KIOWA HILLS REHABILITATION AND NURSING, LLC
924 W KIOWA ST, COLORADO SPRINGS, CO 80905 · CCN 065175
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 83
- Avg residents/day
- 70.8
- Phone
- 7196365221
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 | 2025-01-16 | 21 | 8.7 | 9.5 | +12.3 worse |
| 2 | 2023-12-07 | 17 | 8.7 | 9.8 | +8.3 worse |
| 3 | 2022-08-25 | 26 | 7.5 | 9.3 | +18.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Resident rights | 7 |
| Nutrition and dietary | 4 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.62 | 71.0% |
| RN staffing (reported) | 0.56 | 65.0% |
| Total nurse staffing (adjusted) | 2.99 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- 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 (64)1 actual harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-12-10 · Health · corrected 2026-01-10
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-08-27 · Health · corrected 2025-10-06
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.2025-08-27 · Health · corrected 2025-10-06
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-27 · Health · corrected 2025-10-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-27 · Health · corrected 2025-10-06
Potential for more than minimal harm
- EF0803Ensure 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.2025-08-27 · Health · corrected 2025-10-06
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-08-27 · Health · corrected 2025-10-06
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.2025-08-27 · Health · corrected 2025-10-06
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- EF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-01-16 · Health · corrected 2025-02-14
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.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0585Honor 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.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- EF0680Ensure the activities program is directed by a qualified professional.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-16 · Health · corrected 2025-02-14
Actual 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.2025-01-16 · Health · corrected 2025-02-14
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.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-12-07 · Health · corrected 2024-02-28
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.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0742Provide 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.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0758Implement 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.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2023-12-07 · Health · corrected 2024-02-28
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.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-12-07 · Health · corrected 2024-02-28
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.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-12-07 · Health · corrected 2024-02-28
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.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-12-07 · Health · corrected 2024-02-28
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-18 · Health · corrected 2023-10-21
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-18 · Health · corrected 2023-10-12
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.2023-09-18 · Health · corrected 2023-10-12
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-09-18 · Health · corrected 2023-10-12
Potential for more than minimal harm
- EF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- EF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2022-08-25 · Health · corrected 2022-09-28
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.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0659Provide care by qualified persons according to each resident's written plan of care.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- EF0688Provide 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.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-08-25 · Health · corrected 2022-09-28
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.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- FF0886Perform COVID19 testing on residents and staff.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- FF0888Ensure staff are vaccinated for COVID-192022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-08-25 · Health · corrected 2022-09-28
Potential for more than minimal harm
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, 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 |
| PICKD LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2024-09-01 |
| BENNION, DEVAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| MYERS, WALTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| MAHRT, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| MYERS, WALTER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| SWAIN, HOLLY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| COTTONWOOD HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-23 |
Other facilities in COLORADO SPRINGS
| Name | Overall | Beds |
|---|---|---|
| CENTER AT CENTENNIAL, THE | ★★★★★ | 80 |
| SUNDANCE SKILLED NURSING AND REHABILITATION | ★★★★★ | 68 |
| LIFE CARE CENTER OF COLORADO SPRINGS | ★★★★★ | 121 |
| GARDENS, THE | ★★★★★ | 45 |
| 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.