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

LIFE CARE CENTER OF LITTLETON

LITTLETON, CO · 120 certified beds · Last Life Safety survey November 7, 2024

CMS Certification Number 065370 · first certified June 1998

Ownership

Operated by LIFE CARE CENTERS OF AMERICA · For profit - Corporation

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

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within CO

11 citations — more than 32% 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

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

The latest survey found 6 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: April 2026 to November 2026. This facility’s last Life Safety survey was November 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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Which alerts

1 inspection-and-testing tag has 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

1 of the 11 citations on file is 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)

5 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 11 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • 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.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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 facility11CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-0322023-0562024-11
Citations at each Life Safety survey
Survey dateCitations
March 24, 20223
May 18, 20232
November 7, 20246

Most-cited tags

Most-cited tags at this facility
K-03722K-02111K-09231K-05211E-00301K-03211K-09291K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22024-11-07
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12022-03-24
K-0923Have proper medical gas storage and administration areas.12024-11-07
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-05-18
E-0030List the names and contact information of those in the facility.12022-03-24
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-11-07
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12023-05-18
K-0291Install emergency lighting that can last at least 1 1/2 hours.12024-11-07

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 2
  • Emergency Preparedness Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies2
Emergency Preparedness Deficiencies1
Services Deficiencies1

Every citation on file

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

November 7, 2024 — 6 citations

Citations issued on November 7, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (November 20, 2024)
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 (December 5, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 3, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 5, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 5, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 5, 2024)

May 18, 2023 — 2 citations

Citations issued on May 18, 2023
TagWhat the surveyor checksStatus
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 18, 2023)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (June 18, 2023)

March 24, 2022 — 3 citations

Citations issued on March 24, 2022
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (May 7, 2022)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 13, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 13, 2022)

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