Complaint Investigation

South Valley Post Acute Rehabilitation

January 29, 2026 · Denver, CO · 4450 E Jewell Ave

Citations 1

CMS Rating 4/5

Beds 106

Provider ID 065230

Healthcare Facility

South Valley Post Acute Rehabilitation

Denver, CO · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

SOUTH VALLEY POST ACUTE REHABILITATION in DENVER, CO — inspection on January 29, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0689

Quality of Life and Care Deficiencies

CNA #5 was interviewed on [DATE] at 2:33 p.m. CNA #5 said she was involved in Resident #2's assisted fall.

She said she prepared to transfer Resident #2 from the bed to the wheelchair.

She said the resident looked wobbly and weak, so she attempted to sit Resident #2 on the bed. CNA #5 said the resident was seated on the edge and had to be assisted to the ground. CNA #5 said Resident #2 was wearing non-slip socks and a gait belt when she attempted to independently transfer the resident from the bed to her chair.

She said Resident #2 usually required one-person staff assistance to transfer.

The DON was interviewed on [DATE] at 2:46 p.m.

The DON said when a fall was sustained by a resident, the staff should try to determine the root cause of the fall with an IDT approach.

She said the initial response should include making sure the resident was safe and could access their call light.

The DON said the care plan should be updated when new interventions.

She said after Resident #2's fall on [DATE] the fall care plan was revised with new interventions, including the two-person assist with transfers.

The DON said she was unable to determine if a two-person transfer occurred at the time of the fall.

The DON was interviewed again on [DATE] at 4:13 p.m.

The DON said CNA #5 transferred Resident #2 independently on [DATE].

She said CNA #5 did not know Resident #2 became a two-person assist with transfers.

She said the new intervention that was implemented after Resident #2's fall on [DATE] of the resident becoming a two person transfer was not transcribed onto the CNA tasks, which led to CNA #5's lack of knowledge of the resident's current transfer status.

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DENVER, CO, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SOUTH VALLEY POST ACUTE REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.