D69

FALCON HEIGHTS REHABILITATION AND NURSING LLC

Grade D 69/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
5/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

107

Ownership

For profit - Corporation

Total Fines

$6,146

Last Survey

N/A

1795 MONTEREY RD, COLORADO SPRINGS, CO 80910
7194717850

Get Pricing & Availability for FALCON HEIGHTS REHABILITATION AND NURSING LLC

Request current pricing, availability, and tour information from FALCON HEIGHTS REHABILITATION AND NURSING LLC in COLORADO SPRINGS, Colorado.

Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.61h
LPN
0.48h
CNA
1.81h
Total
2.90h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CHARLY BELLO FAMILY LIMITED PARTNERSHIP

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2024

40%

MAZE FAMILY LIMITED PARTNERSHIP

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2024

50%

PICKD LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2024

10%

MAHRT, DAVID

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

10%

MYERS, KATIE

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

24%

MYERS, WALTER

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

25%

SWAIN, HOLLY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

19%

SWAIN, JARED

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2024

20%

COTTONWOOD HEALTHCARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

ABBOTT, IAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

HOLMES, CAROLYN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

Penalties & Fines (1)

$6,146total fines
DateTypeDescriptionAmount
Sep 24, 2024Fine$6,146

Health Inspection Deficiencies (36)

December 1, 2025Health1 deficiency
0600DMinimal harm, Isolated

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

Corrected Dec 2, 2025
February 3, 2025Health1 deficiency
0600DMinimal harm, Isolated

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

Corrected Feb 28, 2025
September 24, 2024Health2 deficiencies
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 30, 2024
0626DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Nov 8, 2024
July 31, 2024Health15 deficiencies1 severe
0550GActual harm, Isolated

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

Resident Rights Deficiencies

Corrected Aug 28, 2024
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Aug 28, 2024
0600DMinimal harm, Isolated

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

Corrected Aug 28, 2024
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 28, 2024
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Aug 28, 2024
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 28, 2024
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Aug 28, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 28, 2024
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Aug 28, 2024
0804FMinimal harm, Widespread

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Aug 28, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Aug 28, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 28, 2024
0923EMinimal harm, Pattern

Have enough outside ventilation via a window or mechanical ventilation, or both.

Environmental Deficiencies

Corrected Aug 28, 2024
0555EMinimal harm, Pattern

Honor the resident's right to choose his or her attending physician.

Resident Rights Deficiencies

Corrected Aug 28, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 28, 2024
February 22, 2023Health2 deficiencies
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 18, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 18, 2023
November 18, 2021Health15 deficiencies3 severe
0697GActual harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Dec 18, 2021
0554EMinimal harm, Pattern

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Dec 18, 2021
0563FMinimal harm, Widespread

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Resident Rights Deficiencies

Corrected Dec 18, 2021
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Dec 18, 2021
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Dec 18, 2021
0658FMinimal harm, Widespread

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 18, 2021
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 18, 2021
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Dec 18, 2021
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Dec 18, 2021
0695EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Dec 18, 2021
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Dec 18, 2021
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Dec 18, 2021
0867FMinimal harm, Widespread

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

Administration Deficiencies

Corrected Dec 18, 2021
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 18, 2021
0886LImmediate jeopardy, Widespread

Perform COVID19 testing on residents and staff.

Infection Control Deficiencies

Corrected Dec 18, 2021

Request Information from FALCON HEIGHTS REHABILITATION AND NURSING LLC

Get pricing, schedule a tour, or ask about availability.

Request information from FALCON HEIGHTS REHABILITATION AND NURSING LLC

Frequently Asked Questions

What is the CareGrader rating for FALCON HEIGHTS REHABILITATION AND NURSING LLC?

FALCON HEIGHTS REHABILITATION AND NURSING LLC in COLORADO SPRINGS, Colorado has a CareGrader grade of D (Below Average), with a composite score of 68.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for FALCON HEIGHTS REHABILITATION AND NURSING LLC?

FALCON HEIGHTS REHABILITATION AND NURSING LLC has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does FALCON HEIGHTS REHABILITATION AND NURSING LLC have?

FALCON HEIGHTS REHABILITATION AND NURSING LLC has 36 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has FALCON HEIGHTS REHABILITATION AND NURSING LLC been fined?

Yes. FALCON HEIGHTS REHABILITATION AND NURSING LLC has $6,146 in total fines from CMS enforcement actions across 1 penalty.

How many beds does FALCON HEIGHTS REHABILITATION AND NURSING LLC have?

FALCON HEIGHTS REHABILITATION AND NURSING LLC has 107 certified beds with approximately 87 current residents (81% occupancy). The facility is located at 1795 MONTEREY RD, COLORADO SPRINGS, Colorado 80910. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.