Skylake Post Acute
12080 Bellaire Wy, Thornton, CO 80241
Skylake Post Acute is a nursing home in Thornton, Colorado. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (303) 450-2700
- Last standard health inspection
- December 1, 2025 (11 months ago)
- Certified beds
- 242
- Residents per day, on average
- 193.4
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Thornton Community Healthcare LLC
- Chain
- Pacs Group
- Takes part in
- Medicare and Medicaid
More health citations than the Colorado average (42 vs 25).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of May 27, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
2 citations
Health inspection on May 11, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
14 of 210 Colorado homes (7%) got a citation at the immediate jeopardy level in 2026.
Citation F0684. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on May 28, 2026.
Citation F0600. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on May 28, 2026.
CMS has cited this home for F0600 2 times since 2024.
Fine
May 11, 2026 (6 months ago)
CMS fine of $30,652 on May 11, 2026.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
3 citations
Health inspection on March 4, 2026
CMS lists this as a complaint inspection.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on March 26, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 26, 2026.
CMS has cited this home for F0689 4 times since 2022.
Citation F0806. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on March 26, 2026.
CMS has cited this home for F0806 2 times since 2024.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
10 citations
Health inspection on December 1, 2025
CMS lists this as a standard inspection and a complaint inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on December 11, 2025.
CMS has cited this home for F0812 3 times since 2022.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 11, 2025.
CMS has cited this home for F0880 3 times since 2024.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on December 11, 2025.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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 drugs.
CMS lists it as corrected on December 11, 2025.
Citation F0569. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
CMS lists it as corrected on December 11, 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on December 11, 2025.
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on December 15, 2025.
Citation F0740. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS lists it as corrected on December 11, 2025.
Citation F0813. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
CMS lists it as corrected on December 11, 2025.
Citation F0849. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS lists it as corrected on December 11, 2025.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
1 citation
Health inspection on May 7, 2025
CMS lists this as a complaint inspection.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 2, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of August 29, 2024
CMS abuse icon
CMS added its abuse icon to this home.
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Payment stopped
July 17, 2024 (2 years ago)
CMS stopped payment for new admissions from July 17, 2024, for 2 days.
CMS update of June 26, 2024
Name
CMS lists a new legal business name for this home.
5 citations
Health inspection on June 14, 2024
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
20 of 210 Colorado homes (10%) got a citation at the immediate jeopardy level in 2024.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on July 19, 2024.
Citation F0843. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
CMS lists it as corrected on July 19, 2024.
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on July 19, 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on July 19, 2024.
CMS has cited this home for F0609 2 times since 2024.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on July 19, 2024.
Fine
June 14, 2024 (2 years ago)
CMS fine of $25,572 on June 14, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Name
CMS lists a new name for this home. It was ELMS HAVEN CENTER.
17 citations
Health inspection on January 9, 2024
CMS lists this as a standard inspection and a complaint inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 3, 2024.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 3, 2024.
Citation F0908. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on February 3, 2024.
Citation F0585. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 3, 2024.
Citation F0726. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS lists it as corrected on February 3, 2024.
Citation F0730. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Observe each nurse aide's job performance and give regular training.
CMS lists it as corrected on February 3, 2024.
Citation F0744. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS lists it as corrected on February 3, 2024.
Citation F0803. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS lists it as corrected on February 3, 2024.
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on February 20, 2024.
Citation F0806. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on February 3, 2024.
Citation F0943. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
CMS lists it as corrected on February 3, 2024.
Citation F0947. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS lists it as corrected on February 27, 2024.
Citation F0949. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
CMS lists it as corrected on February 3, 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on February 3, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 3, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on February 3, 2024.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on February 7, 2024.
12 citations
Fire safety inspection on January 9, 2024
CMS lists this as a standard inspection.
Citation E0001. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish an Emergency Preparedness Program (EP).
CMS lists it as corrected on February 3, 2024.
Citation E0006. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct risk assessment and an All-Hazards approach.
CMS lists it as corrected on February 3, 2024.
Citation E0009. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Include a process for Emergency Preparedness collaboration.
CMS lists it as corrected on February 3, 2024.
Citation E0013. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop Emergency Preparedness policies and procedures.
CMS lists it as corrected on February 3, 2024.
Citation E0018. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish procedures for tracking staff and patients during an emergency.
CMS lists it as corrected on February 3, 2024.
Citation E0025. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Create arrangements with other facilities to receive patients.
CMS lists it as corrected on February 3, 2024.
Citation E0029. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop a communication plan.
CMS lists it as corrected on February 3, 2024.
Citation E0032. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide primary/alternate means for communication.
CMS lists it as corrected on February 3, 2024.
Citation E0033. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish methods for sharing information.
CMS lists it as corrected on February 3, 2024.
Citation E0034. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide a means of sharing information on occupancy/needs.
CMS lists it as corrected on February 3, 2024.
Citation E0037. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on February 3, 2024.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on February 3, 2024.
4 citations
Health inspection on September 16, 2022
CMS lists this as a standard inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
9 of 210 Colorado homes (4%) got a citation at the immediate jeopardy level in 2022.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on September 16, 2022.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 19, 2022.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on September 19, 2022.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on September 19, 2022.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PANTHER MASTER TENANT, LLC5% or greater direct ownership interest · 100% · since 11/03/2023
- PROVIDENCE GROUP NH, LLC5% or greater indirect ownership interest · no percentage provided · since 11/03/2023
Questions
When was Skylake Post Acute last inspected?
CMS lists December 1, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Skylake Post Acute have?
CMS lists 42 health citations since September 16, 2022. CMS also calls these deficiencies.
Has Skylake Post Acute been fined?
CMS lists 2 fines in the past three years, $56,224 in total.
What is the CMS star rating of Skylake Post Acute?
Its CMS overall star rating is 1 of 5.
Is Skylake Post Acute a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.