Malley Transitional Care Center

Name: Malley Transitional Care Center
Address: 401 MALLEY DR, Northglenn, CO, 80233, US
Telephone: 3034524700

401 Malley Dr, Northglenn, CO 80233 · Adams County · 162 certified beds · avg 137 residents/day · certified since Sep 28, 1984

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

2/5

Health inspection rating (on-site)

Serious findings on record

$11,180

Fines, last 3 years

3.03

Nurse hours/resident/day (adjusted)

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, repeated · Mar 30, 2023 · 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Apr 28, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 14, 2026 · 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: Apr 17, 2026 (Past Non-Compliance)

▲ Actual harm, one-off · Sep 7, 2023 · 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: Oct 3, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 30, 2023 · F-0760

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.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

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 28, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Nov 12, 2019 · F-0692

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

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: Dec 17, 2019 (Deficient, Provider has date of correction)

All citations in the current public record (29)

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	▲ 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 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. · from a complaint
Sep 26, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Sep 26, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Sep 26, 2024	D · Potential for harm, one-off	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.
Sep 26, 2024	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.
Sep 7, 2023	▲ 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
Mar 30, 2023	▲ K · Immediate jeopardy, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 30, 2023	▲ G · Actual harm, one-off	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.
Mar 30, 2023	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.
Mar 30, 2023	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.
Mar 30, 2023	E · Potential for harm, repeated	The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss.
Mar 30, 2023	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 30, 2023	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.
Mar 30, 2023	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.
Mar 30, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 30, 2023	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.
Mar 30, 2023	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.
Mar 30, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Mar 30, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 30, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 30, 2023	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Mar 30, 2023	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Mar 30, 2023	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Nov 12, 2019	▲ G · Actual harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Nov 12, 2019	F · Potential for harm, facility-wide	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.
Nov 12, 2019	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (17 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2019	3	1	G ▲
2023	18	3	K ▲
2024	6	0	E
2026	2	1	G ▲

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 $11,180.

Date	Type	Amount / length
Sep 7, 2023	Fine	$11,180

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)	3.03	3.89	3.95	bottom 12% in Colorado; bottom 15% in the U.S.
Registered Nurse hours	0.67	0.86	0.69	bottom 34% in Colorado; top 40% in the U.S.
Weekend total nurse staffing	2.61	3.44	3.50	bottom 11% in Colorado; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.59	0.61	0.48	top 39% in Colorado; top 23% 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 3.36, RN 0.74, weekend 2.89. Staffing rating: 1/5.

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 - Corporation

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	08/25/2022
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	04/25/2022
Graham, Joseph	Individual	Corporate Officer	NOT APPLICABLE	02/01/2024
Grubbs, Shad	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2022
Grubbs, Shad	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Grubbs, Shad	Individual	ADP of the SNF	NOT APPLICABLE	07/03/2025
Jorgensen, David	Individual	Corporate Director	NOT APPLICABLE	06/20/2019
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Onshift INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/03/2025
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/09/2024
Schnabel, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2022
Schnabel, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Schnabel, Michael	Individual	ADP of the SNF	NOT APPLICABLE	07/03/2025

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?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"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
Center at Northridge, LLC, the	1.5 mi	Westminster, CO	★★★★★	5/5
Villas at Sunny Acres, the	1.6 mi	Thornton, CO	★★☆☆☆	2/5	abuse
Thornton Care Center	2.3 mi	Thornton, CO	★☆☆☆☆	1/5
Skylake Post Acute	2.3 mi	Thornton, CO	★☆☆☆☆	1/5
Adara Living	4.2 mi	Broomfield, CO	★★☆☆☆	1/5	abuse
Clear Creek Care Center	5.6 mi	Westminster, CO	★★★☆☆	2/5
Life Care Center of Westminster	5.9 mi	Westminster, CO	★★★☆☆	2/5
Village Care and Rehabilitation Center, the	6.0 mi	Westminster, CO	★★★★☆	4/5
Park Forest Care Center LLC	6.3 mi	Westminster, CO	★☆☆☆☆	1/5	abuse
Irondale Post Acute	6.5 mi	Commerce City, CO	★★☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 065196.

The Care File

Visit checklist — Malley Transitional Care Center

401 Malley Dr, Northglenn, CO 80233 · 3034524700

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $11,180

Most serious findings on record:

▲ Mar 30, 2023 (F-0689, Immediate jeopardy, repeated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ May 14, 2026 (F-0689, 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.
▲ Sep 7, 2023 (F-0689, 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "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 065196 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)