D
47/100

HILLTOP PARK POST ACUTE Inspection Report, Violations & Safety Grade (DENVER, Colorado)

290 S MONACO PKWY, DENVER, Colorado 80224

Phone: 3033552525

CMS Overall:2/5

Overview & Bed Count

Certified Beds
162
Avg Residents/Day
150.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Denver
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health1/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityColorado AvgDifference
RN Hours per Resident per Day0.420.81-0.39
Total Nurse Hours per Resident per Day2.663.69-1.03
CMS Staffing Rating2/53.1/5-
Nursing Staff Turnover43.5%47%-

Health Citation History

36 health citations on record

DateCategoryDescriptionSeverity
2026-06-25Nutrition and Dietary DeficienciesEnsure 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.F – Moderate Harm Potential
2026-06-25Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2026-06-25Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2026-06-25Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-06-25Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-06-25Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2026-06-25Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-06-25Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.D – Moderate Harm Potential
2026-06-25Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-12-04Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.D – Moderate Harm Potential
2024-07-29Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2024-07-29Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F – Moderate Harm Potential
2024-07-29Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.F – Moderate Harm Potential
2024-07-29Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2024-07-29Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.E – Moderate Harm Potential
2024-07-29Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.E – Moderate Harm Potential
2024-07-29Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D – Moderate Harm Potential
2024-07-29Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2024-07-29Resident Rights DeficienciesPrepare residents for a safe transfer or discharge from the nursing home.D – Moderate Harm Potential
2024-07-29Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.D – Moderate Harm Potential
2024-07-29Administration DeficienciesHelp the resident with transportation to and from laboratory services outside of the facility.D – Moderate Harm Potential
2024-07-29Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D – Moderate Harm Potential
2024-03-07Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.K – Immediate Jeopardy
2024-03-07Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-03-07Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E – Moderate Harm Potential
2024-03-07Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-03-07Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-03-07Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-03-07Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.D – Moderate Harm Potential
2024-03-07Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2023-10-25Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2022-12-15Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E – Moderate Harm Potential
2022-12-15Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2022-12-15Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-12-15Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2022-12-15Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential

Fire Safety Citation History

17 fire safety citations on record

DateCategoryDescriptionSeverity
2026-06-25Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2026-06-25Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-06-25Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-06-25Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2026-06-25Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2026-06-25Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2026-06-25Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.D – Moderate Harm Potential
2024-03-07Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2024-03-07Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2022-12-15Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2022-12-15Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2022-12-15Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2022-12-15Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.F – Moderate Harm Potential
2022-12-15Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-12-15Smoke DeficienciesConstruct fire resistant interior walls.E – Moderate Harm Potential
2022-12-15Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2022-12-15Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential

Total Penalties & Fines

$66,307
Total Fine Amount (CMS)
2
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2024-07-29Fine$53,372-
2024-07-29Payment Denial-10 days starting 2024-08-27
2024-03-07Fine$12,935-

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