Nursing homeActive
Westlake Health And Rehabilitation Center
1637 29th Ave Pl, Greeley, CO 806349703568181107 certified beds · 90 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2021
Deficiencies
12
● 0● 11● 1
Penalties · 3 yrs
$14,069
1 fine
Last survey
2025-06-25
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 3
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-06-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-07 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-10-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-11 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2022-12-15 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2021-09-02 | Standard | 000 | CMS-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.
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-07Record 065212-20250625-F760
F760Ensure that residents are free from significant medication errors.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-03-21Record 065212-20250407-F760
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 2024-11-01Record 065212-20241016-F921
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 065212-20240411-F645
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 2024-05-03Record 065212-20240411-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 2024-05-03Record 065212-20240411-F684
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 2024-05-03Record 065212-20240411-F689
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 065212-20240411-F760
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 2024-05-03Record 065212-20240411-F880
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-27Record 065212-20221215-F658
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-01-27Record 065212-20221215-F758
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 2023-01-27Record 065212-20221215-F759
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-04-07 | Civil money penalty | $14,069 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.69
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day3.01
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours2.67
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover72%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover62%
Facility
Colorado
National
Colorado 45% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Colorado | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.4% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 22.0% | 20.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.0% | 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 | 8.1% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.2% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.4% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Conley, Calvin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fraser, Malcolm Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nursa Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Onshift Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Burnam, Soon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Conley, Calvin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Conley, Calvin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ensign Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fraser, Malcolm Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Fraser, Malcolm Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Graham, Joseph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jorgensen, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Keetch, Chad Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Port, Barry Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sato, Ami Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Smv Greeley Centennial LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
The Ensign Group — 342 facilities
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 Weld.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Broadview Health And Rehabilitation Center Greeley | 1.0 mi | 2025-02-24 | 071 |
| Fairacres Manor, Inc. Greeley | 1.1 mi | 2024-06-06 | 030 |
| Center At Centerplace, LLC, The Greeley | 1.6 mi | 2026-04-22 | 0152 |
| Life Care Center Of Greeley Greeley | 1.9 mi | 2024-07-16 | 022 |
| Grace Pointe Cont Care Sr Campus, Skilled Nursing Greeley | 3.2 mi | 2026-02-26 | 041 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |