South Valley Post Acute Rehabilitation
4450 E Jewell Ave, Denver, CO 80222 · Denver County · 106 certified beds · avg 103 residents/day · certified since Mar 17, 1986
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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 (11)
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 |
|---|---|---|
| Jan 29, 2026 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jan 29, 2026 | E · Potential for harm, repeated | 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 |
| Jan 29, 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. |
| Jan 29, 2026 | 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. |
| Jan 29, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jan 29, 2026 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Jan 29, 2026 | 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. |
| May 16, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Nov 13, 2023 | 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. |
| Sep 8, 2022 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Sep 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2023 | 1 | 0 | D |
| 2024 | 1 | 0 | D |
| 2026 | 7 | 0 | F |
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) | 3.41 | 3.89 | 3.95 | bottom 30% in Colorado; bottom 32% in the U.S. |
| Registered Nurse hours | 0.51 | 0.86 | 0.69 | bottom 14% in Colorado; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.07 | 3.44 | 3.50 | bottom 35% in Colorado; bottom 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.61 | 0.48 | bottom 35% in Colorado; top 39% in the U.S. |
| Total nursing staff turnover (%) | 48.9 | 47.1 | 45.8 | bottom 43% in Colorado; bottom 40% in the U.S. |
| RN turnover (%) | 41.7 | 44.6 | 42.9 | top 41% in Colorado; top 50% 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 3.10, RN 0.46, weekend 2.79. Staffing rating: 2/5.
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: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| The Ensign Group, INC. | Organization | 5% or Greater Indirect Ownership Interest | 100% | 06/18/2014 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 12/15/2020 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/15/2020 |
| Graham, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2024 |
| Horton, Christopher | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2021 |
| Horton, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Horton, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 06/21/2025 |
| Jorgensen, David | Individual | Corporate Director | NOT APPLICABLE | 12/15/2020 |
| Kare Technologies LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/21/2025 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| SMV Denver Red Rocks LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Wilson, Hunter | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2020 |
| Wilson, Hunter | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2020 |
| Wilson, Hunter | Individual | ADP of the SNF | NOT APPLICABLE | 06/25/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What mental health services do you provide on-site, and who delivers them?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Rowan Community, INC | 0.5 mi | Denver, CO | ★★★★☆ | 2/5 | |
| Amberwood Post Acute | 0.6 mi | Denver, CO | ★★☆☆☆ | 2/5 | |
| Brookshire Post Acute | 0.6 mi | Denver, CO | ★☆☆☆☆ | 1/5 | abuse |
| Suites at Clermont Park Care Center, the | 0.7 mi | Denver, CO | ★★★★★ | 5/5 | |
| Holly Heights Care and Rehabilitation | 1.2 mi | Denver, CO | ★★★☆☆ | 2/5 | |
| Highline Post Acute | 1.2 mi | Denver, CO | ★☆☆☆☆ | 1/5 | |
| Crestmoor Care Center | 2.0 mi | Denver, CO | ★★★☆☆ | 2/5 | abuse |
| Berkley Manor Care Center | 2.2 mi | Denver, CO | ★★★★★ | 3/5 | |
| Julia Temple Healthcare Center | 2.5 mi | Englewood, CO | ★★★☆☆ | 3/5 | |
| Hilltop Park Post Acute | 2.6 mi | Denver, CO | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 065230.