F54

IRONDALE POST ACUTE

Grade F 54/100 composite score

For profit - CorporationSFF Candidate

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
2/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

95

Ownership

For profit - Corporation

Total Fines

$89,235

Last Survey

N/A

7150 POPLAR ST, COMMERCE CITY, CO 80022
3032897110

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.58h
LPN
0.87h
CNA
2.23h
Total
3.69h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

ENDURA HEALTHCARE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2019

100%

THE ENSIGN GROUP INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2014

100%

KARE TECHNOLOGIES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2020

PRIME TIME HEALTHCARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2020

ENGLADE, KEITH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2020

HORTON, CHRISTOPHER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2020

JORGENSEN, DAVID

IndividualCORPORATE DIRECTORSince Mar 2020

BURNAM, SOON

IndividualCORPORATE OFFICERSince Aug 2019

GRAHAM, JOSEPH

IndividualCORPORATE OFFICERSince Mar 2020

KEETCH, CHAD

IndividualCORPORATE OFFICERSince Mar 2011

SATO, AMI

IndividualCORPORATE OFFICERSince Sep 2024

Penalties & Fines (5)

$89,235total fines
DateTypeDescriptionAmount
Oct 9, 2025Fine$29,110
Apr 30, 2025Fine$26,685
Nov 20, 2024Fine$8,338
Dec 14, 2023Fine$25,102
Dec 14, 2023Payment Denial

Health Inspection Deficiencies (26)

October 9, 2025Health2 deficiencies1 severe
0689LImmediate jeopardy, Widespread

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 11, 2025
0867FMinimal harm, Widespread

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Nov 11, 2025
April 30, 2025Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 28, 2025
November 20, 2024Health1 deficiency1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 12, 2024
December 14, 2023Health9 deficiencies1 severe
0882DMinimal harm, Isolated

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies

Corrected Jan 4, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 4, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 4, 2024
0697GActual harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jan 4, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jan 4, 2024
0761DMinimal harm, Isolated

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

Corrected Feb 14, 2024
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 4, 2024
0849DMinimal harm, Isolated

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

Corrected Jan 4, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 14, 2024
September 13, 2023Health1 deficiency
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 23, 2023
March 6, 2023Health4 deficiencies
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 3, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 3, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 3, 2023
0744DMinimal harm, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Quality of Life and Care Deficiencies

Corrected Apr 3, 2023
September 1, 2022Health2 deficiencies1 severe
0692GActual harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Sep 9, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 9, 2022
February 13, 2020Health6 deficiencies
0656EMinimal harm, Pattern

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

Corrected Mar 19, 2020
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 24, 2020
0660DMinimal harm, Isolated

Plan the resident's discharge to meet the resident's goals and needs.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 19, 2020
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 24, 2020
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Mar 19, 2020
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Mar 19, 2020

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Frequently Asked Questions

What is the CareGrader rating for IRONDALE POST ACUTE?

IRONDALE POST ACUTE in COMMERCE CITY, Colorado has a CareGrader grade of F (Poor), with a composite score of 54 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for IRONDALE POST ACUTE?

IRONDALE POST ACUTE has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does IRONDALE POST ACUTE have?

IRONDALE POST ACUTE has 26 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has IRONDALE POST ACUTE been fined?

Yes. IRONDALE POST ACUTE has $89,235 in total fines from CMS enforcement actions across 5 penalties.

How many beds does IRONDALE POST ACUTE have?

IRONDALE POST ACUTE has 95 certified beds with approximately 77 current residents (81% occupancy). The facility is located at 7150 POPLAR ST, COMMERCE CITY, Colorado 80022. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.