Silver Heights Skilled Nursing and Rehabilitation

Name: Silver Heights Skilled Nursing and Rehabilitation
Address: 4001 HOME ST, Castle Rock, CO, 80108, US
Telephone: 3036883174

4001 Home St, Castle Rock, CO 80108 · Douglas County · 91 certified beds · avg 58 residents/day · certified since Dec 1, 1990

Part of chain: MADISON CREEK PARTNERS (13 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.71

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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.

All citations in the current public record (30)

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 3, 2025	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.
Apr 3, 2025	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Apr 3, 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.
Apr 3, 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 3, 2025	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. · from a complaint
Apr 3, 2025	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.
Apr 3, 2025	D · Potential for 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.
Apr 3, 2025	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. · from a complaint
Apr 3, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Apr 3, 2025	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
Nov 7, 2024	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
Nov 7, 2024	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
Nov 7, 2024	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. · from a complaint
Nov 7, 2024	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. · from a complaint
Nov 7, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Oct 19, 2023	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.
Oct 19, 2023	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.
Oct 19, 2023	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.
Oct 19, 2023	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.
Oct 19, 2023	D · Potential for 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.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Oct 19, 2023	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.
Jul 21, 2022	F · Potential for harm, facility-wide	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jul 21, 2022	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.
Jul 21, 2022	E · Potential for harm, repeated	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.
Jul 21, 2022	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.
Jul 21, 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.
Jul 21, 2022	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.
Jul 21, 2022	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 9).

Year	Citations	Worst severity that year
2022	7	F
2023	8	F
2024	5	D
2025	10	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)

No fines or payment denials in the published 3-year window.

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)	3.71	3.89	3.95	bottom 48% in Colorado; bottom 47% in the U.S.
Registered Nurse hours	1.07	0.86	0.69	top 22% in Colorado; top 13% in the U.S.
Weekend total nurse staffing	3.42	3.44	3.50	top 43% in Colorado; top 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.61	0.48	top 47% in Colorado; top 28% in the U.S.
Total nursing staff turnover (%)	46.5	47.1	45.8	top 50% in Colorado; bottom 46% in the U.S.
RN turnover (%)	33.3	44.6	42.9	top 29% in Colorado; top 33% 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 2.90, RN 0.84, weekend 2.67. Staffing rating: 4/5.

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

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Chief Joseph Trail, LLC	Organization	5% or Greater Direct Ownership Interest	100%	03/02/2026
Clegg, Michael	Individual	5% or Greater Indirect Ownership Interest	—	03/02/2026
Tippet, LLC	Organization	5% or Greater Indirect Ownership Interest	—	03/02/2026
White Canyon, LLC	Organization	5% or Greater Indirect Ownership Interest	—	03/02/2026
Christensen, Covey	Individual	Operational/Managerial Control	NOT APPLICABLE	12/22/2022
Christensen, Covey	Individual	ADP of the SNF	NOT APPLICABLE	12/22/2022
Clegg, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/26/2023
Clegg, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	06/26/2023
Clegg, Michael	Individual	ADP of the SNF	NOT APPLICABLE	06/26/2023
Hopkins, Amber	Individual	Operational/Managerial Control	NOT APPLICABLE	12/22/2022
Hopkins, Amber	Individual	ADP of the SNF	NOT APPLICABLE	12/22/2022
Howe, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2022
Howe, Robert	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2022
Ikerd, John	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/02/2026
Ikerd, John	Individual	Operational/Managerial Control	NOT APPLICABLE	12/22/2022
Ikerd, John	Individual	ADP of the SNF	NOT APPLICABLE	12/22/2022
Knecht, Andrew	Individual	Operational/Managerial Control	NOT APPLICABLE	05/19/2025
Knecht, Andrew	Individual	ADP of the SNF	NOT APPLICABLE	05/19/2025
Madison Creek Partners LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/22/2022
Madison Creek Partners LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/22/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"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 many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
"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
Brookside Inn	3.9 mi	Castle Rock, CO	★★☆☆☆	1/5	abuse
Center at Lincoln, LLC, the	6.4 mi	Parker, CO	★★☆☆☆	2/5
Life Care Center of Stonegate	9.1 mi	Parker, CO	★★★☆☆	2/5
VI at Highlands Ranch Skilled Nursing	10.2 mi	Highlands Ranch, CO	★★★★★	5/5
Parker Post Acute	10.6 mi	Parker, CO	★★☆☆☆	1/5
Brookdale Greenwood Village	12.4 mi	Greenwood Village, CO	★★★☆☆	2/5
Suites at Someren Glen Care Center, the	12.5 mi	Centennial, CO	★★☆☆☆	2/5
Suites at Holly Creek Care Center, the	12.6 mi	Centennial, CO	★★★★★	4/5
Continuing Care at Wind Crest	12.8 mi	Highlands Ranch, CO	★★★★★	5/5
Life Care Center of Littleton	12.9 mi	Littleton, CO	★★★☆☆	2/5
Orchard Park Health Care Center	13.2 mi	Littleton, CO	★★★★☆	4/5
Beth Israel at Shalom Park	14.3 mi	Aurora, CO	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Castle Rock →

Facility data as of CMS processing date 2026-08-01. CCN 065285.

The Care File

Visit checklist — Silver Heights Skilled Nursing and Rehabilitation

4001 Home St, Castle Rock, CO 80108 · 3036883174

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "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 many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
☐ "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 065285 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)