Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LOWRY HILLS CARE AND REHABILITATION

AURORA, CO · 108 certified beds · Last Life Safety survey May 7, 2024

CMS Certification Number 065001 · first certified September 1968

Ownership

Operated by SWEETWATER CARE · For profit - Individual

Ownership changed December 1, 2017 (change of ownership)from KINDRED NURSING CENTERS WEST LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within CO

35 citations — more than 94% of the 210 certified nursing homes in CO. Compared within CO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 11 citations; the earlier surveys in the window averaged 12. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (October 2025 to May 2026), and past the point by which nine in ten CO facilities have been surveyed. This facility’s last Life Safety survey was May 2024. Facilities in CO are typically surveyed 17–24 months after the last one (median 19), measured over 177 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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7 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 35 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 35 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in CO, and nationally. Surveyors differ markedly between states, so the CO figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	35
Median facility in CO	16
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
October 14, 2021	16
January 26, 2023	8
May 7, 2024	11

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2024-05-07
K-0363	Install corridor and hallway doors that block smoke.	3	2024-05-07
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2024-05-07
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	2	2024-05-07
K-0511	Have properly installed electrical wiring and gas equipment.	2	2023-01-26
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2023-01-26
K-0324	Provide properly protected cooking facilities.	2	2024-05-07
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2024-05-07

What the citations cover

Citations by CMS category

Smoke Deficiencies 15
Egress Deficiencies 6
Services Deficiencies 5
Gas, Vacuum, and Electrical Systems Deficiencies 4
Other 5

Citations by CMS category
Category	Citations
Smoke Deficiencies	15
Egress Deficiencies	6
Services Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	4
Miscellaneous Deficiencies	3
Emergency Preparedness Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 7, 2024 — 11 citations

Citations issued on May 7, 2024
Tag	What the surveyor checks	Status
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (June 18, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (June 18, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (June 18, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 18, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (June 18, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 18, 2024)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (June 18, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (June 18, 2024)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (June 18, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (June 18, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (June 18, 2024)

January 26, 2023 — 8 citations

Citations issued on January 26, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (February 21, 2023)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (February 21, 2023)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (February 21, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 10, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 22, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 22, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 1, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 21, 2023)

October 14, 2021 — 16 citations

Citations issued on October 14, 2021
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (January 7, 2022)
K-0222	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.	Deficient, Provider has date of correction (January 4, 2022)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (January 4, 2022)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (December 1, 2021)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (December 1, 2021)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (December 1, 2021)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (December 1, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 17, 2021)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (December 1, 2021)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 7, 2022)
K-0371	Have properly sized and located compartments to protect residents from smoke.	Deficient, Provider has date of correction (January 4, 2022)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (December 1, 2021)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (December 6, 2021)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (January 7, 2022)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (December 1, 2021)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 21, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.