FALCON HEIGHTS REHABILITATION AND NURSING LLC
1795 MONTEREY RD, COLORADO SPRINGS, CO 80910 · CCN 065168
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 107
- Avg residents/day
- 87.9
- Phone
- 7194717850
Inspection history vs Colorado & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-07-31 | 16 | 8.7 | 9.5 | +7.3 worse |
| 2 | 2023-02-22 | 4 | 8.7 | 9.8 | -4.7 better |
| 3 | 2021-11-18 | 15 | 7.5 | 9.3 | +7.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 5 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.94 | 73.2% |
| RN staffing (reported) | 0.62 | 77.3% |
| Total nurse staffing (adjusted) | 2.90 | — |
Fines & penalties
- Total fines
- $6,146
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS
- Facilities in chain
- 18
- Chain avg overall
- 1.60 / 5
Inspection citations (35)1 immediate jeopardy3 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-01 · Health · corrected 2025-12-02
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-03 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-24 · Health · corrected 2024-10-30
Potential for more than minimal harm
- DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-09-24 · Health · corrected 2024-11-08
Potential for more than minimal harm
- GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-31 · Health · corrected 2024-08-28
Actual harm
- EF0555Honor the resident's right to choose his or her attending physician.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- EF0584Honor 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.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- EF0761Ensure 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.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- EF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2024-07-31 · Health · corrected 2024-08-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-22 · Health · corrected 2023-03-18
Potential for more than minimal harm
- EF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- FF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- DF0578Honor 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.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- FF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-11-18 · Health · corrected 2021-12-18
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2021-11-18 · Health · corrected 2021-12-18
Actual harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2021-11-18 · Health · corrected 2021-12-18
Potential for more than minimal harm
- LF0886Perform COVID19 testing on residents and staff.2021-11-18 · Health · corrected 2021-12-18
Immediate jeopardy
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MAZE FAMILY LIMITED PARTNERSHIP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-09-01 |
| CHARLY BELLO FAMILY LIMITED PARTNERSHIP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | 2024-09-01 |
| MYERS, WALTER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2024-09-01 |
| MYERS, KATIE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24% | 2024-09-01 |
| SWAIN, JARED | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2024-09-01 |
| SWAIN, HOLLY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 19% | 2024-09-01 |
| MAHRT, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2024-09-01 |
| PICKD LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2024-09-01 |
| COTTONWOOD HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| ABBOTT, IAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| HOLMES, CAROLYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
Other facilities in COLORADO SPRINGS
| Name | Overall | Beds |
|---|---|---|
| CENTER AT CENTENNIAL, THE | ★★★★★ | 80 |
| SUNDANCE SKILLED NURSING AND REHABILITATION | ★★★★★ | 68 |
| GARDENS, THE | ★★★★★ | 45 |
| LIFE CARE CENTER OF COLORADO SPRINGS | ★★★★★ | 121 |
| ADVANCED HEALTH CARE OF COLORADO SPRINGS | ★★★★★ | 34 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.