Salida, CO

Columbine Manor Care Center

4-star overall rating with 3-star inspections with 6 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

530 W 16th St, Salida, CO

(719) 539-6112

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

51

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1985-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.06

Registered nurse staffing

LPN hours / resident day

0.33

Licensed practical nurse staffing

Aide hours / resident day

1.85

Nurse aide staffing

Weekend hours

2.86

Weekend nurse staffing

RN turnover

53%

Annual RN turnover

Total nurse turnover

70%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.3
1.3
1 pts better
1.9
1.6 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.7
0.2 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.7%
93.5%
1.2 pts better
93.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.7%
5.3 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.0%
3.4%
0.4 pts better
3.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 11.0%
7.4%
3.6 pts worse
11.4%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.1%
5.0%
1.1 pts worse
5.4%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 5.4%
11.2%
5.8 pts better
19.6%
14.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 3.3%
20.6%
17.3 pts better
16.7%
13.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 21.2%
15.2%
6 pts worse
16.3%
4.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 26.2%
14.6%
11.6 pts worse
14.9%
11.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.8%
0.8 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.8%
1.5%
0.3 pts worse
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.7%
22.4%
3.3 pts worse
19.8%
5.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.0%
3.7%
2.7 pts better
5.1%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 57.4%
76.4%
19 pts worse
81.7%
24.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.1%
12.8%
0.7 pts better
12.0%
0.1 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 71.1%
75.6%
4.5 pts worse
79.7%
8.6 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.7%
20.3%
1.4 pts worse
23.9%
2.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-10-12 · Fire 2023-10-12

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

14 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2022-10-20 · Fire 2022-10-20

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-08-05 · Fire 2021-08-05

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-10-12

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-12

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-31

F · Potential for more than minimal harm 2023-10-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-12

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-12

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-10-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-31

D · Potential for more than minimal harm 2023-10-12

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-10-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-10-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-10-12

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-15

F · Potential for more than minimal harm 2022-10-20

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-11-26

D · Potential for more than minimal harm 2022-10-20

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-03-11

D · Potential for more than minimal harm 2022-10-20

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-02-18

D · Potential for more than minimal harm 2022-10-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-11

D · Potential for more than minimal harm 2022-10-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-09

D · Potential for more than minimal harm 2022-10-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-09

F · Potential for more than minimal harm 2021-08-05

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-09-01

F · Potential for more than minimal harm 2021-08-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-09-01

F · Potential for more than minimal harm 2021-08-05

K521 · Services Deficiencies

Fire Safety

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

Corrected 2021-09-28

D · Potential for more than minimal harm 2021-08-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-09-01

D · Potential for more than minimal harm 2021-08-05

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-08-05

K930 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper storage of liquid oxygen.

Corrected 2021-09-30

Inspection history

Recent health citations

F · Potential for more than minimal harm 2023-10-12

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 2023-11-24

F · Potential for more than minimal harm 2023-10-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-17

F · Potential for more than minimal harm 2023-10-12

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-11-06

E · Potential for more than minimal harm 2023-10-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-11-06

D · Potential for more than minimal harm 2023-10-12

F659 · Resident Assessment and Care Planning Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2023-11-06

D · Potential for more than minimal harm 2023-10-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-11-06

F · Potential for more than minimal harm 2022-10-20

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 2022-11-27

E · Potential for more than minimal harm 2022-10-20

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 2022-11-27

E · Potential for more than minimal harm 2022-10-20

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-12-01

E · Potential for more than minimal harm 2022-10-20

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-11-27

D · Potential for more than minimal harm 2022-10-20

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-11-27

D · Potential for more than minimal harm 2022-10-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-12-22

D · Potential for more than minimal harm 2022-10-20

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-11-27

D · Potential for more than minimal harm 2022-10-20

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-11-27

D · Potential for more than minimal harm 2021-08-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2021-09-16

Penalties and ownership

What sits behind the stars

Ownership

Preston, Forrest

5% Or Greater Direct Ownership Interest · Individual

100% 188 facilities 1976-01-06
Arnett, David

Operational/Managerial Control · Individual

0% 1 facilities 2016-11-01
Bohnen, Dawn

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-28
Buker, Macey

Operational/Managerial Control · Individual

0% 2 facilities 2023-10-23
Cross, Cindy

Corporate Officer · Individual

0% 181 facilities 1994-04-21
Fletcher, Todd

Operational/Managerial Control · Individual

0% 141 facilities 2021-05-01
Fletcher, Todd

Corporate Director · Individual

0% 141 facilities 2021-05-01
Fletcher, Todd

Corporate Officer · Individual

0% 141 facilities 2020-11-02
Henry, Terry

Corporate Officer · Individual

0% 140 facilities 1999-08-16
Lay, Lisa

Operational/Managerial Control · Individual

0% 141 facilities 2017-04-24
Lay, Lisa

Corporate Director · Individual

0% 141 facilities 2017-04-24
Lay, Lisa

Corporate Officer · Individual

0% 141 facilities 2018-02-09
Life Care Centers Of America, Inc.

Operational/Managerial Control · Organization

0% 194 facilities 1993-05-21
Preston, Aubrey

Operational/Managerial Control · Individual

0% 135 facilities 2024-11-27
Preston, Forrest

Operational/Managerial Control · Individual

0% 188 facilities 1993-05-21
Preston, Forrest

Corporate Director · Individual

0% 188 facilities 1976-01-06
Preston, Forrest

Corporate Officer · Individual

0% 188 facilities 1976-01-06
Schmidt, Derek

Operational/Managerial Control · Individual

0% 20 facilities 2012-10-18
Swanker, Richard

Operational/Managerial Control · Individual

0% 143 facilities 2022-01-01
Swanker, Richard

Corporate Director · Individual

0% 143 facilities 2022-01-01
Swanker, Richard

Corporate Officer · Individual

0% 143 facilities 2011-04-01
Thurmond, Joan

Corporate Officer · Individual

0% 191 facilities 2000-09-22
Ziegler, James

Operational/Managerial Control · Individual

0% 140 facilities 2001-09-18
Ziegler, James

Corporate Director · Individual

0% 140 facilities 2001-09-18
Ziegler, James

Corporate Officer · Individual

0% 140 facilities 1999-08-16

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