Nursing homeActive

Skylake Post Acute

12080 Bellaire Wy, Thornton, CO 802413034502700242 certified beds · 191 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2022
Deficiencies
42
0393
Penalties · 3 yrs
$25,572
1 fine · 1 action
Last survey
2026-05-11
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 4
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
2026-05-11Complaint011CMS-2567 (Care Compare)
2026-03-04Complaint030CMS-2567 (Care Compare)
2025-12-01Standard0100CMS-2567 (Care Compare)
2025-05-07Complaint010CMS-2567 (Care Compare)
2024-06-14Complaint041CMS-2567 (Care Compare)
2024-01-09Standard0170CMS-2567 (Care Compare)
2022-09-16Standard031CMS-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.

2026-05-11Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-05-28Record 065238-20260511-F684
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 2026-05-28Record 065238-20260511-F600
2026-03-04Complaint survey · 3 deficienciesOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 065238-20260304-F561
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 2026-03-26Record 065238-20260304-F689
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 065238-20260304-F806
2025-12-01Standard survey · 10 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 065238-20251201-F550
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 065238-20251201-F569
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 2025-12-11Record 065238-20251201-F689
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 065238-20251201-F699
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 065238-20251201-F740
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 065238-20251201-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 2025-12-11Record 065238-20251201-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 065238-20251201-F813
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 065238-20251201-F849
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 2025-12-11Record 065238-20251201-F880
2025-05-07Complaint survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-02Record 065238-20250507-F880
2024-06-14Complaint survey · 5 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-19Record 065238-20240614-F600
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-19Record 065238-20240614-F552
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 2024-07-19Record 065238-20240614-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-19Record 065238-20240614-F610
F843Have 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-19Record 065238-20240614-F843
2024-01-09Standard survey · 17 deficienciesOfficial report
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F585
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 2024-02-03Record 065238-20240109-F609
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 2024-02-03Record 065238-20240109-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F695
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F726
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F730
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F744
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-20Record 065238-20240109-F804
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F806
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 2024-02-03Record 065238-20240109-F812
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 2024-02-03Record 065238-20240109-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-07Record 065238-20240109-F883
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F908
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F943
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-27Record 065238-20240109-F947
F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-03Record 065238-20240109-F949
2022-09-16Standard survey · 4 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2022-09-16Record 065238-20220916-F689
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-19Record 065238-20220916-F583
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-19Record 065238-20220916-F644
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 2022-09-19Record 065238-20220916-F812

Penalties & enforcement

DateActionAmountSource
2024-06-14Civil money penalty$25,572CMS · Penalties
2024-06-14Denial of payment for new admissions
Payment denial for 2 days, from 2024-07-17
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.61
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day2.91
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours2.62
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover35%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover19%
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
4.8%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.3%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.1%20.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.5%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
5.4%13.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.2%4.7%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
12.0%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
Panther Master Tenant, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Providence Group Nh, LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Apt, Frederick
Individual
CORPORATE OFFICERNOT APPLICABLE
Fraser, Malcolm
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Goldhammer, Grady
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Jergensen, Joshua
Individual
CORPORATE OFFICERNOT APPLICABLE
Mitchell, John
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Pacs Group274 facilities
View chain record

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 Adams.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Villas At Sunny Acres, The
Thornton
2.4 mi2026-04-080183
Malley Transitional Care Center
Northglenn
2.3 mi2026-05-14072
Center At Northridge, LLC, The
Westminster
3.2 mi2024-04-02020
Thornton Care Center
Thornton
3.8 mi2025-09-020364
Irondale Post Acute
Commerce City
6.4 mi2026-02-120205
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