Mountain Vista Health Center
4800 Tabor St, Wheat Ridge, CO 80033 · Jefferson County · 168 certified beds · avg 84 residents/day · certified since Jan 1, 1967
Part of chain: AMERICAN BAPTIST HOMES OF THE MIDWEST (6 facilities, chain avg rating 2.3★)
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)
▲ Actual harm, one-off · Nov 20, 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: Jul 31, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Mar 20, 2024 · 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: Apr 17, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 1, 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: Nov 22, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (35)
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 |
|---|---|---|
| Apr 30, 2026 | 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. |
| Apr 30, 2026 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Apr 30, 2026 | 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. |
| Apr 30, 2026 | 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 30, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Dec 9, 2025 | 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 |
| Jun 11, 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. · from a complaint |
| Mar 24, 2025 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Mar 24, 2025 | 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 |
| Mar 24, 2025 | 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. · from a complaint |
| Mar 24, 2025 | 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. · from a complaint |
| Mar 24, 2025 | 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. · from a complaint |
| Feb 24, 2025 | 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 |
| Nov 20, 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 |
| Mar 20, 2024 | ▲ 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. |
| Mar 20, 2024 | 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. · from a complaint |
| Mar 20, 2024 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Mar 20, 2024 | 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. · from a complaint |
| Mar 20, 2024 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Mar 20, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 20, 2024 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Mar 20, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 20, 2024 | D · Potential for harm, one-off | 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. |
| Mar 20, 2024 | 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 20, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Nov 1, 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 |
| Sep 25, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Dec 8, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 8, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 8, 2022 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 8, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Dec 8, 2022 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | D |
| 2023 | 2 | 1 | G ▲ |
| 2024 | 15 | 2 | G ▲ |
| 2025 | 8 | 0 | F |
| 2026 | 5 | 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)
3 fines totaling $39,227.
| Date | Type | Amount / length |
|---|---|---|
| Nov 20, 2024 | Fine | $7,718 |
| Mar 20, 2024 | Fine | $23,319 |
| Nov 1, 2023 | Fine | $8,190 |
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) | 4.48 | 3.89 | 3.95 | top 21% in Colorado; top 24% in the U.S. |
| Registered Nurse hours | 0.92 | 0.86 | 0.69 | top 34% in Colorado; top 20% in the U.S. |
| Weekend total nurse staffing | 4.20 | 3.44 | 3.50 | top 14% in Colorado; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.61 | 0.48 | bottom 47% in Colorado; top 30% in the U.S. |
| Total nursing staff turnover (%) | 65.9 | 47.1 | 45.8 | bottom 7% in Colorado; bottom 9% in the U.S. |
| RN turnover (%) | 75.0 | 44.6 | 42.9 | bottom 7% in Colorado; bottom 9% 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 4.08, RN 0.83, weekend 3.82. 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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Allen, Ryan | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
| Baptist Home Association of the Rocky Mountains INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Blatnik, Andrea | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2022 |
| Davidson, Roger | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Ford, Ashley | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Hanson, Phillip | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
| Johnson, Dorothy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Johnson, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Johnson, Lars | Individual | Corporate Officer | NOT APPLICABLE | 06/05/2023 |
| Killian, George | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Neiman, Ruth | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Peters, Marshall | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
| Van Der Beek, Bruce | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Vanostram, Steven | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
| Vaughn-Gray, Stephanie | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Wagoner Ford, Anne | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Whitaker, Bruce | Individual | Corporate Director | NOT APPLICABLE | 05/01/2012 |
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?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "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 |
|---|---|---|---|---|---|
| Lakewood Villa | 2.9 mi | Lakewood, CO | ★★★★☆ | 3/5 | |
| Ahc of Lakewood, LLC | 3.1 mi | Lakewood, CO | ★★★★★ | 5/5 | |
| Lakeside Post Acute | 3.4 mi | Wheat Ridge, CO | ★★★☆☆ | 2/5 | abuse |
| Arvada Care and Rehabilitation Center | 3.5 mi | Arvada, CO | ★★★★★ | 4/5 | |
| Allison Care Center | 3.6 mi | Lakewood, CO | ★★☆☆☆ | 2/5 | abuse |
| Western Hills Health Care Center | 3.6 mi | Lakewood, CO | ★★★☆☆ | 3/5 | |
| Rehabilitation Center at Sandalwood, the | 3.9 mi | Wheat Ridge, CO | ★★★★☆ | 3/5 | |
| Arbor View Care Center, LLC | 3.9 mi | Arvada, CO | ★★★☆☆ | 2/5 | |
| Harmony Pointe Care Center | 4.0 mi | Lakewood, CO | ★★★☆☆ | 2/5 | |
| Wheatridge Care Center | 4.1 mi | Wheat Ridge, CO | ★★★☆☆ | 2/5 | |
| Cambridge Care Center | 4.7 mi | Lakewood, CO | ★★★☆☆ | 2/5 | abuse |
| Edgewater Health and Rehabilitation | 4.7 mi | Lakewood, CO | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 065015.