Canon City, CO
2-star overall rating with 2-star inspections with abuse icon flag with $21,320 in total fines with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
515 Fairview St, Canon City, CO
(719) 275-0665
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
85
Certified beds
Average residents
64
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Stellar Senior Living
Operator or chain grouping
Approved since
1989-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.46
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.85
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.18
All reported nurse hours · state 3.70 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.51 · national 1.54
Weekend hours
2.94
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.60 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.68
CMS adjusted total nurse staffing hours
Case-mix index
1.18
Higher values indicate more complex resident acuity
RN turnover
86%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
78%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
3,634
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.38
Composite VBP score used to determine payment impact.
Payment multiplier
0.9964
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.95
Baseline 20.79% · Performance 19.14% · Measure score 4.95 · Achievement 4.95 · Improvement 3.89
Healthcare-associated infections
5.56
Baseline 6.42% · Performance 6.17% · Measure score 5.56 · Achievement 5.56 · Improvement 1.25
Total nurse turnover
4.81
Performance 44.00% · Measure score 4.81 · Achievement 4.81 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.03
Baseline 3.05 hours · Performance 3.65 hours · Measure score 2.03 · Achievement 2.03 · Improvement 1.70
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 73 · Observed rate 8.22% · Lower 95% interval 7.17% |
| Discharge to community | 50.59% |
50.57%
About the same
|
No Different than the National Rate · Eligible stays 58 · Observed rate 50% · Lower 95% interval 40.81% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 68.57% |
95.27%
26.7 pts worse
|
Numerator 24 · Denominator 35 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 35 |
| Discharge self-care score | 67.86% |
53.69%
14.2 pts better
|
Numerator 19 · Denominator 28 |
| Discharge mobility score | 42.86% |
50.94%
8.1 pts worse
|
Numerator 12 · Denominator 28 |
| Pressure ulcers or injuries, new or worsened | 2.86% |
2.29%
0.6 pts worse
|
Numerator 1 · Denominator 35 · Adjusted rate 3.79% |
| Healthcare-associated infections requiring hospitalization | 6.17% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 0% · Lower 95% interval 3.47% |
| Staff COVID-19 vaccination coverage | 3.09% |
8.2%
5.1 pts worse
|
Numerator 3 · Denominator 97 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 14 · Denominator 28 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 90% |
96.28%
6.3 pts worse
|
Numerator 18 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
| 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 · Adjusted 0.3 · Observed 0.2 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.9% |
93.5%
4.6 pts worse
|
93.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 82.8% · Q3 91.4% · Q4 87.7% · 4Q avg 88.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.5% |
94.7%
10.2 pts worse
|
95.5%
11 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% |
3.4%
2.3 pts worse
|
3.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.4% · Q3 6.9% · Q4 7.0% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.6% |
7.4%
1.8 pts better
|
11.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.3% · Q3 9.3% · Q4 3.6% · 4Q avg 5.6% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
5.0%
1.7 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 3.9% · Q3 4.1% · Q4 4.2% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.2% |
11.2%
7 pts better
|
19.6%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.8% · Q3 8.2% · Q4 3.9% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.6% |
20.6%
2 pts worse
|
16.7%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 23.5% · Q3 23.1% · Q4 25.0% · 4Q avg 22.6% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.7% |
15.2%
11.5 pts worse
|
16.3%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 22.2% · Q3 51.4% · Q4 23.0% · 4Q avg 26.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.7% |
14.6%
14.1 pts worse
|
14.9%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 31.6% · Q3 42.9% · Q4 27.1% · 4Q avg 28.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.8%
0.5 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 3.9% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
1.5%
0.2 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 5.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.7% |
22.4%
0.7 pts better
|
19.8%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 28.8% · Q3 20.2% · Q4 17.7% · 4Q avg 21.7% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
3.7%
0.8 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.4% · Q3 5.6% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 45.6% |
76.4%
30.8 pts worse
|
81.7%
36.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 79.7% · Q2 42.0% · Q3 23.4% · Q4 37.9% · 4Q avg 45.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.3% |
12.8%
7.5 pts worse
|
12.0%
8.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 19.2% · Expected 10.6% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 36.2% |
75.6%
39.4 pts worse
|
79.7%
43.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 36.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 3.9% |
20.3%
16.4 pts better
|
23.9%
20 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.9% · Observed 3.8% · Expected 23.5% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
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 2024-10-02
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2024-10-04
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-11-04
Fire Safety
Have an externally vented heating system.
Corrected 2024-10-10
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-10-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-07-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-01
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-31
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-07-06
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-04-14
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-04-14
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-04-14
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2022-04-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-04-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-04-29
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2022-04-29
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-10
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-02-03
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-18
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-10-18
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-10-18
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-18
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-10-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-18
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-10-18
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-18
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 2024-10-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-28
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-06-28
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 2023-06-28
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-06-28
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-06-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-30
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-06-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-06-28
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-04-14
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-04-14
Health
Provide activities to meet all resident's needs.
Corrected 2022-04-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-04-14
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-04-14
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 2022-04-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-04-14
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-04-14
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-04-14
Health
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.
Corrected 2022-04-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-04-14
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2022-04-14
Penalties and ownership
Fine · fine $21,320
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Nearby options
Canon City, CO
3-star overall rating with 2-star inspections with abuse icon flag with $21,690 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Canon City, CO
3-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Canon City, CO
5-star overall rating with 4-star inspections with $44,600 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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