Federal inspection record · CMS data as of October 1, 2026
Falcon Heights Rehabilitation And Nursing LLC
1795 Monterey Rd, Colorado Springs, CO · (719) 471-7850
- Cited for abuse (CMS abuse icon)
- Certified beds
- 107
- Residents per day
- 90
- Ownership
- For-Profit
- Chain
- The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1982
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Colorado homes
Falcon Heights Rehabilitation And Nursing LLC carries 103 inspection points. That is fewer than 20% of Colorado's 208 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–22 pts
- 4★ 22–44 pts
- 3★ 44–70.75 pts
- 2★ 70.75–104 pts
- 1★ over 104 pts
Bars show every rated home in Colorado by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
29 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Everything else, by area of care
Quality of Life and Care9E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nutrition and Dietary4F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights4E
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- E
Honor the resident's right to choose his or her attending physician.
- E
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.
Pharmacy Service2E
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
Administration1F
- F
Employ staff that are licensed, certified, or registered in accordance with state laws.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Environmental1E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspection history
2026-07-23
10 health deficiencies · 16 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-07-31
16 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-02-22
3 health deficiencies · 11 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 13 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 13 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 59% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$6,146 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-24 | Fine | $6,146 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 0.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts worse | 90.7% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 95.6% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts better | 0.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.7 pts worse | 25.5% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 1.5% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts worse | 13.2% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.5 pts worse | 26.4% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts better | 8.7% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts better | 10.6% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence17.1 pts better | 3.5% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 0.4% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine35.4 pts worse | 41.6% | 77.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication6.7 pts worse | 8.3% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.4 pts worse | 52.2% | 73.6% | 80.1% |
·
Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Abbott, Ian | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Charly Bello Family Limited Partnership | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Cottonwood Healthcare LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Holmes, Carolyn | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Holmes, Carolyn | Adp Of The SNF · Individual | 0% | 2 facilities |
| Mahrt, David | Indirect Ownership Interest · Individual | 0% | 11 facilities |
| Maze Family Limited Partnership | Direct Ownership Interest · Organization | 0% | 5 facilities |
| Myers, Katie | Indirect Ownership Interest · Individual | 0% | 17 facilities |
| Myers, Walter | Indirect Ownership Interest · Individual | 0% | 25 facilities |
| Reddy, Vikas | Adp Of The SNF · Individual | 0% | 13 facilities |
| Swain, Holly | Indirect Ownership Interest · Individual | 0% | 16 facilities |
| Swain, Jared | Indirect Ownership Interest · Individual | 0% | 20 facilities |
·
Fire safety
36 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
Egress6F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
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.
- F
Have properly located and lighted "Exit" signs.
- D
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.
- F
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.
- F
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems6F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services5F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have an externally vented heating system.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Meet other general requirements that are deficient.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous4F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
Have restrictions on the use of flammable curtains.
- F
Have simulated fire drills held at unexpected times.
Construction1F
- F
Use approved construction type or materials.
·
Other homes nearby
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Fountain View Rehabilitation And Nursing LLC
Colorado Springs, CO · The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 13 min
- Fines
- $0
-
Life Care Center Of Colorado Springs
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h
- Fines
- $32,260
-
Advanced Health Care Of Colorado Springs
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★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 46 min
- Fines
- $0