Intermountain Health Hospice - Denver
A hospice in Wheat Ridge, Colorado 80033
3210 Lutheran Pkwy, Wheat Ridge, Colorado 80033. (303) 425-8000.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 23, 2026.
- 9 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
9 deficiencies cited in the last three years
The middle of the 27 hospices serving ZIP code 80033 had 5.
The last inspection on record was on Aug 7, 2026: a reaccreditation inspection by The Joint Commission.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
9 deficiencies in 1 month of the last 36. Last cited Aug 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Aug 7, 2026: reaccreditation inspection by The Joint Commission9 deficiencies
-
Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 1 of 18 patient records reviewed, the chaplain failed to complete their initial assessments within five days after the election of hospice. In RRNHV#6 the spiritual care provider had not completed their initial assessment until 8 days post EOHB and no documentation had been present to support the delay. This was validated with the Clinical Leadership present during record review.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 94 words
“Observed in Record Review. In 1 of 18 patient records reviewed, the Surveyor noted an initial bereavement assessment had not been completed. In RRNHV#11, the patient had been admitted to Hospice in the beginning of June. The Medical Social Worker (MSW) had not been able to make a patient visit due to family declining visits. Since the MSW had not made the initial visit, an initial Bereavement Risk assessment had not been completed in the 2 months the patient has been on service. This was validated with the Clinical Leadership present during record review.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(8))
The inspectors’ words, 140 words
“Observed in Patient Home. In 3 of 4 home visits conducted, where the patient had home Oxygen, the Surveyor noted a failure to assess risks related to oxygen storage and ensure back up cylinders had been stored in a safe manner consistent with HCO policy, by securing in a stand or lying flat . For example, in RRHV#1, the patient had 1 back up cylinder standing upright and not secured. In RRHV#4, the patient had 1 Oxygen cylinder freestanding and a 2nd cylinder leaning against a wall. In RRHV#6, the patient had 4 cylinders free-standing in a laundry room, unsecured. The patient also had 6 cylinders secured in a stand in their garage that had not been climate controlled and had been less than 5 feet from a gas-powered lawnmower and a propane tank. This was validated with Clinical Leadership.”
-
Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 299 words
“Observed in Record Review. In 2 of 18 patient records reviewed, the surveyor noted care provided to the patient without a written order. For example, in RRHV#1, the clinician completing the evaluation assessment noted the patient had 30 post-operative sutures in place in her hip and upper leg. This had been discussed in the Interdisciplinary Group Meeting post visit. On the next clinician visit, there had been documentation that the sutures had been removed; however, there had been no order written to remove the sutures. In RRNHV#7, the RN documented care provided to the patient PICC line that included a dressing change, however, there had not been an order to complete this. This was validated with the Clinical Leadership present during the record reviews. Observed in Record Review. In 1 of 18 patient records reviewed, the Surveyor noted the patient plan of care (POC) had not been updated post interdisciplinary group (IDG) meeting. For example, in RRHV#3, the patient had been identified as having new onset difficulty with swallowing that required thickening of fluids and associated aspiration risks; however, the POC had not been updated to include this. This was validated with the Clinical Leadership present during record review. Observed in Record Review. In 2 of 18 patient records reviewed, the Surveyor noted not all patient identified issues had been included on the patient plan of care (POC). For example, in RRNHV#1, the patient had a PEG tube through which feedings were administered. The PEG tube care requirements had not been included on the POC. In RRNHV#7, the patient POC had been missing care orders for the PICC line (including dressing changes) and the Ostomy. Of note, the patient was extremely complex with a lot of interventions. This was validated with the Clinical Leadership present during the record review.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 6 of 6 patient records reviewed, where the Hospice Aide (HA) had been providing care to a patient on home oxygen therapy, the HA plan of care (POC) had not addressed all patient needs. For example, in RRHV#1,RRHV#5, RRNHV#3, RRNHV#6, RRNHV#10 and RRNHV#12, the patient was on continuous oxygen and the care plan had not addressed whether the oxygen could be removed for the bathing. This was validated with the Clinical Leadership present during the record review.”
