F57

MEDALLION POST ACUTE REHABILITATION

Grade F 57/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

60

Ownership

For profit - Limited Liability company

Total Fines

$113,257

Last Survey

N/A

1719 E BIJOU ST, COLORADO SPRINGS, CO 80909
7193814963

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.47h
LPN
1.03h
CNA
1.92h
Total
3.42h
Facility
State Average

Turnover Rates

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

Ownership

ENDURA HEALTHCARE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2016

100%

THE ENSIGN GROUP INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2017

100%

COOK, RONALD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

BURNAM, SOON

IndividualCORPORATE OFFICERSince Sep 2024

JORGENSEN, DAVID

IndividualCORPORATE OFFICERSince Jul 2017

KEETCH, CHAD

IndividualCORPORATE OFFICERSince Jul 2017

PORT, BARRY

IndividualCORPORATE OFFICERSince Jul 2017

Penalties & Fines (5)

$113,257total fines
DateTypeDescriptionAmount
Apr 22, 2025Fine$37,510
Feb 13, 2025Fine$12,617
Aug 15, 2024Fine$40,905
Apr 11, 2024Fine$8,819
Feb 16, 2023Fine$13,406

Health Inspection Deficiencies (25)

April 22, 2025Health1 deficiency1 severe
0684GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 14, 2025
February 13, 2025Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

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 Feb 4, 2025
August 15, 2024Health15 deficiencies1 severe
0550DMinimal 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 Sep 12, 2024
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Sep 12, 2024
0561EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Sep 12, 2024
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Sep 12, 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 Sep 12, 2024
0585DMinimal harm, Isolated

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

Corrected Sep 12, 2024
0658DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 12, 2024
0660DMinimal harm, Isolated

Plan the resident's discharge to meet the resident's goals and needs.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 12, 2024
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Sep 12, 2024
0684GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 12, 2024
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 12, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Sep 12, 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 Sep 12, 2024
0791DMinimal harm, Isolated

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Sep 12, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 12, 2024
April 11, 2024Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

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 Apr 17, 2024
February 16, 2023Health3 deficiencies1 severe
0582BNo harm, Pattern

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Mar 10, 2023
0689GActual harm, Isolated

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 Mar 10, 2023
0849DMinimal harm, Isolated

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.

Administration Deficiencies

Corrected Mar 10, 2023
October 21, 2021Health4 deficiencies2 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 Nov 12, 2021
0584DMinimal harm, Isolated

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 Nov 12, 2021
0585GActual harm, Isolated

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

Corrected Nov 12, 2021
0610EMinimal harm, Pattern

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 12, 2021

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Frequently Asked Questions

What is the CareGrader rating for MEDALLION POST ACUTE REHABILITATION?

MEDALLION POST ACUTE REHABILITATION in COLORADO SPRINGS, Colorado has a CareGrader grade of F (Poor), with a composite score of 56.5 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 MEDALLION POST ACUTE REHABILITATION?

MEDALLION POST ACUTE REHABILITATION has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does MEDALLION POST ACUTE REHABILITATION have?

MEDALLION POST ACUTE REHABILITATION has 25 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 MEDALLION POST ACUTE REHABILITATION been fined?

Yes. MEDALLION POST ACUTE REHABILITATION has $113,257 in total fines from CMS enforcement actions across 5 penalties.

How many beds does MEDALLION POST ACUTE REHABILITATION have?

MEDALLION POST ACUTE REHABILITATION has 60 certified beds with approximately 57 current residents (95% occupancy). The facility is located at 1719 E BIJOU ST, COLORADO SPRINGS, Colorado 80909. It is a for profit - limited liability company 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.