Velarion Records

Skilled nursing facility · CMS certification number 065408

LAKEWOOD VILLA

LAKEWOOD, Colorado · Medicare and Medicaid

Certified beds, as filed in Care Compare: 57

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $16,801.00 · Payment denials: 0. The most recent penalty on file: May 1, 2024, Fine, $16,801. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$8,151,248CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,372,410CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,778,838CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,265,195CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$513,643CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,600CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$516,243CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $516,243 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components20,862CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days254CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days14,132CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days2,786CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components17,172CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges1CMS-2540-10 worksheet S300001 line 800 column 900
Total discharges, all components1CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days254CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days17,172CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433155, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 24, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,573,271CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,137,369CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,435,902CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,708,645CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$272,743CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$612CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$272,131CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$273,478 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,932CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components3CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days138.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days5,977.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440038, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 26, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$5,457,188CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$654,252CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,802,936CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,630,062CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$827,126CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$540,010CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$287,116CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$287,116 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,659CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days1,184CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days17,659CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376831, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$4,984,357CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$476,505CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,507,852CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,005,435CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$497,583CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$124,240CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$373,343CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$373,343 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,821CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1329222, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 15, 2021.

None of these figures is carried on this report.

CMS report record 1288505, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 25, 2020.

None of these figures is carried on this report.

CMS report record 1258838, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,510,324CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$706,128CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,804,196CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,108,325CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$304,129CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,349CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$277,780CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$277,780 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,849CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components31CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days954.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days608.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239030, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,433,901CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$579,944CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,853,957CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,803,376CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$50,581CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$16,127CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$66,708CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $66,708 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,077CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components51CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days66.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days592.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days393.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210204, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$4,591,455CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$647,218CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,944,237CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,571,204CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$373,033CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,884CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$394,917CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $394,917 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,668CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components55CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days672.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days357.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173951, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$4,093,486CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$355,383CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,738,103CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,413,520CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$324,583CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,632CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$333,215CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $333,218 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,971CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components37CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days696.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days539.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141859, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 12, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,765,397CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$266,208CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,499,189CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,303,717CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$195,472CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,628CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$207,100CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $207,100 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,465CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components46CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days106CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days434.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days423.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1107637, read from the public cost report file SNF10FY2014.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
CHIEF JOSEPH TRAIL, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 03/02/2026
CLEGG, MICHAEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 03/02/2026
TIPPET, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 03/02/2026
WHITE CANYON, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 03/02/2026
CHRISTENSEN, COVEYADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2013
CLEGG, MICHAELADP OF THE SNFIndividualNOT APPLICABLEsince 06/26/2023
HOPKINS, AMBERADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2021
HOWE, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2018
IKERD, JOHNADP OF THE SNFIndividualNOT APPLICABLEsince 04/25/2022
JAMES, KENDRAADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2023
MADISON CREEK PARTNERS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/13/2025
CLEGG, MICHAELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/26/2023
IKERD, JOHNMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/02/2026
CHRISTENSEN, COVEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2013
CLEGG, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/26/2023
HOPKINS, AMBEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2021
HOWE, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2018
IKERD, JOHNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/25/2022
JAMES, KENDRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
MADISON CREEK PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2013

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LAKEWOOD VILLA OPERATIONS, LLC (enrollment ID O20130919000611).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CHIEF JOSEPH TRAIL, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1003/2/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
COVEY C CHRISTENSENIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST82.53/2/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHAEL JOSEPH CLEGGIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST17.53/2/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TIPPET, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST82.53/2/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
WHITE CANYON, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST17.53/2/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
AMBER M HOPKINSIndividualADP OF THE SNFNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
COVEY C CHRISTENSENIndividualADP OF THE SNFNot stated in the filing6/1/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN P. IKERDIndividualADP OF THE SNFNot stated in the filing4/25/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KENDRA JAMESIndividualADP OF THE SNFNot stated in the filing6/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MADISON CREEK PARTNERS LLCOrganizationADP OF THE SNFNot stated in the filing11/13/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MICHAEL JOSEPH CLEGGIndividualADP OF THE SNFNot stated in the filing6/26/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT HOWEIndividualADP OF THE SNFNot stated in the filing6/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: Yes
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: Yes
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
JOHN P. IKERDIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing3/2/2026
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHAEL JOSEPH CLEGGIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing6/26/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AMBER M HOPKINSIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
COVEY C CHRISTENSENIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2013
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN P. IKERDIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/25/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KENDRA JAMESIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MADISON CREEK PARTNERS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
MICHAEL JOSEPH CLEGGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/26/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT HOWEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1December 19, 2024December 19, 2024410
2July 17, 2023July 17, 2023106
3October 31, 2019October 31, 201975

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

21 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
July 7, 2025HealthF 0600Freedom 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.DYesDeficient, Provider has date of correctionJuly 27, 2025
March 25, 2025HealthF 0600Freedom 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.DYesDeficient, Provider has date of correctionApril 25, 2025
December 19, 2024HealthF 0600Freedom 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.DYesDeficient, Provider has date of correctionJanuary 17, 2025
December 19, 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correctionJanuary 17, 2025
December 19, 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correctionJanuary 17, 2025
December 19, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionJanuary 17, 2025
December 19, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correctionJanuary 17, 2025
May 1, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-ComplianceFebruary 7, 2024
January 25, 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EYesDeficient, Provider has date of correctionFebruary 19, 2024
January 25, 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.FYesDeficient, Provider has date of correctionFebruary 21, 2024
July 17, 2023HealthF 0553Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.DNoDeficient, Provider has date of correctionAugust 9, 2023
July 17, 2023HealthF 0600Freedom 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.DNoDeficient, Provider has date of correctionAugust 9, 2023
July 17, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correctionAugust 9, 2023
July 17, 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GNoDeficient, Provider has date of correctionAugust 9, 2023
July 17, 2023HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correctionAugust 9, 2023
July 17, 2023HealthF 0761Pharmacy 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.ENoDeficient, Provider has date of correctionAugust 9, 2023
July 17, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionAugust 9, 2023
October 31, 2019HealthF 0600Freedom 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.GNoDeficient, Provider has date of correctionNovember 22, 2019
October 31, 2019HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DNoDeficient, Provider has date of correctionNovember 15, 2019
October 31, 2019HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.GNoDeficient, Provider has date of correctionDecember 2, 2019
October 31, 2019HealthF 0923Environmental DeficienciesHave enough outside ventilation via a window or mechanical ventilation, or both.ENoDeficient, Provider has date of correctionNovember 10, 2019

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
May 1, 2024Fine$16,801115843

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameLAKEWOOD VILLA OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid Services2013-06-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishJefferson
Telephone Number3032388161
Chain NameMADISON CREEK PARTNERS
Chain ID328
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds57
Average Number of Residents per Day53.9
Overall Rating4
Health Inspection Rating3
QM Rating5
Long-Stay QM Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

Get an email when this record changes

One email a day naming what moved on LAKEWOOD VILLA: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On September 24, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.

Follow this record for $99/month

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for LAKEWOOD VILLA

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Colorado at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

Other public records in Colorado

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 065408.

The Pay Desk is the free weekly executive pay briefing — one company at a time, every number traceable to a public filing.
You’ll confirm on The Pay Desk’s sign-up page.