Complaint Investigation

Sierra Post Acute

October 20, 2025 · Lakewood, CO · 1432 Depew St

Citations 1

CMS Rating 2/5

Beds 102

Provider ID 065272

Healthcare Facility

Sierra Post Acute

Lakewood, 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

SIERRA POST ACUTE in LAKEWOOD, CO — inspection on October 20, 2025.

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

FF0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Actual Harm

The DON was interviewed on [DATE] at 12:06 p.m.

The DON said Resident #1 kept to himself and he had a lot of hand movements.

The DON said Resident #2 had hallucinations.

The DON said Resident #2 was pretty quiet upon admission, but he had opened up more and told staff when he was having hallucinations.

The DON said after any altercations, the facility completed a clinical review consisting of a medication review by the consulting pharmacy, physician follow-up, blood work and psychological follow-up and monitoring.

The DON said Resident#2 had been in several resident-to- resident altercations since [DATE] and the facility had not been able to identify any patterns.

The DON said the facility had all staff complete a crisis prevention intervention training (CPI) to aid interventions.

The NHA was interviewed on [DATE] at 12:22 p.m. He said the residents on the Prasada unit were a younger population.

The NHA said Resident #2 usually kept to himself, but would interact with staff and other residents.

The NHA said the staff had been trying to navigate Resident #2's impulses since his last altercation.

The NHA said Resident #2 was receiving mental health services and he had opened up.The NHA said he had begun to be more active in activities.

The NHA said Resident #2 did not realize what occurred in the moment when the altercation between Resident #1 and Resident #2 occurred, however, later he recognized something happened and he (Resident #2) was in the wrong.

Facility ID:

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 LAKEWOOD, 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 SIERRA POST ACUTE 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.