Colorado ›Castle Rock

Silver Heights Skilled Nursing and Rehabilitation

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4001 Home St, Castle Rock, CO 80108 (opens Google Maps) · Douglas County · (303) 688-3174· 91 certified beds · avg 58 residents/day · certified since Dec 1, 1990 · Medicare and Medicaid certified

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

3/5
Health inspection rating (on-site)
inspected Apr 3, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.71
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →

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.

Inspection findings in the public record

Showing the latest 3 of 30 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

  2. E · Potential for more than minimal harm, pattern

    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. F-0758

  3. E · Potential for more than minimal harm, pattern

    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. F-0761

View all 30 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.

DateSeverityWhat the facility was cited for
Apr 3, 2025E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Apr 3, 2025E · Potential for more than minimal harm, patternThe 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. · F-0758
Apr 3, 2025E · Potential for more than minimal harm, patternThe 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. · F-0761
Apr 3, 2025E · Potential for more than minimal harm, patternThe 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
Apr 3, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0677
Apr 3, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0688
Apr 3, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Apr 3, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0791
Apr 3, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Apr 3, 2025D · Potential for more than minimal harm, isolatedThe 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
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe 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
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe 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
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0677
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0755
Nov 7, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Oct 19, 2023F · Potential for more than minimal harm, widespreadThe 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 19, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0600
Oct 19, 2023D · Potential for more than minimal harm, isolatedThe 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
Oct 19, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Oct 19, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 19, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0691
Oct 19, 2023D · Potential for more than minimal harm, isolatedThe facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Oct 19, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Jul 21, 2022F · Potential for more than minimal harm, widespreadThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Jul 21, 2022E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jul 21, 2022E · Potential for more than minimal harm, patternThe 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. · F-0759
Jul 21, 2022D · Potential for more than minimal harm, isolatedThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604
Jul 21, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Jul 21, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0744
Jul 21, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0849

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations: 7
Serious citations (G–L): 0
2023
All citations: 8
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 10
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202270F
202380F
202450D
2025100E

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)

How to file a complaint about care →

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

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: 3.71
Colorado average: 3.89
U.S. average: 3.95
Registered Nurse hours
This facility: 1.07
Colorado average: 0.86
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.42
Colorado average: 3.44
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityColorado avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.713.893.95bottom 48% in Colorado; bottom 47% in the U.S.
Registered Nurse hours1.070.860.69top 22% in Colorado; top 13% in the U.S.
Weekend total nurse staffing3.423.443.50top 43% in Colorado; top 46% in the U.S.
Weekend RN hours (not acuity-adjusted)0.550.610.48top 47% in Colorado; top 28% in the U.S.
Total nursing staff turnover (%)46.547.145.8top 50% in Colorado; bottom 46% in the U.S.
RN turnover (%)33.344.642.9top 29% in Colorado; top 33% in the U.S.

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 2.90, RN 0.84, weekend 2.67.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.90 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Silver Heights Skilled Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Chief Joseph Trail, LLCOrganization5% or Greater Direct Ownership Interest100%03/02/2026
Clegg, MichaelIndividual5% or Greater Indirect Ownership Interest—03/02/2026
Tippet, LLCOrganization5% or Greater Indirect Ownership Interest—03/02/2026
White Canyon, LLCOrganization5% or Greater Indirect Ownership Interest—03/02/2026
Christensen, CoveyIndividualOperational/Managerial ControlNOT APPLICABLE12/22/2022
Christensen, CoveyIndividualADP of the SNFNOT APPLICABLE12/22/2022
Clegg, MichaelIndividualManaging Control - Governing BodyNOT APPLICABLE06/26/2023
Clegg, MichaelIndividualOperational/Managerial ControlNOT APPLICABLE06/26/2023
Clegg, MichaelIndividualADP of the SNFNOT APPLICABLE06/26/2023
Hopkins, AmberIndividualOperational/Managerial ControlNOT APPLICABLE12/22/2022
Hopkins, AmberIndividualADP of the SNFNOT APPLICABLE12/22/2022
Howe, RobertIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2022
Howe, RobertIndividualADP of the SNFNOT APPLICABLE04/01/2022
Ikerd, JohnIndividualManaging Control - Governing BodyNOT APPLICABLE03/02/2026
Ikerd, JohnIndividualOperational/Managerial ControlNOT APPLICABLE12/22/2022
Ikerd, JohnIndividualADP of the SNFNOT APPLICABLE12/22/2022
Knecht, AndrewIndividualOperational/Managerial ControlNOT APPLICABLE05/19/2025
Knecht, AndrewIndividualADP of the SNFNOT APPLICABLE05/19/2025
Madison Creek Partners LLCOrganizationOperational/Managerial ControlNOT APPLICABLE12/22/2022
Madison Creek Partners LLCOrganizationADP of the SNFNOT APPLICABLE12/22/2022

All 20 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 Madison Creek Partners — 13 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.

Listed by state, then facility name — not a ranking. Showing 8 of the 12 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 47% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 35 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Brookside Inn3.9 miCastle Rock, CO★★☆☆☆1/5abuse
Center at Lincoln, LLC, the6.4 miParker, CO★★☆☆☆2/5
Life Care Center of Stonegate9.1 miParker, CO★★★☆☆2/5
VI at Highlands Ranch Skilled Nursing10.2 miHighlands Ranch, CO★★★★★5/5
Parker Post Acute10.6 miParker, CO★★☆☆☆1/5
Brookdale Greenwood Village12.4 miGreenwood Village, CO★★★☆☆2/5
Suites at Someren Glen Care Center, the12.5 miCentennial, CO★★☆☆☆2/5
Suites at Holly Creek Care Center, the12.6 miCentennial, CO★★★★★4/5
Continuing Care at Wind Crest12.8 miHighlands Ranch, CO★★★★★5/5
Life Care Center of Littleton12.9 miLittleton, CO★★★☆☆2/5
Orchard Park Health Care Center13.2 miLittleton, CO★★★★☆4/5
Beth Israel at Shalom Park14.3 miAurora, 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.

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