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Mapleton Post Acute
CMS overall rating Info 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.
Entrance to Mapleton Post Acute facility Bright dining room with red tablecloths and empty tables Bright common area with red tables and wooden floor Smile from a staff member and resident in a lively activity room Staff members smiling together in the reception area Staff and residents engaging in activities with colorful props Group of staff members smiling outdoors at the facility Staff members interacting in a facility hallway

Mapleton Post Acute

CMS overall rating Info 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.
115 Ingalls St, Lakewood, CO 80226-1815 View map Calculator: See prices in your area
Mapleton Post Acute accepts Medicare, Medicaid, and private pay.
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Mapleton Post Acute accepts Medicare, Medicaid, and private pay.

Overview of Mapleton Post Acute

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Mapleton Post Acute is a 90-bed skilled nursing facility in Lakewood, Colorado, owned by Castle Rock Healthcare, Inc. and operated under the Ensign Services umbrella. The facility offers short-term rehabilitation and post-acute skilled nursing, with in-house therapy and a Stay Active programming track supporting recovery-focused care.

Across seven years of inspections since 2019, Mapleton recorded 38 total deficiencies — 27% above the Colorado average of 30 — with recurring findings in discharge planning, medication management, and infection control. A substantiated complaint in March 2024 involved medication errors causing resident harm. The most recent inspection, in June 2025, cited two deficiencies related to Medicare non-coverage notices and discharge notification procedures.

Staffing levels fall below Colorado benchmarks across all nursing categories: RN hours average 30 minutes per resident per day, 40% below the state average; LPN hours are 34% below, and nurse aide hours are 13% below. Physical therapy hours are a counterpoint — 8 minutes per resident per day, 60% above the state average — consistent with the facility’s rehabilitation orientation. Weekend total nursing coverage averages 2 hours and 33 minutes per day, 22% below the Colorado average.

Return-to-community rates for short-stay residents are 47.7%, modestly below the state’s 50.6%, while the fall-with-major-injury rate is 0.0% compared with Colorado’s average of 0.8%.

Mapleton Post Acute is structured for short-term post-acute rehabilitation in Lakewood, particularly for residents whose primary need is in-house therapy following hospitalization. However, families should review the facility’s staffing levels and medication-management history before making a placement decision.

(303) 237-1325
(303) 237-1325 contact-Mapleton@ensignservices.net
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 5.4% Below CO avg. ▼ 5.4% Below CO avg.CO average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 28.6% Below CO avg. ▼ 28.6% Below CO avg.CO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 4.5% Below CO avg. ▼ 4.5% Below CO avg.CO average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 21.4% Above CO avg. ▲ 21.4% Above CO avg.CO average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Colorado state averages

Total nursing care / resident Info 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 5m per day
This facility Colorado avg (3h 51m per day)
vs Colorado avg
-20%

5 of 6 metrics below state avg

Standout metric Physical Therapist is +78% above state avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 25m per day ▼ 49% State avg: 50m per day · National avg: 41m per day
LPN / LVN Info 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. 33m per day ▼ 19% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info 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 54m per day ▼ 13% State avg: 2h 12m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 27m per day ▼ 25% State avg: 3h 16m per day · National avg: 3h 26m per day
Physical Therapist Info 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 ▲ 78% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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. 20m per day ▼ 46% State avg: 36m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
173 days
Bed community size
90-bed community Rank #198 / 533Bed count — State benchmarkedThis home is ranked 198th out of 533 homes in Colorado. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 85 / 100 Rank #56 / 872Walk Score — State benchmarkedThis home is ranked 56th out of 872 homes in Colorado. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Colorado facilities. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
76%
Rank #96 / 185Occupancy rate — State benchmarkedThis home is ranked 96th out of 185 homes in Colorado. Shows this facility's occupancy rate versus the Colorado average, with its Statewide rank out of 185. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Colorado average: 76.5%
Occupied beds
68 / 90
Average occupied beds in Colorado homes 72 beds

License Details

Facility TypeSnf/nf Dual Certification
StatusActive
CMS Certification Number065097

Ownership & Operating Entity

Mapleton Post Acute is administrated by Ashley Irtz.

Owner NameCastle Rock Healthcare, Inc.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsIn-House Therapy

Contact Mapleton Post Acute

Inspection History

In Colorado, the Department of Public Health and Environment, Health Facilities Division is the regulatory body that performs unannounced surveys and publishes facility inspection findings.

