Juniper Village - the Spearly Center
2205 W 29th Ave, Denver, CO 80211 · Denver County · 135 certified beds · avg 127 residents/day · certified since Apr 11, 1994
Part of chain: JUNIPER COMMUNITIES (3 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · Apr 25, 2025 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 26, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Dec 11, 2024 · F-0689 · triggered by a complaint
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 (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Dec 12, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · May 23, 2024 · F-0675 · triggered by a complaint
The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care.
Why it matters: Ignoring who a resident is as a person diminishes their dignity and quality of life.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: May 24, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 23, 2024 · F-0689 · triggered by a complaint
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 25, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Dec 19, 2023 · F-0690 · triggered by a complaint
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.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
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: Jan 10, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (25)
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 |
|---|---|---|
| May 14, 2026 | 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. |
| Dec 4, 2025 | 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. |
| Dec 4, 2025 | 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. |
| Apr 25, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 25, 2025 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Apr 25, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 25, 2025 | 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. |
| Apr 25, 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. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 25, 2025 | 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. |
| Apr 25, 2025 | D · Potential for 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. |
| Apr 25, 2025 | D · Potential for harm, one-off | 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. |
| Dec 11, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 11, 2024 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Oct 23, 2024 | ▲ 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. · from a complaint |
| May 23, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · from a complaint |
| May 23, 2024 | E · Potential for harm, repeated | 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 |
| May 23, 2024 | E · Potential for harm, repeated | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint |
| May 23, 2024 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. · from a complaint |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| May 23, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Dec 19, 2023 | ▲ G · Actual harm, one-off | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | G ▲ |
| 2024 | 10 | 3 | L ▲ |
| 2025 | 13 | 1 | J ▲ |
| 2026 | 1 | 0 | D |
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)
6 fines totaling $267,831, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 22, 2025 | Fine | $10,953 |
| Dec 11, 2024 | Fine | $114,111 |
| Oct 23, 2024 | Fine | $14,260 |
| Jun 5, 2024 | Fine | $42,965 |
| Jun 5, 2024 | Payment Denial | 76 days from Jul 2, 2024 |
| May 23, 2024 | Fine | $66,256 |
| Dec 19, 2023 | Fine | $19,286 |
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) | 3.92 | 3.89 | 3.95 | top 40% in Colorado; top 43% in the U.S. |
| Registered Nurse hours | 0.61 | 0.86 | 0.69 | bottom 26% in Colorado; top 47% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.44 | 3.50 | top 44% in Colorado; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.61 | 0.48 | bottom 16% in Colorado; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 52.6 | 47.1 | 45.8 | bottom 33% in Colorado; bottom 30% in the U.S. |
| RN turnover (%) | 52.6 | 44.6 | 42.9 | bottom 33% in Colorado; bottom 32% 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 2.76, RN 0.43, weekend 2.39. 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
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Copperhill Associates LLC | Organization | 5% or Greater Indirect Ownership Interest | 12% | 06/28/2013 |
| Falcon Capital LLC | Organization | 5% or Greater Indirect Ownership Interest | 12% | 06/28/2013 |
| Juniper Communties LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/28/2013 |
| Juniper Park, LP | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/18/2010 |
| Poitras, James | Individual | 5% or Greater Indirect Ownership Interest | 15% | 06/28/2013 |
| Poitras, Patricia | Individual | 5% or Greater Indirect Ownership Interest | 15% | 06/28/2013 |
| Breneman, Donald | Individual | Corporate Officer | NOT APPLICABLE | 07/02/2024 |
| Breneman, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/02/2024 |
| Breneman, Donald | Individual | ADP of the SNF | NOT APPLICABLE | 07/02/2024 |
| Cdebaca, Merina | Individual | ADP of the SNF | NOT APPLICABLE | 03/19/2013 |
| Copperhill Associates LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/28/2013 |
| Dergance, Jeannae | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Donato, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/31/2023 |
| Donato, Linda | Individual | ADP of the SNF | NOT APPLICABLE | 05/31/2023 |
| Falcon Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/28/2013 |
| Hastings, Charles | Individual | Corporate Officer | NOT APPLICABLE | 01/20/2010 |
| Hastings, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2010 |
| Hastings, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2010 |
| Juniper Communties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/28/2013 |
| Juniper Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/28/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you learn each resident's personal preferences and make sure staff actually follow them?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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 |
|---|---|---|---|---|---|
| Sloan's Lake Rehabilitation Center | 1.5 mi | Denver, CO | ★★★★★ | 5/5 | |
| Uptown Care Center | 1.9 mi | Denver, CO | ★★★★☆ | 2/5 | abuse |
| Denver North Care Center | 2.2 mi | Denver, CO | ★★★☆☆ | 3/5 | |
| Health Center at Franklin Park | 2.5 mi | Denver, CO | ★★★★☆ | 3/5 | |
| Wheatridge Care Center | 2.7 mi | Wheat Ridge, CO | ★★★☆☆ | 2/5 | |
| Rehabilitation Center at Sandalwood, the | 2.8 mi | Wheat Ridge, CO | ★★★★☆ | 3/5 | |
| Cambridge Care Center | 2.8 mi | Lakewood, CO | ★★★☆☆ | 2/5 | abuse |
| Edgewater Health and Rehabilitation | 2.9 mi | Lakewood, CO | ★★★★★ | 4/5 | |
| Cedars Healthcare Center | 2.9 mi | Lakewood, CO | ★★★☆☆ | 2/5 | |
| Briarwood Health Care Center | 3.0 mi | Denver, CO | ★★★★★ | 4/5 | |
| Sierra Post Acute | 3.0 mi | Lakewood, CO | ★★☆☆☆ | 1/5 | abuse |
| Lakeside Post Acute | 3.3 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 065327.