Suites At Holly Creek Care Center, The
Centennial, Arapahoe County, Colorado · CCN 065395 · Non-profit (Corporation) · not part of a chain
CMS rates Suites At Holly Creek Care Center, The 5 of 5 overall as of August 2026. 25 certified beds, 25 residents a day on average. 7 citations on record from the current inspection cycles, 2 involving actual harm; 1 fine totalling $21,678.
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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 5.74744 hours per resident per day |
|---|---|
| Registered nurses | 1.59803 hours per resident per day |
| Weekend total | 5.08333 hours per resident per day |
| Nursing staff turnover | 25.8% (registered nurses 12.5%) |
| 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 |
|---|---|---|---|
| 2024-11-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-11-29 |
| 2024-11-21 | 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 2024-12-17 |
| 2024-11-21 | 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 2024-12-17 |
| 2023-07-31 | 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 2023-08-31 |
| 2022-05-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-06-24 |
| 2022-05-25 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-24 |
| 2022-05-25 | 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. Administration Deficiencies · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-24 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-21 | Fine | $21,678 |
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 |
|---|---|---|---|
| Christian Living Neighborhoods Organization | adp of the snf | — | 2025-03-26 |
| Christian Living Neighborhoods Organization | direct ownership interest | — | 2011-09-01 |
| Christian Living Neighborhoods Organization | operational/managerial control | — | 2011-09-01 |
| Chapman, Madelyn Individual | adp of the snf | — | 2020-10-23 |
| Childs, Bryon Individual | adp of the snf | — | 2007-05-28 |
| Fralick, Traci Individual | adp of the snf | — | 2018-11-05 |
| Franken, Jan Individual | adp of the snf | — | 2007-07-09 |
| Keller, Jayne Individual | adp of the snf | — | 2021-04-01 |
| Vitale-Aussem, Jill Individual | adp of the snf | — | 2020-11-01 |
| Fralick, Traci Individual | corporate director | — | 2018-11-05 |
| Vitale-Aussem, Jill Individual | corporate director | — | 2020-11-01 |
| Childs, Bryon Individual | corporate officer | — | 2007-05-28 |
| Keller, Jayne Individual | corporate officer | — | 2021-04-01 |
| Chapman, Madelyn Individual | operational/managerial control | — | 2020-10-23 |
| Franken, Jan Individual | operational/managerial control | — | 2007-07-09 |
| Childs, Bryon Individual | trustee of the snf | — | 2007-05-28 |
| Fralick, Traci Individual | trustee of the snf | — | 2018-11-05 |
| Keller, Jayne Individual | trustee of the snf | — | 2021-04-01 |
| Vitale-Aussem, Jill Individual | trustee of the snf | — | 2020-11-01 |
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 Suites At Holly Creek Care 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 Arapahoe County.