Englewood Post Acute and Rehabilitation

Name: Englewood Post Acute and Rehabilitation
Address: 3575 S WASHINGTON ST, Englewood, CO, 80113, US
Telephone: 3037892265

3575 S Washington St, Englewood, CO 80113 · Arapahoe County · 82 certified beds · avg 73 residents/day · certified since Sep 19, 1968

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.34

Nurse hours/resident/day (adjusted)

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 · Jun 6, 2023 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

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: Jul 3, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 10, 2020 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

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: Apr 20, 2020 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 10, 2020 · 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: Apr 20, 2020 (Deficient, Provider has date of correction)

All citations in the current public record (16)

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 accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
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 a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Nov 7, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Nov 7, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 6, 2023	▲ G · Actual 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.
Jun 6, 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.
Jun 6, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jun 6, 2023	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
Mar 10, 2020	▲ G · Actual 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.
Mar 10, 2020	▲ 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.
Mar 10, 2020	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.
Mar 10, 2020	E · Potential for harm, repeated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Mar 10, 2020	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Mar 10, 2020	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.

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
2020	6	2	G ▲
2023	4	1	G ▲
2024	6	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)

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)	3.34	3.89	3.95	bottom 25% in Colorado; bottom 28% in the U.S.
Registered Nurse hours	0.70	0.86	0.69	bottom 36% in Colorado; top 37% in the U.S.
Weekend total nurse staffing	2.88	3.44	3.50	bottom 20% in Colorado; bottom 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.51	0.61	0.48	bottom 44% in Colorado; top 32% in the U.S.
Total nursing staff turnover (%)	32.3	47.1	45.8	top 16% in Colorado; top 18% in the U.S.
RN turnover (%)	41.7	44.6	42.9	top 41% in Colorado; top 50% 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 3.13, RN 0.65, weekend 2.70. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 4/5 · 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	06/01/2014
Dunyon, David	Individual	Corporate Officer	NOT APPLICABLE	06/01/2014
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2014
Fisher, Candace	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2014
Fisher, Candace	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2014
Fisher, Candace	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2014
Horton, Christopher	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/17/2020
Horton, Christopher	Individual	Operational/Managerial Control	NOT APPLICABLE	08/17/2020
Horton, Christopher	Individual	ADP of the SNF	NOT APPLICABLE	08/17/2020
Jorgensen, David	Individual	Corporate Director	NOT APPLICABLE	06/01/2014
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	08/07/2025
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/09/2024
Ventas, INC.	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2014

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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"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
Wellsprings Care Center	0.1 mi	Englewood, CO	★★★☆☆	2/5	abuse
Julia Temple Healthcare Center	0.6 mi	Englewood, CO	★★★☆☆	3/5
Suites at Clermont Park Care Center, the	2.5 mi	Denver, CO	★★★★★	5/5
Cherrelyn Healthcare Center	2.5 mi	Littleton, CO	★★★★☆	4/5
Heights Care & Rehabilitation LLC	2.7 mi	Denver, CO	★★☆☆☆	1/5
South Valley Post Acute Rehabilitation	3.0 mi	Denver, CO	★★★★☆	4/5
Brookshire Post Acute	3.3 mi	Denver, CO	★☆☆☆☆	1/5	abuse
Amberwood Post Acute	3.3 mi	Denver, CO	★★☆☆☆	2/5
Rowan Community, INC	3.3 mi	Denver, CO	★★★★☆	2/5
Hallmark Nursing Center	3.4 mi	Denver, CO	★★★★★	4/5
Holly Heights Care and Rehabilitation	3.6 mi	Denver, CO	★★★☆☆	2/5
Highline Post Acute	3.6 mi	Denver, CO	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Englewood →

Facility data as of CMS processing date 2026-08-01. CCN 065077.

The Care File

Visit checklist — Englewood Post Acute and Rehabilitation

3575 S Washington St, Englewood, CO 80113 · 3037892265

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Jun 6, 2023 (F-0684, Actual 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.
▲ Mar 10, 2020 (F-0684, Actual 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.
▲ Mar 10, 2020 (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.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "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 065077 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)