| Skylake Post Acute | |
| 12080 Bellaire Wy, Thornton, Colorado 80241 | |
| (303) 450-2700 | |
| Name | Skylake Post Acute |
|---|---|
| Location | 12080 Bellaire Wy, Thornton, Colorado |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 242 |
| Occupancy Rate | 78.88% |
| Medicare ID (CCN) | 065238 |
| Legal Business Name | Thornton Community Healthcare LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Pacs Group (274 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1477236982 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Thornton Community Healthcare, LLC |
| Doing Business As | Skylake Post Acute |
| Address | 12080 Bellaire Way, Thornton, CO 80241 |
| Phone Number | 303-450-2700 |
| NPI Number | 1013967132 |
| Match | Possible same name, address or phone number |
| Organization Name | 12080 Bellaire Way Operations LLC |
| Doing Business As | Elms Haven Center |
| Address | 12080 Bellaire Way, Thornton, CO 80241 |
| Phone Number | 303-450-2700 |
| NPI Number | 1023827805 |
| Match | Possible same name, address or phone number |
| Organization Name | Thornton Community Healthcare, LLC |
| Doing Business As | Skylake Post Acute |
| Address | 12080 Bellaire Way, Thornton, CO 80241 |
| Phone Number | 303-450-2700 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 2.91 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.61 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.72 | 0.86 |
| Nurse aide hours per resident per day | 1.57 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.62 | 3.42 |
| RN hours per resident per day on the weekend | 0.47 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 35% | 45.8% |
| Registered nurse turnover | 19% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $25,572 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 11, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by May 28, 2026 |
| May 11, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by May 28, 2026 |
| Mar 4, 2026 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 26, 2026 |
| Mar 4, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 26, 2026 |
| Mar 4, 2026 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Mar 26, 2026 |
| Dec 1, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 11, 2025 |
| Dec 1, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Dec 11, 2025 |
| Dec 1, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 11, 2025 |
| Dec 1, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 11, 2025 |
| Dec 1, 2025 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 11, 2025 |
| Dec 1, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 11, 2025 |
| Dec 1, 2025 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 15, 2025 |
| Dec 1, 2025 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 11, 2025 |
| Dec 1, 2025 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Dec 11, 2025 |
| Dec 1, 2025 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Dec 11, 2025 |
| May 7, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jun 2, 2025 |
| Jun 14, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jul 19, 2024 |
| Jun 14, 2024 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. F0843, Administration, Complaint inspection | Potential for harm, widespread | Corrected by Jul 19, 2024 |
| Jun 14, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 14, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 14, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jan 9, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Feb 3, 2024 |
| Jan 9, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Feb 3, 2024 |
| Jan 9, 2024 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Feb 3, 2024 |
| Jan 9, 2024 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 3, 2024 |
| Jan 9, 2024 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 3, 2024 |
| Jan 9, 2024 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 3, 2024 |
| Jan 9, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Feb 3, 2024 |
| Jan 9, 2024 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 3, 2024 |
| Jan 9, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 20, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.41 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.18 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.12 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.45 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 6.42 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.33 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.42 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.27 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.32 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.97 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.5 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.81 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.61 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 22.06 | 15.38 |