Brighton Care Center
2025 E Egbert St, Brighton, CO 80601 · Adams County · 108 certified beds · avg 89 residents/day · certified since Jun 1, 1988
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 · Feb 10, 2022 · F-0686
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: Mar 10, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 10, 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: Mar 10, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (13)
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 |
|---|---|---|
| Nov 7, 2024 | E · Potential for harm, repeated | 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. |
| Nov 7, 2024 | 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. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · from a complaint |
| Apr 27, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 27, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Apr 27, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 27, 2023 | D · Potential for harm, one-off | 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 10, 2022 | ▲ 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. |
| Feb 10, 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. |
| Feb 10, 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. |
| Feb 10, 2022 | E · Potential for harm, repeated | 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 10, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 2 | G ▲ |
| 2023 | 4 | 0 | D |
| 2024 | 4 | 0 | E |
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 $38,812.
| Date | Type | Amount / length |
|---|---|---|
| Nov 7, 2024 | Fine | $38,812 |
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) | 3.42 | 3.89 | 3.95 | bottom 31% in Colorado; bottom 32% in the U.S. |
| Registered Nurse hours | 0.50 | 0.86 | 0.69 | bottom 12% in Colorado; bottom 38% in the U.S. |
| Weekend total nurse staffing | 2.89 | 3.44 | 3.50 | bottom 21% in Colorado; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.61 | 0.48 | bottom 3% in Colorado; bottom 19% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 47.1 | 45.8 | — |
| RN turnover (%) | 0.0 | 44.6 | 42.9 | — |
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 3.26, RN 0.48, weekend 2.75. Staffing rating: 1/5.
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: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 08/25/2022 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/25/2022 |
| Graham, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Grubbs, Shad | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/31/2022 |
| Grubbs, Shad | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2022 |
| Grubbs, Shad | Individual | ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| Jorgensen, David | Individual | Corporate Director | NOT APPLICABLE | 06/20/2019 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| Rodriquez, Rachel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2022 |
| Rodriquez, Rachel | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2022 |
| Rodriquez, Rachel | Individual | ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "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 |
|---|---|---|---|---|---|
| Riverdale Post Acute | 0.6 mi | Brighton, CO | ★★☆☆☆ | 1/5 | abuse |
| Skylake Post Acute | 8.8 mi | Thornton, CO | ★☆☆☆☆ | 1/5 | |
| Villas at Sunny Acres, the | 10.9 mi | Thornton, CO | ★★☆☆☆ | 2/5 | abuse |
| Malley Transitional Care Center | 11.0 mi | Northglenn, CO | ★★☆☆☆ | 2/5 | |
| Center at Northridge, LLC, the | 11.5 mi | Westminster, CO | ★★★★★ | 5/5 | |
| Thornton Care Center | 12.3 mi | Thornton, CO | ★☆☆☆☆ | 1/5 | |
| Irondale Post Acute | 12.3 mi | Commerce City, CO | ★★☆☆☆ | 1/5 | SFF |
| Ridgeview Post Acute | 13.5 mi | Commerce City, CO | ★★★★☆ | 3/5 | |
| Adara Living | 13.7 mi | Broomfield, CO | ★★☆☆☆ | 1/5 | abuse |
| Coal Creek Post Acute & Assisted Living | 15.4 mi | Lafayette, CO | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 065240.