Suites at Holly Creek Care Center, the

Name: Suites at Holly Creek Care Center, the
Address: 5590 E PEAKVIEW AVE, Centennial, CO, 80121, US
Telephone: 7202665888

5590 E Peakview Ave, Centennial, CO 80121 · Arapahoe County · 25 certified beds · avg 25 residents/day · certified since Mar 27, 2009

4/5

Health inspection rating (on-site)

Serious findings on record

$21,678

Fines, last 3 years

6.04

Nurse hours/resident/day (adjusted)

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

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

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 21, 2024 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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 29, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jul 31, 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 31, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (7)

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
Nov 21, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Nov 21, 2024	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.
Nov 21, 2024	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.
Jul 31, 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.
May 25, 2022	E · Potential for harm, repeated	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.
May 25, 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.
May 25, 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 increased between the last two inspection cycles (1 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2022	3	0	E
2023	1	1	G ▲
2024	3	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 $21,678.

Date	Type	Amount / length
Nov 21, 2024	Fine	$21,678

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)	6.04	3.89	3.95	top 2% in Colorado; top 4% in the U.S.
Registered Nurse hours	1.68	0.86	0.69	top 4% in Colorado; top 3% in the U.S.
Weekend total nurse staffing	5.34	3.44	3.50	top 3% in Colorado; top 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.08	0.61	0.48	top 5% in Colorado; top 5% in the U.S.
Total nursing staff turnover (%)	25.8	47.1	45.8	top 4% in Colorado; top 8% in the U.S.
RN turnover (%)	12.5	44.6	42.9	top 4% in Colorado; top 6% 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 5.75, RN 1.60, weekend 5.08. Staffing rating: 5/5.

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: 4/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Christian Living Neighborhoods	Organization	Direct Ownership Interest	NOT APPLICABLE	09/01/2011
Chapman, Madelyn	Individual	Operational/Managerial Control	NOT APPLICABLE	10/23/2020
Chapman, Madelyn	Individual	ADP of the SNF	NOT APPLICABLE	10/23/2020
Childs, Bryon	Individual	Corporate Officer	NOT APPLICABLE	05/28/2007
Childs, Bryon	Individual	Trustee of the SNF	NOT APPLICABLE	05/28/2007
Childs, Bryon	Individual	ADP of the SNF	NOT APPLICABLE	05/28/2007
Christian Living Neighborhoods	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2011
Christian Living Neighborhoods	Organization	ADP of the SNF	NOT APPLICABLE	03/26/2025
Fralick, Traci	Individual	Corporate Director	NOT APPLICABLE	11/05/2018
Fralick, Traci	Individual	Trustee of the SNF	NOT APPLICABLE	11/05/2018
Fralick, Traci	Individual	ADP of the SNF	NOT APPLICABLE	11/05/2018
Franken, Jan	Individual	Operational/Managerial Control	NOT APPLICABLE	07/09/2007
Franken, Jan	Individual	ADP of the SNF	NOT APPLICABLE	07/09/2007
Keller, Jayne	Individual	Corporate Officer	NOT APPLICABLE	04/01/2021
Keller, Jayne	Individual	Trustee of the SNF	NOT APPLICABLE	04/01/2021
Keller, Jayne	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2021
Vitale-Aussem, Jill	Individual	Corporate Director	NOT APPLICABLE	11/01/2020
Vitale-Aussem, Jill	Individual	Trustee of the SNF	NOT APPLICABLE	11/01/2020
Vitale-Aussem, Jill	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2020

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 do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"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
Suites at Someren Glen Care Center, the	0.6 mi	Centennial, CO	★★☆☆☆	2/5
Orchard Park Health Care Center	0.6 mi	Littleton, CO	★★★★☆	4/5
Brookdale Greenwood Village	2.1 mi	Greenwood Village, CO	★★★☆☆	2/5
Cherrelyn Healthcare Center	3.9 mi	Littleton, CO	★★★★☆	4/5
VI at Highlands Ranch Skilled Nursing	4.0 mi	Highlands Ranch, CO	★★★★★	5/5
Julia Temple Healthcare Center	4.7 mi	Englewood, CO	★★★☆☆	3/5
Wellsprings Care Center	4.8 mi	Englewood, CO	★★★☆☆	2/5	abuse
Englewood Post Acute and Rehabilitation	4.9 mi	Englewood, CO	★★★★☆	4/5
Life Care Center of Littleton	5.1 mi	Littleton, CO	★★★☆☆	2/5
Suites at Clermont Park Care Center, the	5.1 mi	Denver, CO	★★★★★	5/5
Holly Heights Care and Rehabilitation	5.3 mi	Denver, CO	★★★☆☆	2/5
Highline Post Acute	5.3 mi	Denver, CO	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Centennial →

Facility data as of CMS processing date 2026-08-01. CCN 065395.

The Care File

Visit checklist — Suites at Holly Creek Care Center, the

5590 E Peakview Ave, Centennial, CO 80121 · 7202665888

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $21,678

Most serious findings on record:

▲ Nov 21, 2024 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Jul 31, 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:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "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 065395 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)