ElderGrade
B

78.9/100

Above average

Silver Heights Skilled Nursing And Rehabilitation

4001 Home St, Castle Rock, CO 80108

CMS 4/5 stars #4 of 7 in Douglas County (303) 688-3174
Certified beds
91
Occupancy
64%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

27.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -2.1 for 23 total citations against a national median of 17

Staffing

17/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.71 total nurse hours per resident per day (national median 3.77)
  • 0.84 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 47% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.90 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.84 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.67 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 46.50%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 30 citations

Last standard health inspection: April 3, 2025 (1 year ago).

E Apr 3, 2025 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Apr 3, 2025 F0758

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the m...

No actual harm, potential for more than minimal harm

E Apr 3, 2025 F0761

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...

No actual harm, potential for more than minimal harm

E Apr 3, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Apr 3, 2025 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D Apr 3, 2025 F0688

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

No actual harm, potential for more than minimal harm

D Apr 3, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Apr 3, 2025 F0791 From a complaint

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of MADISON CREEK PARTNERS, which operates 13 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CLEGG, MICHAEL Individual MANAGING CONTROL - GOVERNING BODY
IKERD, JOHN Individual MANAGING CONTROL - GOVERNING BODY
MADISON CREEK PARTNERS LLC Organization OPERATIONAL/MANAGERIAL CONTROL
CHRISTENSEN, COVEY Individual OPERATIONAL/MANAGERIAL CONTROL
CLEGG, MICHAEL Individual OPERATIONAL/MANAGERIAL CONTROL
HOPKINS, AMBER Individual OPERATIONAL/MANAGERIAL CONTROL
HOWE, ROBERT Individual OPERATIONAL/MANAGERIAL CONTROL
IKERD, JOHN Individual OPERATIONAL/MANAGERIAL CONTROL
KNECHT, ANDREW Individual OPERATIONAL/MANAGERIAL CONTROL
MADISON CREEK PARTNERS LLC Organization ADP OF THE SNF
CHRISTENSEN, COVEY Individual ADP OF THE SNF
CLEGG, MICHAEL Individual ADP OF THE SNF

What families say

Write a review

No family reviews yet for Silver Heights Skilled Nursing And Rehabilitation. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Silver Heights Skilled Nursing And Rehabilitation

What is the ElderGrade for Silver Heights Skilled Nursing And Rehabilitation? +

Silver Heights Skilled Nursing And Rehabilitation holds an ElderGrade of B (78.9 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Silver Heights Skilled Nursing And Rehabilitation? +

Residents receive an average of 2.90 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Silver Heights Skilled Nursing And Rehabilitation been cited for harming residents? +

No. None of the 30 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Silver Heights Skilled Nursing And Rehabilitation accept Medicaid? +

Yes, Silver Heights Skilled Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.