Hilltop Park Post Acute

For profit - Limited Liability company · 290 S Monaco Pkwy, Denver, CO 80224 · See home’s Medicare page

Ownership Change

Facility changed ownership in last 12 months.

Affiliated With Pacs Group

People or companies with an ownership interest in or managerial control of this home, according to CMS data.

2.48

Nurse hours/resident/day

Reported total nurse staffing hours per resident per day.

State Average: 3.7

59.5%

Nurse turnover

The percentage of nursing staff who stopped working at the home over a 12-month period.

State Average: 55.2%

160

Certified beds

Qualifying beds in the certified provider or supplier facility.

116

Average residents/day

Average number of residents based on daily census.

Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.

Direct owners

Panther Master Tenant, Llc (100%)

Indirect owners

Pacs Group, Inc.
Pacs Holdings, Llc
Providence Group Nh, Llc
Mark Hancock
Jason Murray

Managerial control

No information available

Managing employee(s)

Jonathan Ashcroft since Sep, 2023
Christopher Horton since Jul, 2023

Inspection Reports

total deficiencies

infection-related deficiencies

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.

Jul 29, 2024

Complaint report

12 deficiencies

to J

Full report

Quality of Life and Care Deficiency — F0686

Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity

Immediate jeopardy to resident health or safety

Scope

Few people affected

Seriousness

Nursing and Physician Services Deficiency — F0726

Failure to: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Administration Deficiency — F0940

Failure to: Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Resident Rights Deficiency — F0550

Failure to: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0622

Failure to: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0661

Failure to: Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0568

Failure to: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Rights Deficiency — F0623

Failure to: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Rights Deficiency — F0624

Failure to: Prepare residents for a safe transfer or discharge from the nursing home.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0660

Failure to: Plan the resident's discharge to meet the resident's goals and needs.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Administration Deficiency — F0774

Failure to: Help the resident with transportation to and from laboratory services outside of the facility.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Administration Deficiency — F0867

Failure to: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Mar 7, 2024

Standard report

8 deficiencies

$19,900 Fine

to K

Full report

Quality of Life and Care Deficiency — F0695

Failure to: Provide safe and appropriate respiratory care for a resident when needed.

Severity

Immediate jeopardy to resident health or safety

Scope

Some people affected

Seriousness

Infection Control Deficiency — F0880

Failure to: Provide and implement an infection prevention and control program.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Pharmacy Service Deficiency — F0761

Failure to: Ensure 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.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0600

Failure to: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0658

Failure to: Ensure services provided by the nursing facility meet professional standards of quality.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0684

Failure to: Provide appropriate treatment and care according to orders, resident's preferences and goals.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0685

Failure to: Assist a resident in gaining access to vision and hearing services.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0693

Failure to: Ensure 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.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Oct 25, 2023

Complaint report

1 deficiency

Full report

Resident Assessment and Care Planning Deficiency — F0645

Failure to: PASARR screening for Mental disorders or Intellectual Disabilities

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Sep 28, 2023

Infection report

1 deficiency

Full report

Infection Control Deficiency — F0883

Failure to: Develop and implement policies and procedures for flu and pneumonia vaccinations.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Mar 1, 2023

Complaint report

2 deficiencies

to E

Full report

Resident Assessment and Care Planning Deficiency — F0659

Failure to: Provide care by qualified persons according to each resident's written plan of care.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0573

Failure to: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Dec 15, 2022

Standard report

5 deficiencies

to E

Full report

Resident Rights Deficiency — F0582

Failure to: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0645

Failure to: PASARR screening for Mental disorders or Intellectual Disabilities

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0656

Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0677

Failure to: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Infection Control Deficiency — F0883

Failure to: Develop and implement policies and procedures for flu and pneumonia vaccinations.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Sep 20, 2022

Complaint report

1 deficiency

$35,162 Fine

Full report

Quality of Life and Care Deficiency — F0686

Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity

Actual harm that is not immediate jeopardy

Scope

Few people affected

Seriousness

May 26, 2022

Complaint report

2 deficiencies

Full report

Quality of Life and Care Deficiency — F0690

Failure to: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0695

Failure to: Provide safe and appropriate respiratory care for a resident when needed.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Feb 24, 2022

Complaint report

4 deficiencies

$43,355 Fine

to G

Full report

Quality of Life and Care Deficiency — F0689

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity

Actual harm that is not immediate jeopardy

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0658

Failure to: Ensure services provided by the nursing facility meet professional standards of quality.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Quality of Life and Care Deficiency — F0684

Failure to: Provide appropriate treatment and care according to orders, resident's preferences and goals.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Quality of Life and Care Deficiency — F0676

Failure to: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Aug 26, 2021

Standard report

7 deficiencies

to G

Full report

Quality of Life and Care Deficiency — F0686

Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity

Actual harm that is not immediate jeopardy

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0697

Failure to: Provide safe, appropriate pain management for a resident who requires such services.

Severity

Actual harm that is not immediate jeopardy

Scope

Few people affected

Seriousness

Infection Control Deficiency — F0880

Failure to: Provide and implement an infection prevention and control program.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0645

Failure to: PASARR screening for Mental disorders or Intellectual Disabilities

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0676

Failure to: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0689

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Administration Deficiency — F0849

Failure to: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Penalties

$178K

total fines

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.

Mar 7, 2024

$19,900 fine