Public Record
Englewood Post Acute and Rehabilitation
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 82
- Avg. residents per day
- 73
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 34
- Inspections on file
- 6
- Last inspection
- 2024-11-07
*CMS
*CMS
*CMS
Citations
34 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0584Generalpotential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0231Generalpotential for harm
Provide large enough exits.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0684Seriousactual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0742Generalpotential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0372Generalpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0561Generalpotential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 0585Generalpotential for harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0684Seriousactual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection11 deficiencies
- View inspection reportInspection11 deficiencies
- View inspection reportInspection7 deficiencies
- View inspection reportInspection7 deficiencies
- View inspection reportInspection16 deficiencies
- View inspection reportInspection16 deficiencies
FAQ
Questions and answers
- What is Englewood Post Acute and Rehabilitation?
- Englewood Post Acute and Rehabilitation is a Medicare- and Medicaid-certified nursing home in Englewood, CO, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 065077.
- What is the CMS rating for Englewood Post Acute and Rehabilitation?
- Englewood Post Acute and Rehabilitation has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Englewood Post Acute and Rehabilitation have?
- Englewood Post Acute and Rehabilitation is certified for 82 beds. It serves an average of 73 residents per day.
- How many citations does Englewood Post Acute and Rehabilitation have?
- Englewood Post Acute and Rehabilitation has 34 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Englewood Post Acute and Rehabilitation last inspected?
- Englewood Post Acute and Rehabilitation was last inspected on November 7, 2024. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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