• CMS rates this facility 2/5 stars (below average)
• Has 67 certified beds with an average of 56.9 residents per day (85% occupancy)
• Last health inspection found 14 deficiencies (inspected Jan 16, 2025)
• Has been fined a total of $100,825 across 2 fine(s)
• Total nursing staff: 3.48 hours per resident per day
• Staff turnover rate: 58.2% (high)
• Part of the Pacs Group chain (254 facilities)
Brookshire Post Acute is a 2-star Medicare and Medicaid certified nursing home in Denver, Colorado with 67 certified beds. It has been operating since 1988. The facility scored below average compared to Colorado facilities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Ensure that residents are fully informed and understand their health status, care and treatments.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide activities to meet all resident's needs.
Observe each nurse aide's job performance and give regular training.
Provide or obtain dental services for each resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Assist a resident in gaining access to vision and hearing services.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
+ 14 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CENTENNIAL MASTER TENANT, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Oct 11, 2022 |
| PACS GROUP, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 30, 2023 |
| PACS HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 30, 2023 |
| PROVIDENCE GROUP NH, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 30, 2023 |
| HANCOCK, MARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Apr 15, 2024 |
| MURRAY, JASON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Apr 15, 2024 |
| APT, FREDERICK | CORPORATE OFFICER | Individual | N/A | Jan 1, 2024 |
| HANCOCK, MARK | CORPORATE OFFICER | Individual | N/A | Jan 1, 2024 |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | Individual | N/A | Jan 1, 2024 |
| MITCHELL, JOHN | CORPORATE OFFICER | Individual | N/A | Jan 1, 2024 |
| HORTON, CHRISTOPHER | CONTRACTED MANAGING EMPLOYEE | Individual | N/A | Apr 20, 2023 |
| MBIDA, ZACHARIE | W-2 MANAGING EMPLOYEE | Individual | N/A | Nov 27, 2023 |
This chain operates 254 facilities. View all →