SUNDANCE SKILLED NURSING AND REHABILITATION
Grade C — 79/100 composite score
CMS Star Ratings
Certified Beds
68
Ownership
For profit - Limited Liability company
Total Fines
$50,063
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
MADISON CREEK PARTNERS LLC
100%
CHRISTENSEN, COVEY
100%
MADISON CREEK PARTNERS LLC
CHRISTENSEN, COVEY
CLEGG, MICHAEL
HOPKINS, AMBER
SHEPHERD, DAVID
TERRAZAS, LISA
CHRISTENSEN, COVEY
CLEGG, MICHAEL
Penalties & Fines (2)
| Date | Type | Description | Amount |
|---|---|---|---|
| Aug 15, 2025 | Fine | — | $14,901 |
| Jun 27, 2023 | Fine | — | $35,162 |
Health Inspection Deficiencies (17)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
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
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for SUNDANCE SKILLED NURSING AND REHABILITATION?
SUNDANCE SKILLED NURSING AND REHABILITATION in COLORADO SPRINGS, Colorado has a CareGrader grade of C (Average), with a composite score of 79.3 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 SUNDANCE SKILLED NURSING AND REHABILITATION?
SUNDANCE SKILLED NURSING AND REHABILITATION has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does SUNDANCE SKILLED NURSING AND REHABILITATION have?
SUNDANCE SKILLED NURSING AND REHABILITATION has 17 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 SUNDANCE SKILLED NURSING AND REHABILITATION been fined?
Yes. SUNDANCE SKILLED NURSING AND REHABILITATION has $50,063 in total fines from CMS enforcement actions across 2 penalties.
How many beds does SUNDANCE SKILLED NURSING AND REHABILITATION have?
SUNDANCE SKILLED NURSING AND REHABILITATION has 68 certified beds with approximately 59 current residents (87% occupancy). The facility is located at 2612 W CUCHARRAS ST, COLORADO SPRINGS, Colorado 80904. 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.