Nursing homeActive

Wellsprings Care Center

3636 S Pearl St, Englewood, CO 80113303761164081 certified beds · 71 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
10
since 2022
Deficiencies
38
0380
Penalties · 3 yrs
none on file
Last survey
2026-01-07
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Colorado Department of Public Health & Environment · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-01-07Complaint020CMS-2567 (Care Compare)
2025-12-09Complaint010CMS-2567 (Care Compare)
2025-09-11Standard0120CMS-2567 (Care Compare)
2025-06-24Complaint010CMS-2567 (Care Compare)
2025-06-04Complaint030CMS-2567 (Care Compare)
2025-02-13Complaint030CMS-2567 (Care Compare)
2024-12-05Complaint030CMS-2567 (Care Compare)
2024-10-10Complaint010CMS-2567 (Care Compare)
2024-02-14Standard090CMS-2567 (Care Compare)
2022-11-03Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Colorado Department of Public Health & Environment publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-01-07Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-08Record 065208-20260107-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-08Record 065208-20260107-F689
2025-12-09Complaint survey · 1 deficiencyOfficial report
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-12Record 065208-20251209-F602
2025-09-11Standard survey · 12 deficienciesOfficial report
F571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F571
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F584
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F600
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F646
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F689
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F812
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F825
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F921
F923Have enough outside ventilation via a window or mechanical ventilation, or both.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 065208-20250911-F923
2025-06-24Complaint survey · 1 deficiencyOfficial report
F659Provide care by qualified persons according to each resident's written plan of care.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-07Record 065208-20250624-F659
2025-06-04Complaint survey · 3 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-27Record 065208-20250604-F580
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-27Record 065208-20250604-F584
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-27Record 065208-20250604-F600
2025-02-13Complaint survey · 3 deficienciesOfficial report
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 065208-20250213-F584
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-28Record 065208-20250213-F600
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-28Record 065208-20250213-F602
2024-12-05Complaint survey · 3 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 065208-20241205-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 065208-20241205-F684
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 065208-20241205-F921
2024-10-10Complaint survey · 1 deficiencyOfficial report
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-31Record 065208-20241010-F584
2024-02-14Standard survey · 9 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 065208-20240214-F600
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 065208-20240214-F625
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 065208-20240214-F698
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 065208-20240214-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 065208-20240214-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 065208-20240214-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 065208-20240214-F814
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 065208-20240214-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 065208-20240214-F921
2022-11-03Standard survey · 3 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-12Record 065208-20221103-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-12Record 065208-20221103-F610
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-12Record 065208-20221103-F812

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.33
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day2.92
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours2.56
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover55%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover50%
Facility
Colorado
National
Colorado 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityColoradoNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.9%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.8%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
14.2%20.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
7.0%13.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.9%4.7%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
19.9%11.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Wellsprings SNF Holdings LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Beecan Health Co LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Montoya, Lourie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Beecan Health Co LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Dergance, Jeannae
Individual
ADP OF THE SNFNOT APPLICABLE
Koretke, Mary
Individual
ADP OF THE SNFNOT APPLICABLE
Montoya, Lourie
Individual
ADP OF THE SNFNOT APPLICABLE
Moskowitz, Jay
Individual
CORPORATE OFFICERNOT APPLICABLE
Moskowitz, Jay
Individual
ADP OF THE SNFNOT APPLICABLE
Raskin, Chaim
Individual
ADP OF THE SNFNOT APPLICABLE
Raskin, Chaim
Individual
CORPORATE DIRECTORNOT APPLICABLE
Valle, Karla
Individual
ADP OF THE SNFNOT APPLICABLE
Valle, Karla
Individual
CORPORATE OFFICERNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Colorado.

No county cost figures on file for Arapahoe.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Englewood Post Acute And Rehabilitation
Englewood
0.1 mi2024-11-07060
Julia Temple Healthcare Center
Englewood
0.6 mi2024-12-10090
Cherrelyn Healthcare Center
Littleton
2.4 mi2025-12-30060
Suites At Clermont Park Care Center, The
Denver
2.6 mi2026-02-18090
Heights Care & Rehabilitation LLC
Denver
2.7 mi2026-04-061363
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01