D65

SKYLAKE POST ACUTE

Grade D 65/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

242

Ownership

For profit - Limited Liability company

Total Fines

$25,572

Last Survey

N/A

12080 BELLAIRE WY, THORNTON, CO 80241
3034502700

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.62h
LPN
0.96h
CNA
1.88h
Total
3.46h
Facility
State Average

Turnover Rates

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

Ownership

PANTHER MASTER TENANT, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2023

100%

PACS GROUP, INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2023

PACS HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2023

PROVIDENCE GROUP NH, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2023

HANCOCK, MARK

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2024

50%

MURRAY, JASON

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2024

50%

APT, FREDERICK

IndividualCORPORATE OFFICERSince Jan 2024

JERGENSEN, JOSHUA

IndividualCORPORATE OFFICERSince Jan 2024

MITCHELL, JOHN

IndividualCORPORATE OFFICERSince Jan 2024

FRASER, MALCOLM

IndividualCONTRACTED MANAGING EMPLOYEESince Nov 2023

GOLDHAMMER, GRADY

IndividualW-2 MANAGING EMPLOYEESince Nov 2023

Penalties & Fines (2)

$25,572total fines
DateTypeDescriptionAmount
Jun 14, 2024Fine$25,572
Jun 14, 2024Payment Denial

Health Inspection Deficiencies (36)

December 1, 2025Health1 deficiency
0569DMinimal harm, Isolated

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Resident Rights Deficiencies

Corrected Dec 11, 2025
May 7, 2025Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 2, 2025
June 14, 2024Health5 deficiencies1 severe
0552DMinimal harm, Isolated

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Jul 19, 2024
0600JImmediate jeopardy, 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 Jul 19, 2024
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 19, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 19, 2024
0843FMinimal harm, Widespread

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

Administration Deficiencies

Corrected Jul 19, 2024
January 9, 2024Health17 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 3, 2024
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 3, 2024
0744EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Feb 3, 2024
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Feb 20, 2024
0806EMinimal harm, Pattern

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected Feb 3, 2024
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 Feb 3, 2024
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 3, 2024
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Feb 7, 2024
0908FMinimal harm, Widespread

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Feb 3, 2024
0943EMinimal harm, Pattern

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 3, 2024
0947EMinimal harm, Pattern

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

Corrected Feb 27, 2024
0949EMinimal harm, Pattern

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Administration Deficiencies

Corrected Feb 3, 2024
0585EMinimal harm, Pattern

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies

Corrected Feb 3, 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 Feb 3, 2024
0726EMinimal harm, Pattern

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Feb 3, 2024
0730EMinimal harm, Pattern

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Feb 3, 2024
0803EMinimal harm, Pattern

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Feb 3, 2024
September 16, 2022Health4 deficiencies1 severe
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Sep 19, 2022
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 19, 2022
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 Sep 16, 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 19, 2022
September 12, 2019Health8 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Oct 16, 2019
0656DMinimal harm, Isolated

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 Oct 16, 2019
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Oct 16, 2019
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Oct 16, 2019
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 Oct 16, 2019
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 Oct 16, 2019
0919EMinimal harm, Pattern

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Oct 16, 2019
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Oct 31, 2019

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Frequently Asked Questions

What is the CareGrader rating for SKYLAKE POST ACUTE?

SKYLAKE POST ACUTE in THORNTON, Colorado has a CareGrader grade of D (Below Average), with a composite score of 65.3 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 SKYLAKE POST ACUTE?

SKYLAKE 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 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does SKYLAKE POST ACUTE have?

SKYLAKE POST ACUTE has 36 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 SKYLAKE POST ACUTE been fined?

Yes. SKYLAKE POST ACUTE has $25,572 in total fines from CMS enforcement actions across 2 penalties.

How many beds does SKYLAKE POST ACUTE have?

SKYLAKE POST ACUTE has 242 certified beds with approximately 177 current residents (73% occupancy). The facility is located at 12080 BELLAIRE WY, THORNTON, Colorado 80241. It is a for profit - limited liability company 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.