| Mapleton Post Acute | |
| 115 Ingalls St, Lakewood, Colorado 80226 | |
| (303) 237-1325 | |
| Name | Mapleton Post Acute |
|---|---|
| Location | 115 Ingalls St, Lakewood, Colorado |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 84.44% |
| Medicare ID (CCN) | 065097 |
| Legal Business Name | Castle Rock Healthcare, Inc. |
| Ownership Type | For Profit - Corporation |
| Chain | The Ensign Group (342 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1891405650 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Castle Rock Healthcare, Inc. |
| Address | 115 Ingalls St, Lakewood, CO 80226 |
| Phone Number | 303-237-1325 |
| NPI Number | 1750431912 |
| Match | Possible same name, address or phone number |
| Organization Name | Mile High Care Services LLC |
| Address | 115 Ingalls St, Lakewood, CO 80226 |
| Phone Number | 303-237-1325 |
| 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 | 3.18 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.56 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.43 | 0.86 |
| Nurse aide hours per resident per day | 2.19 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.7 | 3.42 |
| RN hours per resident per day on the weekend | 0.43 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 50% | 45.8% |
| Registered nurse turnover | 55.6% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 17, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jul 7, 2025 |
| Jun 17, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jul 7, 2025 |
| Dec 5, 2024 | 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, widespread | Corrected by Jan 1, 2025 |
| Dec 5, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jan 1, 2025 |
| Dec 5, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 1, 2025 |
| Dec 5, 2024 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 1, 2025 |
| Dec 5, 2024 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 1, 2025 |
| Mar 19, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Apr 9, 2024 |
| Mar 19, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, widespread | Corrected by Apr 9, 2024 |
| Mar 19, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Complaint inspection | Potential for harm, widespread | Corrected by Apr 9, 2024 |
| Jun 29, 2023 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | 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 Jul 24, 2023 |
| Jun 29, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | 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 Jul 24, 2023 |
| Jun 29, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | 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, Standard inspection | Potential for harm, isolated | Corrected by Jul 24, 2023 |
| Jun 29, 2023 | 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 Jul 24, 2023 |
| Aug 29, 2019 | 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, pattern | Corrected by Sep 26, 2019 |
| Aug 29, 2019 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 20, 2019 |
| Aug 29, 2019 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 20, 2019 |
| Aug 29, 2019 | 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 Oct 9, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.01 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.58 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.55 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.79 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.2 | 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 | 1.95 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.67 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.12 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.67 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.66 | 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 | 76.79 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.25 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.01 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.94 | 15.38 |
Edgewater Health and Rehabilitation Location: 1655 Eaton St, Lakewood, Colorado 80214 Phone: (303) 238-5363 |