-
Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. In 1 of 15 patient records reviewed, where the patient had hospice aide (HA) services, the supervisory visit had not occurred every 14 days as required. In RRNHV#12, the HA started services the 2nd week of July. A Supervisory visit had not been completed for 20 days post initiation of services. This was validated with the Clinical Leadership present during the record review.”
-
Content (42 CFR 418.104(a)(3))
The inspectors’ words, 93 words
“Observed in Record Review. In 2 of 18 patient records reviewed, The medication profile in the EMR had not been updated to reflect the medications the patient was being administered. For example, in RRHV#3, the patient EMR medication profile had Bactrim DS still listed as an active medication; however, the medication had been completed at the end of June. In RRNHV#1, the patient had been started on Home Oxygen, but this had not been added to the medication profile (per HCO policy). This was validated with the Clinical Leadership present during record review.”
-
N/a (42 CFR 418.110(d)(1)(i))
“Observed in Building Tour. In 1 of 6 smoke barrier wall checks, it was observed above the ceiling at smoke door C-20, the smoke barrier had a penetration that was not properly sealed. This was confirmed with the Director of Facilities. This finding was observed during survey activity, but corrected onsite prior to the surveyor’s departure. The corrective action taken needs to be included in the organization’s Evidence of Standards Compliance submission.”
-
N/a (42 CFR 418.110(e))
“Observed in Document Review. In 1 of 1 annual fire alarm system testing, it was observed that the documentation of the annual fire alarm system testing and inspection did not have a complete inventory of all of the Audio/Visual alarm devices. The documentation showed 4 circuits were tested and all A/V devices passed, however did not have an itemized inventory of all A/V devices. This was confirmed with the Director of Facilities.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 7, 2026 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
| Apr 30, 2025 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jul 12, 1985.
- Ownership: other.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 14.7 nurse care minutes per routine home care day, 16.4% of skilled nursing minutes at weekends and a visit near death for 93.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 75% at home, 6% in assisted living, 10% in a skilled nursing facility, 8% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.7 min |
| Skilled nursing minutes at weekends | 16.4% |
| Visits near death | 93.3% of patients who died |
Who owns it?
- Integrity Health owns 100% directly since Jul 1, 2024.
- Intermountain Health Care, Inc. runs it.
- 24 owners or officers are people: Rebecca G Resnik (managing employee (on the payroll)); David R Kinnard (corporate director); Donald Arthur Childears (corporate director); Steven Brien Brown (corporate director); James Capps (corporate director); Alice Murray (corporate officer); Alice Murray (managing employee (on the payroll)); Cynthia Camela Delaria (corporate director); Christine Forkner (corporate director); Stephen K Frankel (corporate director); Amanda Shon (corporate director); Teresa Kostenbauer (corporate director); Ben Stevenson (corporate officer); Ben Stevenson (managing employee (on the payroll)); Elisa Castaneda Young (corporate director); Faye Hummel (corporate director); Jeffrey Bernard (corporate director); Holly Clouner (corporate director); Katherine Boelter (corporate director); Pradeep Dhar (corporate director); Jennifer Carroll (managing employee (on the payroll)); Melissa Whitmer (corporate director); Kelly Dunkin (corporate director); Lacey Kirby (managing employee (on the payroll)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Integrity Health | Owns 5% or more directly | 100% | Jul 1, 2024 |
| Intermountain Health Care, Inc. | Runs it (operational or managerial control) | Apr 1, 2022 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.19% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 56.2% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 4 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 10 of 10 |
How does it compare nearby?
- Of the 27 hospices CMS’s data show serving patients in ZIP code 80033, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 9.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Intermountain Health Hospice - Denver This hospice | 9 |
| Tru Community Care - Lafayette | 10 |
| Denver Hospice the | 11 |
| Home Hospice Denver | 1 |
| Namaste Hospice | 0 |
| Compassus - Greater Denver | 3 |
| Optimal Hospice Care | 10 |
| Compassionate Hospice Care LLC | 7 |
| Gentiva | 26 |
| HCA Healthone Hospice & Family Care | 16 |
| Bristol Hospice - Denver | 0 |
| Dignity Hospice of Colorado, LLC | 21 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
-
Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.