Federal inspection record · CMS data as of October 1, 2026

The Healthcare Resort Of Colorado Springs

2818 Grand Vista Cir, Colorado Springs, CO · (719) 632-7000

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
97
Residents per day
89
Ownership
For-Profit
Chain
The Ensign Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 12, 2016

1

How this home got 3 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Colorado homes

The Healthcare Resort Of Colorado Springs carries 87.25 inspection points. That is fewer than 31% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 87.25 pts · 2★

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

21 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 9 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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 (1)

  1. K

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

    November 8, 2023 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected December 7, 2023

Everything else, by area of care

Quality of Life and Care4D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    June 26, 2025 · Standard · F677 · Corrected July 16, 2025

  2. D

    Provide activities to meet all resident's needs.

    June 26, 2025 · Standard · F679 · Corrected July 16, 2025

  3. D

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

    June 26, 2025 · Standard · F695 · Corrected July 16, 2025

  4. D

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

    July 27, 2022 · Standard · F684 · Corrected August 22, 2022

Resident Rights3E
  1. E

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    June 26, 2025 · Standard · F561 · Corrected July 16, 2025

  2. E

    The resident has the right to receive notices in a format and a language he or she understands.

    November 8, 2023 · Standard · F574 · Corrected December 7, 2023

  3. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    November 8, 2023 · Standard · F577 · Corrected December 7, 2023

Pharmacy Service3E
  1. 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.

    June 26, 2025 · Standard · F761 · Corrected July 16, 2025

  2. D

    Ensure medication error rates are not 5 percent or greater.

    June 26, 2025 · Standard · F759 · Corrected July 16, 2025

  3. D

    Ensure medication error rates are not 5 percent or greater.

    July 27, 2022 · Standard · F759 · Corrected August 22, 2022

Administration3E
  1. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    June 26, 2025 · Standard · F770 · Corrected July 16, 2025

  2. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    June 26, 2025 · Standard · F849 · Corrected July 16, 2025

  3. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    November 8, 2023 · Standard · F867 · Corrected December 7, 2023

Freedom from Abuse, Neglect, and Exploitation3E
  1. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    November 8, 2023 · Standard · F607 · Corrected December 7, 2023

  2. E

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    November 8, 2023 · Standard · F609 · Corrected December 7, 2023

  3. E

    Respond appropriately to all alleged violations.

    November 8, 2023 · Complaint · F610 · Corrected December 7, 2023

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 26, 2025 · Standard · F812 · Corrected July 16, 2025

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    November 8, 2023 · Standard · F880 · Corrected December 7, 2023

Environmental1E
  1. E

    Keep all essential equipment working safely.

    November 8, 2023 · Standard · F908 · Corrected December 7, 2023

Resident Assessment and Care Planning1D
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    July 27, 2022 · Standard · F842 · Corrected August 22, 2022

Inspection history

  1. 2025-06-26

    9 health deficiencies · 4 fire-safety deficiencies

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

  2. 2023-11-08

    9 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

  3. 2022-07-27

    3 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 24 min of nursing staff time a day, 58 min of it from a registered nurse.

This home

4 h 24 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 54% of nursing staff and 35% of registered nurses left in the past year, along with 1 administrator.

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

$79,098 in federal fines on record over the past three years.

DatePenaltyAmount
2023-11-08Fine$79,098

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better96.9%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts worse93.5%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better1.0%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms2 pts worse10.8%8.8%13.5%
Percentage of long-stay residents who lose too much weight1.5 pts worse6.3%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.2 pts worse23.8%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.7 pts better18.2%19.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.7 pts better4.0%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.3 pts better7.5%12.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse1.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better1.0%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts worse25.0%20.6%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts better2.5%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better82.5%77.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts worse13.3%12.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better0.3%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.5 pts worse66.1%73.6%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.5 pts worse25.0%20.5%23.4%

·

Who owns and runs it

15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Burnam, SoonCorporate Officer · Individual0%353 facilities
Dunyon, DavidManaging Control - Governing Body · Individual0%12 facilities
Dunyon, DavidCorporate Officer · Individual0%12 facilities
Dunyon, DavidOperational/Managerial Control · Individual0%12 facilities
Dunyon, DavidAdp Of The SNF · Individual0%12 facilities
Endura Healthcare LLCDirect Ownership Interest · Organization0%2 facilities
Ensign Services IncAdp Of The SNF · Organization0%299 facilities
Jorgensen, DavidCorporate Director · Individual0%56 facilities
Keetch, ChadCorporate Officer · Individual0%301 facilities
Port, BarryIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%203 facilities
Sato, AmiCorporate Officer · Individual0%151 facilities
Schultz, KariManaging Control - Governing Body · Individual0%2 facilities
Schultz, KariAdp Of The SNF · Individual0%2 facilities
The Ensign Group IncIndirect Ownership Interest · Organization0%135 facilities
Welltower Colorado Properties LLCAdp Of The SNF · Organization0%1 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke2F
  1. F

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

    June 26, 2025 · K345 · Corrected September 22, 2025

  2. F

    Install corridor and hallway doors that block smoke.

    November 8, 2023 · K363 · Corrected December 26, 2023

Gas, Vacuum, and Electrical Systems2F
  1. F

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

    June 26, 2025 · K914 · Corrected September 22, 2025

  2. D

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

    July 27, 2022 · K918 · Corrected September 27, 2022

Services1F
  1. F

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

    June 26, 2025 · K521 · Corrected September 22, 2025

Egress1D
  1. 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.

    June 26, 2025 · K222 · Corrected September 22, 2025

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    November 8, 2023 · K712 · Corrected December 26, 2023

·

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