Colorado Springs, CO

Fountain View Rehabilitation And Nursing LLC

1-star overall rating with 2-star inspections with $12,968 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

2438 E Fountain Blvd, Colorado Springs, CO

(719) 473-8000

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers

Operator or chain grouping

Approved since

1983-01-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.86

Registered nurse staffing

LPN hours / resident day

0.40

Licensed practical nurse staffing

Aide hours / resident day

1.85

Nurse aide staffing

Weekend hours

2.70

Weekend nurse staffing

RN turnover

73%

Annual RN turnover

Total nurse turnover

73%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.3 0.5 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	1.7 0.4 pts better	1.8 0.5 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.7%	93.5% 4.2 pts better	93.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.9%	94.7% 5.8 pts worse	95.5% 6.6 pts worse	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.4% 0.3 pts worse	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	9.3%	7.4% 1.9 pts worse	11.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	1.2%	5.0% 3.8 pts better	5.4% 4.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.9%	11.2% 0.3 pts better	19.6% 8.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	14.2%	20.6% 6.4 pts better	16.7% 2.5 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	24.0%	15.2% 8.8 pts worse	16.3% 7.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	15.4%	14.6% 0.8 pts worse	14.9% 0.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.8% 0.5 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	1.4%	1.5% 0.1 pts better	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.0%	22.4% 4.4 pts better	19.8% 1.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	4.0%	3.7% 0.3 pts worse	5.1% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	85.9%	76.4% 9.5 pts better	81.7% 4.2 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	12.3%	12.8% 0.5 pts better	12.0% 0.3 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	1.5% 0.3 pts worse	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.0%	75.6% 4.4 pts better	79.7% 0.3 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.8%	20.3% 3.5 pts better	23.9% 7.1 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-19 · Fire 2024-09-19

10 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-05-09 · Fire 2023-05-09

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-02-01 · Fire 2022-02-01

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-10

D · Potential for more than minimal harm 2024-09-19

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 2024-10-23

D · Potential for more than minimal harm 2024-09-19

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 2024-11-12

D · Potential for more than minimal harm 2024-09-19

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 2024-10-10

D · Potential for more than minimal harm 2023-05-09

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-06-14

F · Potential for more than minimal harm 2022-02-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-03-13

F · Potential for more than minimal harm 2022-02-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-03-13

D · Potential for more than minimal harm 2022-02-01

K371 · Smoke Deficiencies

Fire Safety

Have properly sized and located compartments to protect residents from smoke.

Corrected 2022-03-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-02-20

E · Potential for more than minimal harm 2025-12-11

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-01-15

F · Potential for more than minimal harm 2024-09-19

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-10-30

F · Potential for more than minimal harm 2024-09-19

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 2024-10-30

E · Potential for more than minimal harm 2024-09-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-09-19

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-09-19

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-19

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-19

F625 · Resident Rights Deficiencies

Health

Notify 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.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-09-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-10-30

G · Actual harm 2023-05-09

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 2023-05-24

F · Potential for more than minimal harm 2023-05-09

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 2023-05-24

E · Potential for more than minimal harm 2023-05-09

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-05-24

D · Potential for more than minimal harm 2023-05-09

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 2023-05-24

D · Potential for more than minimal harm 2023-05-09

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2023-05-24

D · Potential for more than minimal harm 2023-05-09

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-05-24

D · Potential for more than minimal harm 2023-05-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-24

D · Potential for more than minimal harm 2023-05-09

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2023-05-24

E · Potential for more than minimal harm 2022-02-01

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 2022-02-25

Penalties and ownership

What sits behind the stars

$12,968 2023-05-09

Fine

Fine · fine $12,968

Fine

Ownership

Maze Family Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

50% 18 facilities 2024-09-01

Charly Bello Family Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

40% 18 facilities 2024-09-01

Myers, Walter

5% Or Greater Indirect Ownership Interest · Individual

25% 23 facilities 2024-09-01

Myers, Katie

5% Or Greater Indirect Ownership Interest · Individual

24% 16 facilities 2024-09-01

Swain, Jared

5% Or Greater Indirect Ownership Interest · Individual

20% 21 facilities 2024-09-01

Swain, Holly

5% Or Greater Indirect Ownership Interest · Individual

19% 16 facilities 2024-09-01

Pickd LLC

5% Or Greater Direct Ownership Interest · Organization

10% 13 facilities 2024-09-01

Cottonwood Healthcare LLC

Operational/Managerial Control · Organization

0% 16 facilities 2024-09-01

Hieneman, Cathy

Operational/Managerial Control · Individual

0% 1 facilities 2024-09-01

Mahrt, David

5% Or Greater Indirect Ownership Interest · Individual

0% 13 facilities 2024-09-01

Myers, Walter

Operational/Managerial Control · Individual

0% 23 facilities 2024-09-01

Nearby options

Other facilities in reach

Falcon Heights Rehabilitation And Nursing LLC

Colorado Springs, CO

2-star overall rating with 2-star inspections with abuse icon flag with $6,146 in total fines with 16 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall: 2 / 5
Health: 2 / 5
Staffing: 1 / 5
Fines: $6,146