Village Care And Rehabilitation Center, The
Westminster, Jefferson County, Colorado · CCN 065367 · Non-profit (Church related) · part of Covenant Living (15 facilities, chain average 4.4 stars)
CMS rates Village Care And Rehabilitation Center, The 4 of 5 overall as of August 2026. 60 certified beds, 56 residents a day on average. 15 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
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 | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 3 of 5 |
Staffing
| Total nurse staffing | 4.12341 hours per resident per day |
|---|---|
| Registered nurses | 0.73949 hours per resident per day |
| Weekend total | 3.4524 hours per resident per day |
| Nursing staff turnover | 43.7% (registered nurses 43.8%) |
| Administrators who left | 1 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2024-12-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-06 |
| 2024-12-19 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-07 |
| 2024-12-19 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-08 |
| 2024-10-08 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-11-05 |
| 2023-06-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-21 |
| 2023-06-21 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-27 |
| 2023-06-21 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-24 |
| 2023-06-21 | 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 2023-07-28 |
| 2023-06-21 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-07 |
| 2023-06-21 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-14 |
| 2019-08-29 | 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 2019-10-11 |
| 2019-08-29 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Environmental Deficiencies · tag F0920 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-10-11 |
| 2019-08-29 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-10-11 |
| 2019-08-29 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-10-11 |
| 2019-08-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-10-11 |
Fines and payment denials
No fines or payment denials on record since 2023.
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Covenant Living Communities & Services Organization | 5% or greater direct ownership interest | 100% | 1988-01-26 |
| Bentley, Sarah Individual | corporate director | — | 2019-07-01 |
| Christensen, Pamela Individual | corporate director | — | 2013-07-01 |
| Davis, Kara Individual | corporate director | — | 2019-07-01 |
| Eastburg, Mark Individual | corporate director | — | 2019-07-01 |
| Kincannon, Kurt Individual | corporate director | — | 2019-07-01 |
| Manlove, Matt Individual | corporate director | — | 2017-07-01 |
| Martin, Robert Individual | corporate director | — | 2019-07-01 |
| Nelson, Richard Individual | corporate director | — | 2019-07-01 |
| Oxendale, Roger Individual | corporate director | — | 2017-07-01 |
| Rinard, Dale Individual | corporate director | — | 2019-07-01 |
| Vanover, Andrew Individual | corporate director | — | 2019-07-01 |
| Wenrich, John Individual | corporate director | — | 2019-07-01 |
| Cunliffe, Terri Individual | corporate officer | — | 2015-05-22 |
| Erickson, David Individual | corporate officer | — | 2008-01-31 |
| Erickson, Rebekah Individual | corporate officer | — | 2019-07-01 |
| Holt, Jody Individual | corporate officer | — | 2017-06-02 |
| Holt, Jody Individual | operational/managerial control | — | 2017-06-02 |
| Cunliffe, Terri Individual | w-2 managing employee | — | 2015-05-22 |
| Holt, Jody Individual | w-2 managing employee | — | 2017-06-02 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Village Care And Rehabilitation Center, The.
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 Jefferson County.