Nursing Care Index

Holly Heights Care And Rehabilitation

Denver, Denver County, Colorado · CCN 065124 · For-profit (Corporation) · part of The Ensign Group (342 facilities, chain average 3.2 stars)

CMS rates Holly Heights Care And Rehabilitation 3 of 5 overall as of August 2026. 133 certified beds, 98 residents a day on average. 23 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $9,249.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing2.91638 hours per resident per day
Registered nurses0.51269 hours per resident per day
Weekend total2.61152 hours per resident per day
Nursing staff turnover34.4% (registered nurses 52.6%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-01-21
complaint survey
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-19
2025-12-04
complaint survey
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-26
2025-08-21
complaint survey
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-19
2025-08-21 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies · tag F0809
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-19
2025-08-21
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-19
2025-08-21
complaint survey
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-19
2025-08-21
complaint survey
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · tag F0569
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-19
2025-08-21 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-19
2025-08-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-19
2025-08-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-19
2025-08-21 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-19
2025-08-21 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · tag F0742
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-19
2025-08-21 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-19
2025-06-11
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2025-04-10
2024-10-28
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-17
2024-06-13
complaint survey
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-21
2024-01-09 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.
Pharmacy Service Deficiencies · tag F0761
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-02-14
2024-01-09
complaint survey
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-02-19
2024-01-09
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-10
2024-01-09
complaint survey
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-14
2024-01-09
complaint survey
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies · tag F0728
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-05
2022-09-14 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2022-10-07
2022-09-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-10-07

Fines and payment denials

DatePenaltyAmount
2025-06-11Fine$9,249

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Horton, Christopher
Individual
adp of the snf2025-02-13
Hughes, Heath
Individual
adp of the snf2025-02-12
Abbott, Swati
Individual
corporate director2024-04-25
Agwunobi, John
Individual
corporate director2024-04-25
Blouin, Ann
Individual
corporate director2024-04-25
Christensen, Christopher
Individual
corporate director2024-04-25
Parkinson, Mark
Individual
corporate director2024-04-25
Port, Barry
Individual
corporate director2024-04-25
Shaw, Daren
Individual
corporate director2024-04-25
Smith, Barry
Individual
corporate director2024-04-25
Snapper, Suzanne
Individual
corporate director2024-04-25
Burnam, Soon
Individual
corporate officer2024-04-25
Burton, Spencer
Individual
corporate officer2024-04-25
Graham, Joseph
Individual
corporate officer2024-04-25
Jorgensen, David
Individual
corporate officer2024-04-25
Port, Barry
Individual
corporate officer2024-04-25
Sato, Ami
Individual
corporate officer2024-09-09
Snapper, Suzanne
Individual
corporate officer2024-04-25
Hughes, Heath
Individual
operational/managerial control2024-08-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Denver County.