Berkley Manor Care Center

Name: Berkley Manor Care Center
Address: 735 S LOCUST ST, Denver, CO, 80224, US
Telephone: 3033204377

735 S Locust St, Denver, CO 80224 · Denver County · 118 certified beds · avg 73 residents/day · certified since Jan 1, 1986

Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

$17,160

Fines, last 3 years

4.48

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Nov 30, 2023 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Dec 29, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Aug 11, 2022 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Sep 9, 2022 (Deficient, Provider has date of correction)

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 26, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Nov 30, 2023	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Nov 30, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Nov 30, 2023	D · Potential for harm, one-off	The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · from a complaint
Aug 11, 2022	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 11, 2022	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 11, 2022	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 11, 2022	E · Potential for harm, repeated	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Aug 11, 2022	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Aug 11, 2022	E · Potential for harm, repeated	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Aug 11, 2022	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 11, 2022	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 11, 2022	E · Potential for harm, repeated	The facility did not perform required COVID-19 testing on residents and staff.
Aug 11, 2022	E · Potential for harm, repeated	The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 11, 2022	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Aug 11, 2022	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2022	17	1	G ▲
2023	3	1	G ▲
2026	9	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $17,160.

Date	Type	Amount / length
Nov 30, 2023	Fine	$17,160

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Colorado avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.48	3.89	3.95	top 20% in Colorado; top 24% in the U.S.
Registered Nurse hours	1.02	0.86	0.69	top 27% in Colorado; top 15% in the U.S.
Weekend total nurse staffing	4.05	3.44	3.50	top 16% in Colorado; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.59	0.61	0.48	top 40% in Colorado; top 24% in the U.S.
Total nursing staff turnover (%)	14.5	47.1	45.8	top 1% in Colorado; top 1% in the U.S.
RN turnover (%)	29.4	44.6	42.9	top 20% in Colorado; top 28% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.74, RN 0.86, weekend 3.39. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Preston, Forrest	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2005
Abuaba, Romano	Individual	Operational/Managerial Control	NOT APPLICABLE	03/15/2020
Abuaba, Romano	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2025
Cross, Cindy	Individual	Corporate Officer	NOT APPLICABLE	01/01/2006
Fletcher, Todd	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2021
Henry, Terry	Individual	Corporate Officer	NOT APPLICABLE	01/01/2006
Lay, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	04/24/2017
Life Care Centers of America, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2005
Life Care Centers of America, INC.	Organization	ADP of the SNF	NOT APPLICABLE	10/10/2003
Preston, Aubrey	Individual	Operational/Managerial Control	NOT APPLICABLE	11/27/2024
Preston, Forrest	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2005
Preston, Forrest	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2005
Rubalcaba, Maria	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/06/2022
Rubalcaba, Maria	Individual	Operational/Managerial Control	NOT APPLICABLE	06/06/2022
Rubalcaba, Maria	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2025
Schmidt, Derek	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/01/2023
Schmidt, Derek	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2023
Swanker, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2022
Thurmond, Joan	Individual	Corporate Officer	NOT APPLICABLE	01/01/2006
Tsiboah, Rita	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Crestmoor Care Center	0.2 mi	Denver, CO	★★★☆☆	2/5	abuse
Hilltop Park Post Acute	0.6 mi	Denver, CO	★★☆☆☆	1/5
Center at Lowry, LLC	1.6 mi	Denver, CO	★★★☆☆	2/5
Rowan Community, INC	1.9 mi	Denver, CO	★★★★☆	2/5
Amberwood Post Acute	1.9 mi	Denver, CO	★★☆☆☆	2/5
Brookshire Post Acute	1.9 mi	Denver, CO	★☆☆☆☆	1/5	abuse
Holly Heights Care and Rehabilitation	2.0 mi	Denver, CO	★★★☆☆	2/5
Highline Post Acute	2.0 mi	Denver, CO	★☆☆☆☆	1/5
South Valley Post Acute Rehabilitation	2.1 mi	Denver, CO	★★★★☆	4/5
Lowry Hills Care and Rehabilitation	2.4 mi	Aurora, CO	★★☆☆☆	2/5
Highland Park Rehabilitation & Care Center	2.5 mi	Aurora, CO	★★★★★	4/5
Suites at Clermont Park Care Center, the	2.7 mi	Denver, CO	★★★★★	5/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 065223.

The Care File

Visit checklist — Berkley Manor Care Center

735 S Locust St, Denver, CO 80224 · 3033204377

Health inspection rating 3/5 · CMS overall 5/5· Fines (3y): $17,160

Most serious findings on record:

▲ Nov 30, 2023 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Aug 11, 2022 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 065223 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)