Colorado Springs, CO

Center At Centennial, The

5-star overall rating with 4-star inspections with 1 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

3490 Centennial Blvd, Colorado Springs, CO

(719) 685-8888

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

69

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Veritas Management Group

Operator or chain grouping

Approved since

2007-09-26

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

15 facilities

Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.97

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

1.17

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.56

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

2.14

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

3.97

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.61

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.17

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.84

CMS adjusted RN staffing hours

Adjusted total hours

3.96

CMS adjusted total nurse staffing hours

Case-mix index

1.58

Higher values indicate more complex resident acuity

RN turnover

74%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,874

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

53.38

Composite VBP score used to determine payment impact.

Payment multiplier

1.0081

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.45

Baseline 16.42% · Performance 18.44% · Measure score 6.45 · Achievement 6.45 · Improvement 0

Healthcare-associated infections

8.11

Baseline 3.85% · Performance 5.41% · Measure score 8.11 · Achievement 8.11 · Improvement 0

Total nurse turnover

4.14

Baseline 52.46% · Performance 46.74% · Measure score 4.14 · Achievement 4.14 · Improvement 1.57

Adjusted total nurse staffing

2.64

Baseline 4.81 hours · Performance 3.83 hours · Measure score 2.64 · Achievement 2.64 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 8.11%
10.72%
2.6 pts better
Better than the National Rate · Eligible stays 824 · Observed rate 5.83% · Lower 95% interval 6.4%
Discharge to community 65.12%
50.57%
14.6 pts better
Better than the National Rate · Eligible stays 779 · Observed rate 66.5% · Lower 95% interval 62.61%
Medicare spending per beneficiary 0.94
1.02
0.1 pts better
Drug regimen review with follow-up 92.2%
95.27%
3.1 pts worse
Numerator 378 · Denominator 410
Falls with major injury 0.24%
0.77%
0.5 pts better
Numerator 1 · Denominator 410
Discharge self-care score 63.86%
53.69%
10.2 pts better
Numerator 205 · Denominator 321
Discharge mobility score 73.83%
50.94%
22.9 pts better
Numerator 237 · Denominator 321
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 410 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 5.41%
7.12%
1.7 pts better
Better than the National Rate · Eligible stays 395 · Observed rate 3.8% · Lower 95% interval 3.73%
Staff COVID-19 vaccination coverage 3.01%
8.2%
5.2 pts worse
Numerator 4 · Denominator 133
Staff flu vaccination coverage 60.08%
42%
18.1 pts better
Numerator 155 · Denominator 258
Discharge function score 73.52%
56.45%
17.1 pts better
Numerator 236 · Denominator 321
Transfer of health information to provider 93.89%
95.95%
2.1 pts worse
Numerator 123 · Denominator 131
Transfer of health information to patient 98.53%
96.28%
2.2 pts better
Numerator 268 · Denominator 272
Resident COVID-19 vaccinations up to date 52.06%
25.2%
26.9 pts better
Numerator 101 · Denominator 194

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.6%
76.4%
21.2 pts better
81.7%
15.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.2% · Q3 96.9% · Q4 95.9% · 4Q avg 97.6%
Percentage of short-stay residents who had an outpatient emergency department visit 11.1%
12.8%
1.7 pts better
12.0%
0.9 pts better
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 10.5% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.1%
1.5%
1.4 pts better
1.6%
1.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.3% · Q4 0.3% · 4Q avg 0.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94.1%
75.6%
18.5 pts better
79.7%
14.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.6%
20.3%
7.3 pts worse
23.9%
3.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 25.5% · Expected 22.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-23 · Fire 2024-10-23

1 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-04-13 · Fire 2023-04-13

10 health deficiencies

Top issue: Environmental (3 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-01-25 · Fire 2022-01-25

9 health deficiencies

Top issue: Infection Control (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-23

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-11-25

F · Potential for more than minimal harm 2024-10-23

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-12-20

F · Potential for more than minimal harm 2024-10-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-11

F · Potential for more than minimal harm 2024-10-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-11-22

F · Potential for more than minimal harm 2023-04-13

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-04-14

F · Potential for more than minimal harm 2023-04-13

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2023-04-14

F · Potential for more than minimal harm 2023-04-13

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-01

F · Potential for more than minimal harm 2023-04-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-01

F · Potential for more than minimal harm 2023-04-13

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-05-10

D · Potential for more than minimal harm 2023-04-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-05-17

D · Potential for more than minimal harm 2023-04-13

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-04-13

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-05-11

D · Potential for more than minimal harm 2022-01-25

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-03-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-10-23

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-10-24

G · Actual harm 2024-07-31

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-01

F · Potential for more than minimal harm 2023-04-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-14

F · Potential for more than minimal harm 2023-04-13

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-04-14

F · Potential for more than minimal harm 2023-04-13

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-04-20

F · Potential for more than minimal harm 2023-04-13

F923 · Environmental Deficiencies

Health

Have enough outside ventilation via a window or mechanical ventilation, or both.

Corrected 2023-04-14

E · Potential for more than minimal harm 2023-04-13

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-04-14

E · Potential for more than minimal harm 2023-04-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-14

E · Potential for more than minimal harm 2023-04-13

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-05-21

E · Potential for more than minimal harm 2023-04-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-14

G · Actual harm 2022-01-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-01-25

G · Actual harm 2022-01-25

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-01-25

F · Potential for more than minimal harm 2022-01-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-02-22

E · Potential for more than minimal harm 2022-01-25

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-02-22

D · Potential for more than minimal harm 2022-01-25

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2022-01-25

D · Potential for more than minimal harm 2022-01-25

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-02-22

D · Potential for more than minimal harm 2022-01-25

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-02-22

D · Potential for more than minimal harm 2022-01-25

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-02-22

D · Potential for more than minimal harm 2022-01-25

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2022-02-22

Penalties and ownership

What sits behind the stars

Ownership

The Medical Center LLC

5% Or Greater Direct Ownership Interest · Organization

6% 1 facilities 2013-01-01
Lafont, Gerard

W-2 Managing Employee · Individual

0% 1 facilities 2013-08-12
Lee, Russell

Corporate Officer · Individual

0% 1 facilities 2007-09-01
Murdock, Monte

Corporate Officer · Individual

0% 10 facilities 2007-09-01
Senkoff, Alexander

Corporate Officer · Individual

0% 7 facilities 2007-09-01

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