1 health deficiencies
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Colorado Springs, CO
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
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
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
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
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
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
| 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
| 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
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Environmental (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-25
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-12-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-11
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-11-22
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-04-14
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-04-14
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-05-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-01
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-05-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-15
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2023-05-11
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-03-18
Inspection history
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-01
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
Health
Keep all essential equipment working safely.
Corrected 2023-04-14
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
Health
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected 2023-04-14
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-14
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
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-14
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-01-25
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-01-25
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-22
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-02-22
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2022-01-25
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
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-02-22
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-02-22
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
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Colorado Springs, CO
3-star overall rating with 2-star inspections with $79,098 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Colorado Springs, CO
2-star overall rating with 2-star inspections with $26,845 in total fines with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Colorado Springs, CO
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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