Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
5/5
Health inspection rating (on-site)
inspected Feb 19, 2026
1
Serious findings on record
most recent Oct 3, 2024
$7,781
Fines, last 3 years
3.59
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 21, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.
E · Potential for more than minimal harm, pattern
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. F-0880
G · Actual harm, isolated
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 complaintF-0600
E · Potential for more than minimal harm, pattern
The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaintF-0565
View all 10 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Feb 19, 2026
E · Potential for more than minimal harm, pattern
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. · F-0880
Oct 3, 2024
▲ G · Actual harm, isolated
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 · F-0600
Oct 3, 2024
E · Potential for more than minimal harm, pattern
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 · F-0565
Oct 3, 2024
C · Potential for minimal harm, widespread
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 · F-0732
Jan 9, 2024
E · Potential for more than minimal harm, pattern
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. · F-0880
Jan 9, 2024
D · Potential for more than minimal harm, isolated
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604
Jan 9, 2024
D · Potential for more than minimal harm, isolated
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. · F-0686
Sep 7, 2023
D · Potential for more than minimal harm, isolated
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 · F-0580
Sep 14, 2022
D · Potential for more than minimal harm, isolated
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. · F-0676
Sep 14, 2022
D · Potential for more than minimal harm, isolated
The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · F-0813
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 1).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations:
2
Serious citations (G–L):
0
2023
All citations:
1
Serious citations (G–L):
0
2024
All citations:
6
Serious citations (G–L):
1
2026
All citations:
1
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Oct 3, 2024
Fine
$7,781
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityColorado averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
3.59
Colorado average:
3.89
U.S. average:
3.95
Registered Nurse hours
This facility:
1.03
Colorado average:
0.86
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.10
Colorado average:
3.44
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 (%)
—
47.1
45.8
—
RN turnover (%)
—
44.6
42.9
—
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.56 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Littleton Care and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
All 18 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain The Ensign Group — 342 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
CMS records place this facility in Arapahoe, CO — 19 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 065320.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — Littleton Care and Rehabilitation Center
5822 S Lowell Way, Littleton, CO 80123 · (303) 798-2497
Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $7,781
Most serious findings on record:
▲ Oct 3, 2024 (F-0600, Actual harm, isolated): 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.
Questions for the administrator:
☐ "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?"
☐ "Your weekend nurse staffing is reported below the Colorado midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 065320 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)