Nursing homeActive
Village Care And Rehabilitation Center, The
9221 Wadsworth Pkwy, Westminster, CO 80021303403290060 certified beds · 56 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
4
since 2019
Deficiencies
15
● 0● 14● 1
Penalties · 3 yrs
—
none on file
Last survey
2024-12-19
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
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 |
|---|---|---|---|---|
| 2024-12-19 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-10-08 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-06-21 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2019-08-29 | Standard | 050 | 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.
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-07Record 065367-20241219-F679
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 065367-20241219-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 2025-01-06Record 065367-20241219-F880
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 2024-11-05Record 065367-20241008-F689
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 2023-07-24Record 065367-20230621-F580
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-21Record 065367-20230621-F656
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 2023-07-28Record 065367-20230621-F677
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-07Record 065367-20230621-F697
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-14Record 065367-20230621-F842
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 2023-07-27Record 065367-20230621-F880
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-11Record 065367-20190829-F638
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-10-11Record 065367-20190829-F656
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-10-11Record 065367-20190829-F812
F920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-10-11Record 065367-20190829-F920
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 2019-10-11Record 065367-20190829-F947
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.74
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day4.12
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours3.45
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover44%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover44%
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 | 4.8% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.9% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.7% | 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 | 31.7% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.1% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.8% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Covenant Living Communities & Services Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Holt, Jody Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bentley, Sarah Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Christensen, Pamela Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Cunliffe, Terri Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Cunliffe, Terri Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Davis, Kara Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Eastburg, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Erickson, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Erickson, Rebekah Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Holt, Jody Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Holt, Jody Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Kincannon, Kurt Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Manlove, Matt Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Martin, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nelson, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Oxendale, Roger Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rinard, Dale Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vanover, Andrew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wenrich, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Covenant Living — 15 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 Jefferson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Arbor View Care Center, LLC Arvada | 2.6 mi | 2026-02-18 | 163 |
| Life Care Center Of Westminster Westminster | 2.4 mi | 2026-03-19 | 0103 |
| Park Forest Care Center LLC Westminster | 3.4 mi | 2026-02-09 | 2154 |
| Clear Creek Care Center Westminster | 3.4 mi | 2025-10-20 | 0121 |
| Arvada Care And Rehabilitation Center Arvada | 4.1 mi | 2026-01-15 | 171 |
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 |