| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E6 | F6 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 28, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 19, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| May 9, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 9, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Feb 1, 2022 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 1, 2022 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E6 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 28, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 20, 2026 | Complaint |
| Dec 11, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 15, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
22 facilities in 3 states. CMS chain ID 803.
Chain average overall rating (CMS): 1.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| David Mahrt | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Katie Myers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Walter Myers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Holly Swain | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Jared Swain | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| David Mahrt | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Katie Myers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Walter Myers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Holly Swain | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2024 |
| Jared Swain | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Poudre Canyon Rehabilitation and Nursing, LLC 1000 S Lemay Ave, Fort Collins, CO 80524 CCN 065166SFF CandidateAbuse icon | 83 | Jul 28, 2026 | 791 IJ5 harm |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Falcon Heights Rehabilitation and Nursing LLC 1795 Monterey Rd, Colorado Springs, CO 80910 CCN 065168Abuse icon | 1.2 km | 107 | Jul 23, 2026 | 652 harm16 open | $6,146 | |
| Life Care Center of Colorado Springs 2490 International Cir, Colorado Springs, CO 80910 CCN 065356 | 1.4 km | 121 | Feb 26, 2026 | 101 IJ1 harm | $32k | |
| Advanced Health Care of Colorado Springs 55 S Parkside Dr, Colorado Springs, CO 80910 CCN 065407 | 1.5 km | 34 | Jun 25, 2026 | 3112 open | — | |
| Medallion Post Acute Rehabilitation 1719 E Bijou St, Colorado Springs, CO 80909 CCN 065113 | 2.7 km | 60 | Jun 16, 2026 | 502 IJ3 harm1 open | $87k | |
| Sunny Vista Living Center 2445 E Cache La Poudre St, Colorado Springs, CO 80909 CCN 065254 | 3.1 km | 116 | Jul 24, 2025 | 19 | — | |
| Mountain View Post Acute 835 Tenderfoot Hill Rd, Colorado Springs, CO 80906 CCN 065147Abuse icon | 3.7 km | 180 | Apr 1, 2026 | 882 harm4 open | $29k | |
| Kiowa Hills Rehabilitation and Nursing, LLC 924 W Kiowa St, Colorado Springs, CO 80905 CCN 065175Abuse icon | 5.6 km | 83 | Jul 22, 2026 | 961 harm | — | |
| Pikes Peak Post Acute 2719 N Union Blvd, Colorado Springs, CO 80909 CCN 065415Abuse icon | 5.9 km | 210 | Aug 20, 2026 | 503 harm2 open | $40k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065172 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065172 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Sep 19, 2024 | K-0222 | 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. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 23, 2024 |
| Sep 19, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 12, 2024 |
| Sep 19, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2024 |
| Sep 19, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 19, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2024 |
| Sep 19, 2024 | F-0625 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2024 |
| Sep 19, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 30, 2024 |
| Sep 19, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 30, 2024 |
| Sep 19, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 30, 2024 |
| Sep 19, 2024 | F-0801 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 30, 2024 |
| Sep 19, 2024 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 30, 2024 |
| Sep 19, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 30, 2024 |
| May 9, 2023 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 14, 2023 |
| May 9, 2023 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 24, 2023 |
| May 9, 2023 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 24, 2023 |
| May 9, 2023 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2023 |
| May 9, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2023 |
| May 9, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 24, 2023 |
| Feb 1, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 13, 2022 |
| Feb 1, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 13, 2022 |
| Feb 1, 2022 | K-0371 | Have properly sized and located compartments to protect residents from smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 13, 2022 |
| Feb 1, 2022 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 25, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.27 (case-mix index 1.38).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Sep 1, 2024 |
| Cottonwood Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Cathy Hieneman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Walter Myers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Cathy Hieneman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2026 |
| Vikas Reddy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2026 |
| $48k |
| Falcon Heights Rehabilitation and Nursing LLC 1795 Monterey Rd, Colorado Springs, CO 80910 CCN 065168Abuse icon | 107 | Jul 23, 2026 | 652 harm16 open | $6,146 |
| South Platte Rehabilitation and Nursing LLC 2200 Edison St, Brush, CO 80723 CCN 065170 | 78 | Oct 15, 2025 | 471 IJ2 harm | $37k |
| Sterling Rehabilitation and Nursing, LLC 1420 S 3rd Ave, Sterling, CO 80751 CCN 065174 | 63 | Aug 20, 2025 | 581 IJ4 harm2 open | $87k |
| Kiowa Hills Rehabilitation and Nursing, LLC 924 W Kiowa St, Colorado Springs, CO 80905 CCN 065175Abuse icon | 83 | Jul 22, 2026 | 961 harm | — |
| Creekside Village Rehabilitation and Nursing LLC 1000 E Stuart St, Fort Collins, CO 80525 CCN 065221SFF CandidateAbuse icon | 120 | Aug 6, 2026 | 863 IJ5 harm3 open | $49k |
| Colonial Rehabilitation and Nursing, LLC 1340 E Fillmore St, Colorado Springs, CO 80907 CCN 065225Abuse icon | 80 | Mar 9, 2026 | 533 harm | — |
| Forest Ridge Health and Rehab LLC 16006 W US Highway 24, Woodland Park, CO 80863 CCN 065418Abuse icon | 80 | Feb 26, 2026 | 241 harm | — |