Littleton Care and Rehabilitation Center
5822 S Lowell Way, Littleton, CO 80123 · Arapahoe County · 35 certified beds · avg 33 residents/day · certified since Apr 1, 1994
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: ★★★★★5/5 · 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 · Oct 3, 2024 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Oct 21, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (10)
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 19, 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. |
| Oct 3, 2024 | ▲ G · Actual 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 |
| Oct 3, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
| Oct 3, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
| Jan 9, 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. |
| Jan 9, 2024 | 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. |
| Jan 9, 2024 | 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. |
| Sep 7, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Sep 14, 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. |
| Sep 14, 2022 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2023 | 1 | 0 | D |
| 2024 | 6 | 1 | G ▲ |
| 2026 | 1 | 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 $7,781.
| Date | Type | Amount / length |
|---|---|---|
| Oct 3, 2024 | Fine | $7,781 |
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) | 3.59 | 3.89 | 3.95 | bottom 43% in Colorado; bottom 41% in the U.S. |
| Registered Nurse hours | 1.03 | 0.86 | 0.69 | top 26% in Colorado; top 15% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.44 | 3.50 | bottom 38% in Colorado; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.75 | 0.61 | 0.48 | top 27% in Colorado; top 14% 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 3.56, RN 1.02, weekend 3.07. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2009 |
| Dunyon, David | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2009 |
| Horton, Christopher | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2016 |
| Horton, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2016 |
| Horton, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 07/08/2025 |
| Jorgensen, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2009 |
| Jorgensen, David | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Jorgensen, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2009 |
| Jorgensen, David | Individual | ADP of the SNF | NOT APPLICABLE | 07/08/2025 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Lowell Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2009 |
| Onshift INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2009 |
| Port, Barry | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Sato, Ami | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/09/2024 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| The Ensign Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2002 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "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 |
|---|---|---|---|---|---|
| Hallmark Nursing Center | 1.8 mi | Denver, CO | ★★★★★ | 4/5 | |
| Cherrelyn Healthcare Center | 2.2 mi | Littleton, CO | ★★★★☆ | 4/5 | |
| Life Care Center of Littleton | 2.8 mi | Littleton, CO | ★★★☆☆ | 2/5 | |
| Heights Care & Rehabilitation LLC | 3.2 mi | Denver, CO | ★★☆☆☆ | 1/5 | |
| Continuing Care at Wind Crest | 3.6 mi | Highlands Ranch, CO | ★★★★★ | 5/5 | |
| Wellsprings Care Center | 3.8 mi | Englewood, CO | ★★★☆☆ | 2/5 | abuse |
| Englewood Post Acute and Rehabilitation | 3.9 mi | Englewood, CO | ★★★★☆ | 4/5 | |
| Lakewood Post Acute and Rehabilitation | 4.2 mi | Lakewood, CO | ★★★☆☆ | 2/5 | |
| Julia Temple Healthcare Center | 4.4 mi | Englewood, CO | ★★★☆☆ | 3/5 | |
| Suites at Someren Glen Care Center, the | 5.4 mi | Centennial, CO | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 065320.