Total health inspections
6
Colorado average 4.8
Last Health inspection on Apr 2025
Silver Heights Skilled Nursing and Rehabilitation
Nursing Home · Colorado, CO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Silver Heights Skilled Nursing and Rehabilitation
Nursing Home · Colorado, CO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Silver Heights Skilled Nursing and Rehabilitation accepts Medicaid and Medicare.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 76th out of 177 homes in Colorado. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 76th out of 177 homes in Colorado. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 46m per day
Rank #76 / 177Nurse hours — State benchmarkedThis home is ranked 76th out of 177 homes in Colorado. Shows adjusted nurse hours per resident per day benchmarked to the Colorado average, with a ranking across 177 Colorado SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Colorado avg
-2%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 49m per day | ■ Avg State avg: 50m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 40m per day | ■ Avg State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 49m per day | ▼ 17% State avg: 2h 12m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 43m per day | ▼ 17% State avg: 3h 16m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 33m per day | ▼ 8% State avg: 36m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
61.2%
Rank #143 / 185Occupancy rate — State benchmarkedThis home is ranked 143rd 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.
Occupancy rate
61.2%
Rank #143 / 185Occupancy rate — State benchmarkedThis home is ranked 143rd 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.
91-bed community Rank #204 / 542Bed count — State benchmarkedThis home is ranked 204th out of 542 homes in Colorado. Shows this facility's certified or reported bed count compared to other Colorado SNFs. 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: 80 / 100 Rank #108 / 875Walk Score — State benchmarkedThis home is ranked 108th out of 875 homes in Colorado. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Colorado SNFs. Higher scores benefit residents, families, and staff.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
Facility TypeSnf/nf Dual Certification
StatusActive
CMS Certification Number065285
Silver Heights Skilled Nursing and Rehabilitation is administrated by Kathryn Evans.
Owner NameHome Street Operations, LLC
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
24-Hour Staffing
Pets Allowed
Specific ProgramsActivities of Daily Living (ADL) Training, Pulmonary Care, Sensory Program (Pain, Dementia, PTSD), Dialysis Support, IV Therapy, Tube Feeding, Respite Services (VA and Hospice), Transportation, Pet Friendly, Beautician Services and Community Re-Entry Programs, Hospice Services, 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
Operating Hours10AM-8PM
Food DescriptionRehab dining and beautician services are available.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
33
Rank #135 / 182Health citations — State benchmarkedThis home is ranked 135th out of 182 homes in Colorado. Shows this facility's total health deficiency citations benchmarked to the Colorado State average, with a ranking across all 182 CO SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Colorado average 24.8
Citations per inspection
5.5
Rank #109 / 182Citations per inspection — State benchmarkedThis home is ranked 109th out of 182 homes in Colorado. Shows average deficiency citations per CMS inspection for this facility versus the Colorado mean across 182 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 4 years)
Critical Health citations
0
100% better than Colorado averageColorado average: 0.4
Serious Health citations
0
100% better than Colorado averageColorado average: 2.1
Citations history (last 4 years)
Abuse/Neglect moderate citation
Apr 03, 2025
Corrected
Infection Control moderate citation
Apr 03, 2025
Corrected
Infection Control moderate citation
Apr 03, 2025
Corrected
Pharmacy moderate citation
Apr 03, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
107
Employees
46
Contractors
61
Staff to resident ratio
1.95:1
0% compared with Colorado average
Avg staff/day
22
Average shift
9 hours
8% better than Colorado average
Total staff hours (quarter)
18,285
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
14.9%
2,721 contractor hours this quarter
Certified Nursing Assistant: 28
Registered Nurse: 28
Licensed Practical Nurse: 5
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 20 | 28 | 48 | 8,299 | 92 | 100% | 9.3 |
| Registered Nurse | 6 | 28 | 34 | 2,576 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 4 | 5 | 9 | 1,998 | 91 | 99% | 10.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 944 | 65 | 71% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 599 | 60 | 65% | 8.2 |
