Nursing home
Silver Heights Skilled Nursing and Rehabilitation
4001 Home St, Castle Rock, CO 80108 · Map
For profit - Limited Liability company · Part of Madison Creek Partners (12 facilities) · 91 certified beds
Silver Heights Skilled Nursing and Rehabilitation is a Medicare-certified nursing home in Castle Rock, Colorado. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.31 hours per resident per day, below the Colorado average of 3.70. Its most recent inspection on Apr 3, 2025 cited 10 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Silver Heights Skilled Nursing and Rehabilitation compares
This facility vs. the Colorado and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Colorado avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.31 | 3.70 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.82 | 0.83 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.82 | 2.20 | 2.34 | below avg |
| Nursing staff turnover | 60.0% | 48.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 10.0 | 8.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 3, 2025 inspection was corrected by May 16, 2025
What inspectors found at Silver Heights Skilled Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Implement 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.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Honor 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.
Resident Rights Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Nov 7, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4001 Home St
Castle Rock, CO 80108 - CMS certification #
- 065285
- Ownership
- For profit - Limited Liability company
- Certified beds
- 91
- Avg residents/day
- 48.5
- Provider type
- Medicare and Medicaid
- First certified
- 1990-12-01
- Chain
- Madison Creek Partners (12 facilities)
- Setting
- Urban
Part of Madison Creek Partners
Madison Creek Partners operates 12 nursing facilities across the United States. View all Madison Creek Partners facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Silver Heights Skilled Nursing and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Adventhealth Castle Rock, Castle Rock. 1.5 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Brookside Inn, Castle Rock. 3.9 miles away, straight line.
- Nearest home health agency office
- Lilisare, Castle Rock. 1.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- King Soopers Pharmacy. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 80108 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- 062595-Fresenius Kidney Care Castle Rock Dialysis, Castle Rock, 1.2 miles away, straight line (CMS rating 3 of 5 stars)
Davita Red Hawk Dialysis, Castle Rock, 1.4 miles away, straight line (CMS rating 5 of 5 stars)
Davita Lonetree Dialysis Center, Englewood, 8.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 20 Medicare hospices tell CMS they serve ZIP code 80108.
Gentiva, office in Castle Rock, 3.4 miles away, straight line (CMS family survey rating 3 of 5 stars)
Colorado Palliative & Hospice Care, LLC, office in Centennial, 12.3 miles away, straight line
Namaste Hospice, office in Centennial, 12.4 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- University Physicians Incorporated, Lone Tree. 9.2 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Douglas County, CO, risk to homes is greater than 97% of communities in Colorado and 98% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very low. By hazard: inland flooding relatively low, wildfire relatively moderate, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Silver Heights Skilled Nursing and Rehabilitation a good nursing home?
CMS gives Silver Heights Skilled Nursing and Rehabilitation an overall rating of 3 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Silver Heights Skilled Nursing and Rehabilitation staffed?
Silver Heights Skilled Nursing and Rehabilitation reports 3.31 total nurse hours per resident per day, compared with the Colorado average of 3.70.
Has Silver Heights Skilled Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Silver Heights Skilled Nursing and Rehabilitation have?
Silver Heights Skilled Nursing and Rehabilitation is certified for 91 beds.