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C
Below Standard

LAKEWOOD VILLA

1625 SIMMS ST · LAKEWOOD, CO 80215

3032388161 · For profit - Limited Liability company

57 beds54 residents126 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LAKEWOOD VILLA receives an overall staffing grade of C (Below Standard). With 3.0337 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6303 HPRD, below the recommended 0.75. It is 0.86 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.37% compared to weekdays. The facility relies heavily on temporary agency staff (17.53% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0337 HPRD — needs 0.45 more hours per resident per day.
⚠️RN staffing (0.6303 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️17.53% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 9.37% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.0337hrs/resident/day▼ 0.86
CMS benchmark: 3.48
RN HPRD
0.6303hrs/resident/day▼ 0.05
Recommended: 0.75
Weekend Drop-off
9.37%
3.1162 weekday → 2.8242 weekend
Agency Staff
17.53%
22% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9644hrs/resident/day
Direct care aides
LPN HPRD
0.4389hrs/resident/day
Licensed practical nurses
Consistency
0.2054std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Jefferson County Average-0.91 HPRD
3.94
03.03 HPRD
vs. Colorado State Average-0.72 HPRD
3.75
03.03 HPRD
vs. National Average-0.86 HPRD
3.90
03.03 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LAKEWOOD VILLA ★
LAKEWOOD · This facility
—
C
3.03370.6303★★★☆☆
ALLISON CARE CENTER
LAKEWOOD
2.1 mi
C
3.32010.5803★★☆☆☆
WESTERN HILLS HEALTH CARE CENTER
LAKEWOOD
2.1 mi
B
3.70790.7613★★★★★
HARMONY POINTE CARE CENTER
LAKEWOOD
2.7 mi
C
3.22180.6862★★★☆☆
MOUNTAIN VISTA HEALTH CENTER
WHEAT RIDGE
2.9 mi
B
4.12690.6681★★☆☆☆
LAKESIDE POST ACUTE
WHEAT RIDGE
3.7 mi
C
3.50340.5073★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
22
Total Deficiencies
$44,586
Fines Assessed
Jul 7, 2025Health
1 deficiency cited
▼
Mar 25, 2025Health
1 deficiency cited
▼
Dec 19, 2024Health
5 deficiencies cited
▼
May 1, 2024Health
1 deficiency cited· Includes actual harm
▼
Jan 25, 2024Health
2 deficiencies cited
▼
Jul 17, 2023Health
7 deficiencies cited· Includes actual harm
▼
Mar 22, 2023Health
1 deficiency cited
▼
Oct 31, 2019Health
4 deficiencies cited· Includes actual harm
▼

Penalty History

May 1, 2024Fine
$16,801
Aug 8, 2023Payment Denial
Jul 17, 2023Fine
$23,205
Feb 21, 2023Fine
$4,580
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.