Edgewater Health and Rehabilitation
1655 Eaton St, Lakewood, CO 80214 · Jefferson County · 67 certified beds · avg 67 residents/day · certified since Dec 31, 1981
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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 · Feb 14, 2024 · 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 15, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 |
|---|---|---|
| Aug 27, 2025 | 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. · from a complaint |
| Aug 27, 2025 | 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. |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Aug 27, 2025 | 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. |
| Aug 27, 2025 | 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. |
| Feb 14, 2024 | ▲ 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 14, 2024 | 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 14, 2024 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 14, 2024 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Nov 3, 2022 | 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. |
| Nov 3, 2022 | D · Potential for 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 6 | 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)
No fines or payment denials in the published 3-year window.
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) | 3.76 | 3.89 | 3.95 | top 49% in Colorado; bottom 50% in the U.S. |
| Registered Nurse hours | 0.96 | 0.86 | 0.69 | top 30% in Colorado; top 17% in the U.S. |
| Weekend total nurse staffing | 3.27 | 3.44 | 3.50 | bottom 47% in Colorado; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.61 | 0.48 | top 43% in Colorado; top 25% in the U.S. |
| Total nursing staff turnover (%) | 46.8 | 47.1 | 45.8 | bottom 50% in Colorado; bottom 45% in the U.S. |
| RN turnover (%) | 27.3 | 44.6 | 42.9 | top 19% in Colorado; top 24% 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 3.33, RN 0.85, weekend 2.89. Staffing rating: 4/5.
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
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
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 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?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "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 |
|---|---|---|---|---|---|
| Cambridge Care Center | 0.0 mi | Lakewood, CO | ★★★☆☆ | 2/5 | abuse |
| Cedars Healthcare Center | 0.1 mi | Lakewood, CO | ★★★☆☆ | 2/5 | |
| Sierra Post Acute | 0.3 mi | Lakewood, CO | ★★☆☆☆ | 1/5 | abuse |
| Harmony Pointe Care Center | 1.1 mi | Lakewood, CO | ★★★☆☆ | 2/5 | |
| Wheatridge Care Center | 1.1 mi | Wheat Ridge, CO | ★★★☆☆ | 2/5 | |
| Allison Care Center | 1.6 mi | Lakewood, CO | ★★☆☆☆ | 2/5 | abuse |
| Sloan's Lake Rehabilitation Center | 1.6 mi | Denver, CO | ★★★★★ | 5/5 | |
| Western Hills Health Care Center | 1.6 mi | Lakewood, CO | ★★★☆☆ | 3/5 | |
| Mapleton Post Acute | 1.7 mi | Lakewood, CO | ★★★★☆ | 3/5 | |
| Oakwood Care and Rehabilitation | 1.8 mi | Lakewood, CO | ★☆☆☆☆ | 1/5 | abuse |
| Rehabilitation Center at Sandalwood, the | 1.9 mi | Wheat Ridge, CO | ★★★★☆ | 3/5 | |
| Lakeside Post Acute | 1.9 mi | Wheat Ridge, CO | ★★★☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 065171.