Village Care and Rehabilitation Center, the
9221 Wadsworth Pkwy, Westminster, CO 80021 · Jefferson County · 60 certified beds · avg 56 residents/day · certified since Mar 25, 1998
Part of chain: COVENANT LIVING (15 facilities, chain avg rating 4.4★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 8, 2024 · 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 5, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (15)
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 |
|---|---|---|
| Dec 19, 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. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Oct 8, 2024 | ▲ 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 |
| Jun 21, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 21, 2023 | 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. |
| Jun 21, 2023 | 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. |
| Jun 21, 2023 | 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. |
| Jun 21, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jun 21, 2023 | 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. |
| Aug 29, 2019 | 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. |
| Aug 29, 2019 | E · Potential for harm, repeated | The facility did not provide at least one adequately sized room for dining and activities, with good lighting, airflow, and furniture. |
| Aug 29, 2019 | 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. |
| Aug 29, 2019 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Aug 29, 2019 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 5 | 0 | E |
| 2023 | 6 | 0 | E |
| 2024 | 4 | 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)
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) | 4.77 | 3.89 | 3.95 | top 14% in Colorado; top 17% in the U.S. |
| Registered Nurse hours | 0.86 | 0.86 | 0.69 | top 43% in Colorado; top 23% in the U.S. |
| Weekend total nurse staffing | 4.00 | 3.44 | 3.50 | top 18% in Colorado; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.61 | 0.48 | bottom 40% in Colorado; top 35% in the U.S. |
| Total nursing staff turnover (%) | 43.7 | 47.1 | 45.8 | top 39% in Colorado; top 46% in the U.S. |
| RN turnover (%) | 43.8 | 44.6 | 42.9 | top 47% in Colorado; bottom 46% 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 4.12, RN 0.74, weekend 3.45. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Covenant Living Communities & Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/26/1988 |
| Bentley, Sarah | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Christensen, Pamela | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Cunliffe, Terri | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/22/2015 |
| Cunliffe, Terri | Individual | Corporate Officer | NOT APPLICABLE | 05/22/2015 |
| Davis, Kara | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Eastburg, Mark | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Erickson, David | Individual | Corporate Officer | NOT APPLICABLE | 01/31/2008 |
| Erickson, Rebekah | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2019 |
| Holt, Jody | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/02/2017 |
| Holt, Jody | Individual | Corporate Officer | NOT APPLICABLE | 06/02/2017 |
| Holt, Jody | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/02/2017 |
| Kincannon, Kurt | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Manlove, Matt | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Martin, Robert | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Nelson, Richard | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Oxendale, Roger | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Rinard, Dale | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Vanover, Andrew | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Wenrich, John | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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 I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "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 |
|---|---|---|---|---|---|
| Life Care Center of Westminster | 2.4 mi | Westminster, CO | ★★★☆☆ | 2/5 | |
| Arbor View Care Center, LLC | 2.6 mi | Arvada, CO | ★★★☆☆ | 2/5 | |
| Clear Creek Care Center | 3.4 mi | Westminster, CO | ★★★☆☆ | 2/5 | |
| Park Forest Care Center LLC | 3.4 mi | Westminster, CO | ★☆☆☆☆ | 1/5 | abuse |
| Arvada Care and Rehabilitation Center | 4.1 mi | Arvada, CO | ★★★★★ | 4/5 | |
| Adara Living | 4.9 mi | Broomfield, CO | ★★☆☆☆ | 1/5 | abuse |
| Thornton Care Center | 5.3 mi | Thornton, CO | ★☆☆☆☆ | 1/5 | |
| Center at Northridge, LLC, the | 5.6 mi | Westminster, CO | ★★★★★ | 5/5 | |
| Malley Transitional Care Center | 6.0 mi | Northglenn, CO | ★★☆☆☆ | 2/5 | |
| Mountain Vista Health Center | 6.1 mi | Wheat Ridge, CO | ★★☆☆☆ | 2/5 | |
| Villas at Sunny Acres, the | 6.5 mi | Thornton, CO | ★★☆☆☆ | 2/5 | abuse |
| Lakeside Post Acute | 6.5 mi | Wheat Ridge, CO | ★★★☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 065367.