Federal inspection record · CMS data as of October 1, 2026
Grace Manor Care Center
465 5th St, Burlington, CO · (719) 346-7512
- CMS high-performer trophy
- Certified beds
- 37
- Residents per day
- 29
- Ownership
- For-Profit
- Chain
- Frontline Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1990
1
How this home got 5 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.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Colorado homes
Grace Manor Care Center carries 15 inspection points. That is fewer than 94% 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
7 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
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.
Resident Rights1D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Inspection history
2026-04-21
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-04-11
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2023-01-11
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 36 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 0% 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
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 days0.1 pts worse | 1.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.8 pts worse | 3.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts better | 100.0% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse | 4.9% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.6 pts better | 4.2% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.6 pts worse | 10.4% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.7 pts worse | 22.3% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse | 21.4% | 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 worsened0.2 pts worse | 11.9% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.5 pts worse | 19.3% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.8 pts worse | 5.2% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts worse | 22.5% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.2 pts worse | 7.6% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.2 pts better | 94.2% | 77.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication7.1 pts worse | 8.7% | 1.6% | 1.5% |
·
Who owns and runs it
40 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 |
|---|---|---|---|
| Langendoen, Gary | 5% Or Greater Indirect Ownership Interest · Individual | 100% | 1 facilities |
| Madison Reality Equities LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Baker, Adam | Adp Of The SNF · Individual | 0% | 9 facilities |
| Clemmerson, Christina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Clemmerson, Christina | Adp Of The SNF · Individual | 0% | 1 facilities |
| Conner, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Conner, Lori | Adp Of The SNF · Individual | 0% | 1 facilities |
| Daise, Travis | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Daise, Travis | Adp Of The SNF · Individual | 0% | 2 facilities |
| Frontier Management Inc | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Frontier Management Inc | Adp Of The SNF · Organization | 0% | 9 facilities |
| Gtm Us Senior Housing Reit, Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Gtm Us Senior Housing Reit, LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hays, Jasalyn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hays, Jasalyn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Irwin, Janet | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 5 facilities |
| Jones-Gregory, Brenda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jones-Gregory, Brenda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Key Rehabilitation Inc | Adp Of The SNF · Organization | 0% | 17 facilities |
| Kirkwood, Chelsey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kirkwood, Chelsey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Leung, Rene | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| North American Senior Properties, LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ong, Edison | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Ong, Edison | Adp Of The SNF · Individual | 0% | 9 facilities |
| Remedi Seniorcare Of Colorado, LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Salas, Cherise | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Salas, Cherise | Adp Of The SNF · Individual | 0% | 9 facilities |
| Schlichenmayer, Joshua | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schlichenmayer, Joshua | Adp Of The SNF · Individual | 0% | 1 facilities |
| Schlichenmayer, Staci | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schlichenmayer, Staci | Adp Of The SNF · Individual | 0% | 1 facilities |
| Scott, Angela | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Scott, Angela | Adp Of The SNF · Individual | 0% | 5 facilities |
| Vega Ortega, Alejandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vega Ortega, Alejandra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Veluscek, Steven | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Weber, Charlotte | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Weber, Charlotte | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wipfli Llp | Adp Of The SNF · Organization | 0% | 102 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress4F
- F
Have properly located and lighted "Exit" signs.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Smoke2F
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Install corridor and hallway doors that block smoke.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
Have restrictions on the use of portable space heaters.
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Other homes nearby
-
Topside Manor Inc
Goodland, KS · Grace Team Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 42 min
- Fines
- $49,937
-
Cheyenne Manor
Cheyenne Wells, CO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 25 min
- Fines
- $0
-
Cheyenne County Village Inc
St Francis, KS · Grace Team Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 5 min
- Fines
- $13,287