Velarion Records

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Skilled nursing facility · CMS certification number 065408

LAKEWOOD VILLA

LAKEWOOD, Colorado · Medicare and Medicaid

Certified beds, as filed in Care Compare: 57

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 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 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 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 September 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 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 April 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 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 August 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 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 July 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 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 June 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 31 December 2018

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

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 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 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 August 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 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 August 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 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 August 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 1 August 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 1 August 2026 (Medicare enrollment ownership), under the enrollment of LAKEWOOD VILLA OPERATIONS, LLC (enrollment ID O20130919000611).

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: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL JOSEPH CLEGGIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST17.53/2/2026
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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 SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
COVEY C CHRISTENSENIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2013
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN P. IKERDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/25/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENDRA JAMESIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MADISON CREEK PARTNERS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/13/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MICHAEL JOSEPH CLEGGIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/26/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT HOWEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
JOHN P. IKERDIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/2/2026
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL JOSEPH CLEGGIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/26/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AMBER M HOPKINSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
COVEY C CHRISTENSENIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2013
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN P. IKERDIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/25/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENDRA JAMESIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MADISON CREEK PARTNERS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
MICHAEL JOSEPH CLEGGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/26/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT HOWEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
119 December 202419 December 2024410
217 July 202317 July 2023106
331 October 201931 October 201975

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

21 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
7 July 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 correction27 July 2025
25 March 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 correction25 April 2025
19 December 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 correction17 January 2025
19 December 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction17 January 2025
19 December 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction17 January 2025
19 December 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 correction17 January 2025
19 December 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction17 January 2025
1 May 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-Compliance7 February 2024
25 January 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 correction19 February 2024
25 January 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.FYesDeficient, Provider has date of correction21 February 2024
17 July 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 correction9 August 2023
17 July 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 correction9 August 2023
17 July 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 correction9 August 2023
17 July 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GNoDeficient, Provider has date of correction9 August 2023
17 July 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 correction9 August 2023
17 July 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 correction9 August 2023
17 July 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 correction9 August 2023
31 October 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 correction22 November 2019
31 October 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 correction15 November 2019
31 October 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 correction2 December 2019
31 October 2019HealthF 0923Environmental DeficienciesHave enough outside ventilation via a window or mechanical ventilation, or both.ENoDeficient, Provider has date of correction10 November 2019

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

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

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 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 1 August 2026.

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On 1 July 2026: COVEY C CHRISTENSEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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