Since 2019 · 7 years of data 38 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Colorado state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Colorado state average
Overall vs. CO average 2 Worse Metrics worse than Colorado average:
• Total deficiencies (27% above)
• Deficiencies per year (26% above) 0 Better No metrics in this bucket.
Latest Inspection June 17, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility CO Average vs. CO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 38 30 This facility has 27% more total deficiencies than a typical Colorado nursing home (38 vs. CO avg 30).↑ 27% worse
Deficiencies per year Info Average deficiencies per year since 2019. 5.4 4.3 This facility has 26% more deficiencies per year than a typical Colorado nursing home (5.4 vs. CO avg 4.3).↑ 26% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • June 17, 2025 complaint investigation found failures in Medicare Notice of Non-Coverage and discharge planning notifications for two residents, with no immediate jeopardy cited.
  • December 5, 2024 routine inspection identified six deficiencies including medication storage lapses, inadequate infection control, and failure to monitor vital signs before blood pressure medication.
  • March 19, 2024 complaint investigation substantiated actual harm from medication errors and poor pain management, plus ineffective quality assurance to address these issues.

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Short-stay resident measures
Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Colorado average

Colorado average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 47.7%
6% worse than Colorado average

Colorado average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

21% of new residents, usually for short-term rehab.

Typical stay 17 days

Private pay

68% of new residents, often for short stays.

Typical stay 2 months

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Based on the 2023 CMS SNF Cost Report.

Voluntary non-profit community
Operated by a church.
Home revenue
$7.8M
Operating deficit
-$54.3K
Voluntary non-profit community Operated by a church.
Home revenue
$7.8M
Operating deficit
-$54.3K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.8M
61.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.0M
Total costs $7.8M

This home is administrated by Ashley Irtz.

This home is owned by Dontre Mcdonald

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 65097

Show certification details

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (68% of admissions), and a typical private pay stay runs around 2 months.

Admissions
150 total

Coverage residents most often arrive under.

Medicare 21%
Private pay 68%
Medicaid 11%
Discharges
118 total

Coverage residents most often leave under.

Medicare 18%
Private pay 73%
Medicaid 9%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Mapleton Post Acute

Address 0.0 miles from city center Info Estimated distance in miles from Lakewood's city center to Mapleton Post Acute's address, calculated via Google Maps.

Calculate Travel Distance to Mapleton Post Acute

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Address

Financial Assistance for
Nursing Home in Colorado

Mapleton Post Acute is located in LAKEWOOD, Colorado.
Here are the financial assistance programs available to residents in Colorado.

Get Financial aid guidance

Elderly, Blind, and Disabled Waiver

Colorado Medicaid EBD Waiver

Age 65+ or disabled
General Colorado resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CO

Requires level-of-care assessment by case manager.

Benefits
Personal care (5-7 hours/day) Respite care (up to 240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Old Age Pension (OAP) Health Care Program

Colorado OAP

Age 60+
General Colorado resident.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
CO

Supplements SSI; limited medical coverage.

Benefits
Cash (~$100-$800/month) Limited in-home care (2-3 hours/week) Medical assistance

Program of All-Inclusive Care for the Elderly (PACE)

Colorado Medicaid PACE

Age 55+
General Colorado resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
CO

Limited to specific regions (e.g., Denver, Pueblo).

Benefits
All-inclusive care—personal care (5-7 hours/day) Meals Transportation Therapy Medical visits

Home Care Allowance (HCA)

Colorado Home Care Allowance (HCA)

Age —
General Seniors typically 65+, Age 5+ with disability, Colorado resident, financial/functional need.
Income Limits (2025) ~$1,004/month individual, stricter than waivers
Asset Limits $2,000 (individual), $3,000 (couple).
CO

Must need help with ADLs; not Medicaid-waiver eligible.

Benefits
Personal care (~4-6 hours/day, paid to provider) E.g. Bathing Dressing

Compare Nursing Home around Lakewood

The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.

4 facilities compared · CMS & CO Dept. of Health data
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65202
Nursing Home Explorer

Frequently Asked Questions about Mapleton Post Acute

What neighborhood is Mapleton Post Acute in?

Mapleton Post Acute is in the South Alameda neighborhood of LAKEWOOD.

Who is the owner of Mapleton Post Acute?

The legal owner and operator of Mapleton Post Acute is Castle Rock Healthcare, Inc..

Is Mapleton Post Acute in a walkable area?

Mapleton Post Acute has a walk score of 85. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Mapleton Post Acute?

Mapleton Post Acute's occupancy is 76%.

Who is the administrator of Mapleton Post Acute?

Ashley Irtz is the administrator of Mapleton Post Acute.

How many beds does Mapleton Post Acute have?

Mapleton Post Acute has 90 beds.

Are there photos of Mapleton Post Acute?

Yes — there are 8 photos of Mapleton Post Acute in the photo gallery on this page.

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