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Strong Medicare quality ratings; public reviewers often praise warm, compassionate nursing and cna staff. Still worth an in-person visit.
based on 41 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record · 1 finding in latest survey
Gardens, the has a strong overall Medicare rating. RN hours meet the EveryPlace reference benchmark, which is one useful staffing signal to discuss during a visit. Public reviewers frequently mention: warm, compassionate nursing and cna staff and small, home-like atmosphere. Review the component ratings and current source records before deciding.
The Gardens is a smaller, home-like facility that receives high praise for its compassionate, long-term staff and personalized care. However, some families have reported serious concerns regarding neglect, poor communication during medical incidents, and hygiene issues, suggesting inconsistent quality of care.
Quality Themes
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Concerns
Rating Trends
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Distribution · 44 analyzed
Personalized based on this facility's data
Key Review Excerpts
“The Gardens is one of those rare nursing facilities where the staff cares deeply about making sure the residents have a home-like environment.”
“My mother has been at this facility since October of 2021. I have always experienced a warm greeting from the staff when I visit. The nurses are exceptional and are very caring towards my mother.”
“The gardens was great at first. Things really changed. My mother fell and I wasn’t notified. The rule is if someone falls in a facility they must call paramedics also notify the family member listed. They didn’t do that.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
The Gardens has recurring fire safety system problems that persist across multiple inspections, with 21 deficiencies spanning three years. Fire alarm and sprinkler system maintenance issues appeared in 2022, 2023, and again in 2025, alongside ongoing problems with smoke barriers, emergency lighting, and building construction safety. While past deficiencies show correction dates, the pattern of repeated fire safety violations in recent inspections raises concerns about the facility's safety infrastructure maintenance.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Source: CO Dept. of Public Health & Environment
No deficiencies are reported in this inspection record.
No deficiencies are reported in this inspection record.
Based on record review, the facility failed to report complete information about COVID-19 to the Centers for Disease Control and Prevention' s (CDC) National Healthcare Safety Network (NHSN) during a seven-day period that reporting was required by regulation.The CDC submitted data from the NHSN to the Centers for Medicare and Medicaid Services (CMS). Based on review of that data, CMS determined that between 12/04/2023 and 12/10/2023, the facility did not report complete information to NHSN about COVID-19 in the standardized format and frequency as specified by CMS and the CDC. This failure to report has the potential to cause more than minimal harm to all residents residing in the facility.
Gardens, the
for profit
Madison Creek Partners
13 facilities nationwide
Chain avg rating: 3.2/5 · Rank 1 of 12 (Highest rating)
Owners
Chief Joseph Trail, LLC
Owner · Organization
Tippet, LLC
Owner (parent company) · Organization
White Canyon, LLC
Owner (parent company) · Organization
Clegg, Michael
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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CO CDPHE — View Official Record
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