pay room and board and does not duplicate services paid under another Medicaid benefit.
Old Age Pension (OAP) Health Care Program
Colorado OAP
Eligibility
- General
- Qualifying recipients of Colorado Old Age Pension assistance who are not eligible for Health First Colorado and meet the OAP medical-program requirements.
- CO specifics
- OAP Health and Medical Care is a limited state-funded medical-coverage program for eligible OAP recipients.
What it provides
- Limited medical benefits for eligible OAP recipients who are not eligible for Health First Colorado.
Know before you visit
Frequently Asked Questions about Littleton Care and Rehabilitation Center
Quick answers from public records and the community's own listing.01 Who is the owner of Littleton Care and Rehabilitation Center?
Littleton Care and Rehabilitation Center is legally operated by Lowell Healthcare, Inc., and administered by Derrick Paul Landis.
02 Is Littleton Care and Rehabilitation Center in a walkable area?
Littleton Care and Rehabilitation Center has a walk score of 69. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
03 What is the occupancy rate at Littleton Care and Rehabilitation Center?
Littleton Care and Rehabilitation Center's occupancy is 88.3%.
04 How long has Littleton Care and Rehabilitation Center been in business?
Littleton Care and Rehabilitation Center has been operating for approximately 35 years, based on available licensing and registration records.
05 Are pets allowed at Littleton Care and Rehabilitation Center?
No, Littleton Care and Rehabilitation Center has a no-pet policy.
06 What is the best email address for Littleton Care and Rehabilitation Center?
The team at Littleton Care and Rehabilitation Center can be reached at contact-littleton@ensignservices.net.
07 Does Littleton Care and Rehabilitation Center operate as a for-profit or non-profit?
Littleton Care and Rehabilitation Center is registered as a for-profit in CO.
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