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

SLOAN'S LAKE REHABILITATION CENTER

DENVER, CO · 42 certified beds · Last Life Safety survey March 5, 2026

CMS Certification Number 065404 · first certified January 2013

Ownership

Operated by THE ENSIGN GROUP · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within CO

6 citations — more than 21% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 10 months from now. This facility’s last Life Safety survey was March 2026. 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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Which alerts

Physical environment (health survey)

3 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 6 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

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.

This facility6CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-1022024-0122026-03
Citations at each Life Safety survey
Survey dateCitations
October 13, 20222
January 23, 20242
March 5, 20262

Most-cited tags

Most-cited tags at this facility
K-03631K-03531K-03211K-09271K-03721K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.12022-10-13
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-01-23
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12026-03-05
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.12022-10-13
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-03-05
K-0712Have simulated fire drills held at unexpected times.12024-01-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Miscellaneous Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

March 5, 2026 — 2 citations

Citations issued on March 5, 2026
TagWhat the surveyor checksStatus
K-0321Ensure 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 (April 3, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 4, 2026)

January 23, 2024 — 2 citations

Citations issued on January 23, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 28, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 26, 2024)

October 13, 2022 — 2 citations

Citations issued on October 13, 2022
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 10, 2022)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (November 10, 2022)

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