ELMS HAVEN CENTER

📍 12080 BELLAIRE WAY, thornton, CO 80241 📞 3034502700 🛏️ 242 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

86
Total Violations
8 years of data
$113,446
Total Fines
7 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 1 violations

Tag 0880 D May 7, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 2, 2025

2024 22 violations

Tag 0552 D Jun 14, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jul 19, 2024
Tag 0600 J Jun 14, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 19, 2024
Tag 0609 D Jun 14, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 19, 2024
Tag 0610 D Jun 14, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Jul 19, 2024
Tag 0843 F Jun 14, 2024

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

✓ Corrected: Jul 19, 2024
Tag 0585 E Jan 9, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Feb 3, 2024
Tag 0609 D Jan 9, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 3, 2024
Tag 0689 D Jan 9, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 3, 2024
Tag 0695 D Jan 9, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 3, 2024
Tag 0726 E Jan 9, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Feb 3, 2024
Tag 0730 E Jan 9, 2024

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Feb 3, 2024
Tag 0744 E Jan 9, 2024

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Feb 3, 2024
Tag 0803 E Jan 9, 2024

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Feb 3, 2024
Tag 0804 E Jan 9, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Feb 3, 2024
Tag 0806 E Jan 9, 2024

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Feb 3, 2024
Tag 0812 F Jan 9, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 3, 2024
Tag 0880 F Jan 9, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 3, 2024
Tag 0883 D Jan 9, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Feb 3, 2024
Tag 0908 F Jan 9, 2024

Keep all essential equipment working safely.

✓ Corrected: Feb 3, 2024
Tag 0943 E Jan 9, 2024

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

✓ Corrected: Feb 3, 2024

2022 7 violations

Tag 0583 D Sep 16, 2022

Keep residents' personal and medical records private and confidential.

✓ Corrected: Sep 19, 2022
Tag 0644 D Sep 16, 2022

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Sep 19, 2022
Tag 0689 J Sep 16, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 16, 2022
Tag 0812 F Sep 16, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 19, 2022
Tag 0600 G Apr 27, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 13, 2022
Tag 0744 G Apr 27, 2022

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: May 13, 2022
Tag 0761 E Apr 27, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: May 13, 2022

2021 6 violations

Tag 0585 G Oct 14, 2021

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Nov 12, 2021
Tag 0600 E Oct 14, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Nov 12, 2021
Tag 0677 E Oct 14, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Nov 12, 2021
Tag 0804 E Oct 14, 2021

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Nov 12, 2021
Tag 0880 E Oct 14, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 12, 2021
Tag 0686 G Apr 19, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 11, 2021

2020 4 violations

Tag 0880 F Oct 22, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 20, 2020
Tag 0882 F Aug 31, 2020

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Oct 1, 2020
Tag 0880 F Jul 29, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 1, 2020
Tag 0689 G Apr 7, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 30, 2020

2019 9 violations

Tag 0550 D Sep 12, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Oct 16, 2019
Tag 0656 D Sep 12, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 16, 2019
Tag 0658 D Sep 12, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Oct 16, 2019
Tag 0679 D Sep 12, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Oct 16, 2019
Tag 0744 D Sep 12, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Oct 16, 2019
Tag 0812 F Sep 12, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 16, 2019
Tag 0919 E Sep 12, 2019

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Oct 16, 2019
Tag 0921 E Sep 12, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Oct 31, 2019
Tag 0812 F Jun 6, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 10, 2019

2018 10 violations

Tag 0622 D Nov 27, 2018

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Dec 20, 2018
Tag 0565 E Sep 20, 2018

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Oct 24, 2018
Tag 0572 E Sep 20, 2018

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Oct 24, 2018
Tag 0584 E Sep 20, 2018

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.

✓ Corrected: Oct 24, 2018
Tag 0659 D Sep 20, 2018

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Oct 24, 2018
Tag 0761 D Sep 20, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Oct 24, 2018
Tag 0812 E Sep 20, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 24, 2018
Tag 0923 F Sep 20, 2018

Have enough outside ventilation via a window or mechanical ventilation, or both.

✓ Corrected: Oct 24, 2018
Tag 0925 F Sep 20, 2018

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Oct 24, 2018
Tag 0773 D May 11, 2018

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Jul 13, 2018

2017 27 violations

Tag 0151 D Jan 26, 2017

Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.

✓ Corrected: Mar 16, 2017
Tag 0154 D Jan 26, 2017

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Mar 16, 2017
Tag 0166 D Jan 26, 2017

Try to resolve each resident's complaints quickly.

✓ Corrected: Mar 16, 2017
Tag 0202 D Jan 26, 2017

Provide written records when a resident is transferred or discharged.

✓ Corrected: Mar 16, 2017
Tag 0225 D Jan 26, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Mar 16, 2017
Tag 0241 E Jan 26, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Mar 16, 2017
Tag 0242 D Jan 26, 2017

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

✓ Corrected: Mar 16, 2017
Tag 0246 E Jan 26, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 16, 2017
Tag 0248 D Jan 26, 2017

Provide activities to meet the interests and needs of each resident.

✓ Corrected: Mar 16, 2017
Tag 0252 E Jan 26, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

✓ Corrected: Mar 16, 2017
Tag 0253 E Jan 26, 2017

Provide housekeeping and maintenance services.

✓ Corrected: Mar 16, 2017
Tag 0279 D Jan 26, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 16, 2017
Tag 0280 D Jan 26, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Mar 16, 2017
Tag 0281 E Jan 26, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 16, 2017
Tag 0309 D Jan 26, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Mar 16, 2017
Tag 0312 D Jan 26, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Mar 16, 2017
Tag 0315 D Jan 26, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Mar 16, 2017
Tag 0323 E Jan 26, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Mar 16, 2017
Tag 0329 D Jan 26, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Mar 16, 2017
Tag 0334 D Jan 26, 2017

Develop policies and procedures for influenza and pneumococcal immunizations.

✓ Corrected: Mar 16, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $44,909

$21,567
Fine
September 16, 2022
$23,342
Fine
April 27, 2022
Average: $22,455 | Range: $21,567 - $23,342

2021 2 penalties totaling $54,074

$29,328
Fine
October 14, 2021
$24,746
Fine
April 19, 2021
Average: $27,037 | Range: $24,746 - $29,328

2020 3 penalties totaling $14,463

$6,500
Fine
October 22, 2020
$0
Payment Denial
July 29, 2020
$7,963
Fine
April 7, 2020
Average: $4,821 | Range: $0 - $7,963

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 14, 2024
0.00

Health

January 9, 2024
0.00

Health

September 16, 2022
0.00

Health

April 27, 2022
0.00

Health

October 14, 2021
0.00

Health

April 19, 2021
0.00

Health

September 12, 2019
0.00

Health

September 20, 2018
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
065238
065238
3034502700
Adams

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization