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Snf/nf Dual Certification
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Nursing Home
Silver Heights Skilled Nursing and Rehabilitation
Silver Heights Skilled Nursing and Rehabilitation provides patient-centered care with comprehensive services. The facility is certified by Medicare and Medicaid to provide 24-hour nursing care. It specializes in rehabilitation services to help residents achieve their highest level of function and independence.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
91
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
61.2%
Residents per day (avg)
52
Occupancy rate
61.2%
Residents per day (avg)
52
Finances and operations
Privately-owned community
Home revenue
$7.9M
Profit
$400.4K
Privately-owned community
Home revenue
$7,904,027.00
Profit
$400,383.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.5M
91-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License details
Additional licensing details
CMS Certification Number:
065285
Ownership & operating entity
Silver Heights Skilled Nursing and Rehabilitation is administrated by Evans, Kathryn.
Owner name:
HOME STREET OPERATIONS, LLC
Safety & Compliance
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Additional Policies & Features
Pets Allowed
Programs & Activities
Specific Programs
Activities of Daily Living (ADL) Training, Pulmonary Care, Sensory Program (Pain, Dementia, PTSD), Dialysis Support, IV Therapy, Tube Feeding, Respite Services (VA and Hospice), Daily Activities, Transportation, Pet Friendly, Beautician Services and Community Re-Entry Programs, Hospice Services, Wound Care, Gait Training, Bed Mobility, Dysphagia Treatment, Aphasia/Cognitive Impairment Treatment, Rehab Dining, Home Therapy Assessment, PT, OT, and SLP Therapy, Individual and group counseling including addiction, PTSD.
Operating Hours
10AM-8PM
Dining & Nutrition
Food Description
Rehab dining and beautician services are available.
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
6
Colorado average 4.8
Last Health inspection on Apr 2025
Total health citations
33
Colorado average 24.8
Citations per inspection
5.5
Colorado average 5.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 33 citations resulted from standard inspections; 8 of 33 resulted from complaint investigations; and 3 of 33 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Colorado averageColorado average: 0.4
Serious Health citations
0
0
100% better than Colorado averageColorado average: 2.1
0 critical citations
0 serious citations
33 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 03, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 03, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 03, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 03, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 03, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 03, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
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.
Compare Nursing Homes around Colorado The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
Silver Heights Skilled Nursing and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
CASTLE ROCK
91
61.2%
-20%
3.77
-2%
1
33
0
52
$7,9M
$3,1M
38.9%
65285
Adventhealth Avista
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
LOUISVILLE
114
-
-
-
-
0
0
0
-
-
-
-
-
Adventhealth Castle Rock
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
CASTLE ROCK
90
-
-
-
-
0
0
0
-
-
-
-
-
Adventhealth Littleton
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
LITTLETON
231
-
-
-
-
0
0
0
-
-
-
-
-
Adventhealth Parker
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
PARKER
179
-
-
-
-
0
0
0
-
-
-
-
-
Places of interest near Silver Heights Skilled Nursing and Rehabilitation
0.0 miles from city center
4001 HOME ST, CASTLE ROCK, CO 80108-2802
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
127
Employees
43
Contractors
84
Staff to resident ratio
2.31:1
21% better than Colorado averageColorado average ratio: 1.91:1
Avg staff/day
22
Average shift
9 hours
8% better than Colorado averageColorado average: 8.3 hours
Total staff hours (quarter)
17,922
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 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.
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.
Contractor staffing
Total hours from contractors
17.4%
3,112 contractor hours this quarter
Certified Nursing Assistant: 48
Registered Nurse: 25
Licensed Practical Nurse: 11
Staff by category
| Certified Nursing Assistant | 18 | 48 | 66 | 7,661 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 6 | 11 | 17 | 3,147 | 91 | 100% | 10.7 |
| Registered Nurse | 4 | 25 | 29 | 2,082 | 91 | 100% | 8.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,016 | 65 | 71% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 570 | 57 | 63% | 7.4 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 494 | 62 | 68% | 8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 417 | 53 | 58% | 7.7 |
| Physical Therapy Aide | 2 | 0 | 2 | 416 | 39 | 43% | 8.7 |
| Qualified Social Worker | 1 | 0 | 1 | 352 | 44 | 48% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 208 | 26 | 29% | 8 |
66 Certified Nursing Assistant
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
29 Registered Nurse
% of Days
100%
2 Clinical Nurse Specialist
% of Days
71%
2 Physical Therapy Assistant
% of Days
63%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Dietitian
% of Days
71%
1 Other Dietary Services Staff
% of Days
68%
3 Respiratory Therapy Technician
% of Days
58%
2 Physical Therapy Aide
% of Days
43%
1 Qualified Social Worker
% of Days
48%
1 Dental Services Staff
% of Days
29%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
55 residents
Residents by payment source
Medicare
1 resident (1.8%)
Medicaid
33 residents (60%)
Private pay or other
21 residents (38.2%)
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.
8.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.2
9% better than Colorado averageColorado average: 9.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
5% worse than Colorado averageColorado average: 18.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
7% worse than Colorado averageColorado average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.5%
Percent of long-stay residents whose ability to move independently worsened
12.5%
27% better 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
29.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.7%
28% worse than Colorado averageColorado average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
51% 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
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
35% better than Colorado averageColorado average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.2%
Percent of long-stay residents who lose too much weight
3.2%
38% better than Colorado averageColorado average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.6%
Percent of long-stay residents who have depressive symptoms
7.6%
6% worse than Colorado averageColorado average: 7.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
28.6%
Percent of long-stay residents who received an antipsychotic medication
28.6%
52% worse than Colorado averageColorado average: 18.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.0%
In line with Colorado averageColorado average: 93.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.9%
8% worse than Colorado averageColorado average: 94.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
19% better than Colorado averageColorado average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Colorado averageColorado average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.3%
7% better than Colorado averageColorado average: 75.6%
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
$3K
92% lower than Colorado averageColorado average: $40K
Number of fines
1
55% fewer 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.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Colorado averageColorado average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$3K
Colorado average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 13, 2023
$3K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Silver Heights Skilled Nursing and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
61.2%
↓ 3.1pp vs 2022
Net Income
$400,383
↑ ~$1.1M vs 2022
Total Payroll
$4,308,892
↓ ~$750K vs 2022
Profit Margin
5.1%
↑ 14.8pp vs 2022
Loading trend charts...
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