Nursing homeActiveSpecial Focus Facility candidate · what this means

Irondale Post Acute

7150 Poplar St, Commerce City, CO 80022303289711095 certified beds · 79 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2022
Deficiencies
27
0216
Penalties · 3 yrs
$131,261
5 fines · 1 action
Last survey
2026-02-12
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 4
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
2026-02-12Standard091CMS-2567 (Care Compare)
2025-12-08Complaint010CMS-2567 (Care Compare)
2025-10-09Complaint011CMS-2567 (Care Compare)
2025-04-30Complaint001CMS-2567 (Care Compare)
2024-11-20Complaint001CMS-2567 (Care Compare)
2023-12-14Standard081CMS-2567 (Care Compare)
2023-09-13Infection control010CMS-2567 (Care Compare)
2022-09-01Standard011CMS-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.

2026-02-12Standard survey · 10 deficienciesOfficial report
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-13Record 065318-20260212-F688
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 065318-20260212-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 2026-03-13Record 065318-20260212-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 2026-03-13Record 065318-20260212-F602
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 065318-20260212-F605
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 065318-20260212-F610
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 065318-20260212-F679
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 2026-03-13Record 065318-20260212-F684
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 065318-20260212-F685
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 2026-03-13Record 065318-20260212-F761
2025-12-08Complaint survey · 1 deficiencyOfficial report
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-23Record 065318-20251208-F693
2025-10-09Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity LHarm
Care planningFalls
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-11-11Record 065318-20251009-F689
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-11-11Record 065318-20251009-F867
2025-04-30Complaint survey · 1 deficiencyOfficial 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 2025-01-28Record 065318-20250430-F689
2024-11-20Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-12Record 065318-20241120-F689
2023-12-14Standard survey · 9 deficienciesOfficial report
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-04Record 065318-20231214-F697
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 2024-01-04Record 065318-20231214-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 2024-01-04Record 065318-20231214-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-04Record 065318-20231214-F755
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 2024-02-14Record 065318-20231214-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-04Record 065318-20231214-F812
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 2024-01-04Record 065318-20231214-F849
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 2024-02-14Record 065318-20231214-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-04Record 065318-20231214-F882
2023-09-13Infection control survey · 1 deficiencyOfficial report
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-23Record 065318-20230913-F661
2022-09-01Standard survey · 2 deficienciesOfficial report
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-09-09Record 065318-20220901-F692
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 2022-09-09Record 065318-20220901-F812

Penalties & enforcement

DateActionAmountSource
2026-02-12Civil money penalty$50,400CMS · Penalties
2025-10-09Civil money penalty$30,076CMS · Penalties
2025-04-30Civil money penalty$17,345CMS · Penalties
2024-11-20Civil money penalty$8,338CMS · Penalties
2023-12-14Civil money penalty$25,102CMS · Penalties
2023-12-14Denial of payment for new admissions
Payment denial for 32 days, from 2024-01-13
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.60
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day3.35
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours2.98
Facility
Colorado
National
Colorado 3.30 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityColoradoNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.3%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.3%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
38.8%20.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.7%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
28.6%13.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.3%4.7%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.8%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
Englade, Keith
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Horton, Christopher
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kare Technologies LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Prime Time Healthcare LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burnam, Soon
Individual
CORPORATE OFFICERNOT APPLICABLE
Englade, Keith
Individual
ADP OF THE SNFNOT APPLICABLE
Englade, Keith
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Ensign Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Graham, Joseph
Individual
CORPORATE OFFICERNOT APPLICABLE
Horton, Christopher
Individual
ADP OF THE SNFNOT APPLICABLE
Horton, Christopher
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Jorgensen, David
Individual
CORPORATE DIRECTORNOT APPLICABLE
Keetch, Chad
Individual
CORPORATE OFFICERNOT APPLICABLE
Port, Barry
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Sato, Ami
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
The Ensign Group342 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
Ridgeview Post Acute
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City Scape Rehabilitation & Care Center LLC
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4.4 mi2025-07-011134
Villas At Sunny Acres, The
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Thornton Care Center
Thornton
4.8 mi2025-09-020364
City Park Healthcare And Rehabilitation Center
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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