| Administrator | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 432 | 56 | 61% | 7.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 403 | 52 | 57% | 7.8 |
| Physical Therapy Aide | 2 | 0 | 2 | 377 | 43 | 47% | 8.2 |
| Qualified Activities Professional | 1 | 0 | 1 | 153 | 19 | 21% | 8 |
48 Certified Nursing Assistant
% of Days
100%
34 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
99%
2 Clinical Nurse Specialist
% of Days
71%
2 Physical Therapy Assistant
% of Days
65%
2 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
70%
1 Dental Services Staff
% of Days
68%
1 Dietitian
% of Days
66%
1 Qualified Social Worker
% of Days
65%
2 Respiratory Therapy Technician
% of Days
61%
1 Other Dietary Services Staff
% of Days
57%
2 Physical Therapy Aide
% of Days
47%
1 Qualified Activities Professional
% of Days
21%
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 Rank #70 / 182Federal fines — State benchmarkedThis home is ranked 70th out of 182 homes in Colorado. Shows this facility's cumulative CMS federal fine dollars versus the Colorado average among facilities with fines, and where it ranks among 182 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
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.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.90
Number of hospitalizations per 1,000 long-stay resident days.
0.90
31% better than Colorado averageColorado average: 1.30
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.49
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.49
71% better than Colorado averageColorado average: 1.67
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55
Medicare
1
1.8% of residents
Medicaid
33
60% of residents
Private pay or other
21
38.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
$400.4K
↑ ~$1.1M vs 2022
Total Payroll
$4.3M
↓ ~$750.5K vs 2022
Profit Margin
5.1%
↑ 14.8pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$7.9M
Profit
$400.4K
Privately-owned community
Home revenue
$7.9M Rank #146 / 182Revenue — State benchmarkedThis home is ranked 146th out of 182 homes in Colorado. Shows this facility's annual revenue compared to the Colorado SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$400.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #139 / 182Payroll — State benchmarkedThis home is ranked 139th out of 182 homes in Colorado. Shows total annual staff payroll benchmarked to the Colorado average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #139 / 182Payroll — State benchmarkedThis home is ranked 139th out of 182 homes in Colorado. Shows total annual staff payroll benchmarked to the Colorado average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.5M
Places of interest near Silver Heights Skilled Nursing and Rehabilitation
0.0 miles from city center
Estimated distance in miles from Castle Rock's city center to Silver Heights Skilled Nursing and Rehabilitation's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Colorado
Silver Heights Skilled Nursing and Rehabilitation is located in CASTLE ROCK, Colorado.
Here are the financial assistance programs available to residents in Colorado.
Compare Nursing Home around Colorado
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
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| 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).
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Frequently Asked Questions about Silver Heights Skilled Nursing and Rehabilitation
Who is the owner of Silver Heights Skilled Nursing and Rehabilitation?
The legal owner and operator of Silver Heights Skilled Nursing and Rehabilitation is Home Street Operations, Llc.
Is Silver Heights Skilled Nursing and Rehabilitation in a walkable area?
Silver Heights Skilled Nursing and Rehabilitation has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Who is the administrator of Silver Heights Skilled Nursing and Rehabilitation?
Kathryn Evans is the administrator of Silver Heights Skilled Nursing and Rehabilitation.
How many beds does Silver Heights Skilled Nursing and Rehabilitation have?
Silver Heights Skilled Nursing and Rehabilitation has 91 beds.
Are there photos of Silver Heights Skilled Nursing and Rehabilitation?
Yes — there are 9 photos of Silver Heights Skilled Nursing and Rehabilitation in the photo gallery on this page.
What is the address of Silver Heights Skilled Nursing and Rehabilitation?
Silver Heights Skilled Nursing and Rehabilitation is located at 4001 HOME ST.
What is the phone number of Silver Heights Skilled Nursing and Rehabilitation?
(303) 688-3174 will put you in contact with the team at Silver Heights Skilled Nursing and Rehabilitation.
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