Nursing homeActive
Suites At Holly Creek Care Center, The
5590 E Peakview Ave, Centennial, CO 80121720266588825 certified beds · 25 residentsNon profit - CorporationMedicare
Surveys on file
3
since 2022
Deficiencies
7
● 0● 5● 2
Penalties · 3 yrs
$21,678
1 fine
Last survey
2024-11-21
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-11-21 | Standard | 021 | CMS-2567 (Care Compare) | — |
| 2023-07-31 | Standard | 001 | CMS-2567 (Care Compare) | — |
| 2022-05-25 | Standard | 030 | 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.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-11-29Record 065395-20241121-F686
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 2024-12-17Record 065395-20241121-F689
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 2024-12-17Record 065395-20241121-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 2023-08-31Record 065395-20230731-F689
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 2022-06-24Record 065395-20220525-F550
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 2022-06-24Record 065395-20220525-F759
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 2022-06-24Record 065395-20220525-F849
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-11-21 | Civil money penalty | $21,678 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.60
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day5.75
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours5.08
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover26%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover13%
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 | 1.3% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 10.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.3% | 20.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.6% | 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 | 32.4% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.6% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 12.8% | 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 |
|---|---|---|---|---|
| Chapman, Madelyn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Christian Living Neighborhoods Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Franken, Jan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Chapman, Madelyn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Childs, Bryon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Childs, Bryon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Childs, Bryon Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Christian Living Neighborhoods Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Christian Living Neighborhoods Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fralick, Traci Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fralick, Traci Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fralick, Traci Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Franken, Jan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keller, Jayne Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Keller, Jayne Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keller, Jayne Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vitale-Aussem, Jill Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Vitale-Aussem, Jill Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vitale-Aussem, Jill Individual | ADP OF THE SNF | NOT 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
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Orchard Park Health Care Center Littleton | 0.6 mi | 2026-05-14 | 071 |
| Suites At Someren Glen Care Center, The Centennial | 0.6 mi | 2026-05-08 | 0251 |
| Brookdale Greenwood Village Greenwood Village | 2.1 mi | 2026-04-09 | 1262 |
| Vi At Highlands Ranch Skilled Nursing Highlands Ranch | 3.9 mi | 2024-09-19 | 010 |
| Cherrelyn Healthcare Center Littleton | 3.9 mi | 2025-12-30 | 060 |
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 |