Starfile / Colorado

PIKES PEAK POST ACUTE

2719 N UNION BLVD, COLORADO SPRINGS, CO 80909 · CCN 065415

Abuse icon

Inspection history vs Colorado & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$89,318

Number of fines

2

Number of penalties

4

Payment denials

2

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (47)3 actual harm

1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-20 · Health · corrected 2025-12-19

   Potential for more than minimal harm

2. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-11-20 · Health · corrected 2025-12-19

   Potential for more than minimal harm

3. DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-30 · Health · corrected 2025-02-18

   Potential for more than minimal harm

4. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-01-30 · Health · corrected 2025-02-18

   Potential for more than minimal harm

5. EF0585Honor 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.2025-01-30 · Health · corrected 2025-02-18

   Potential for more than minimal harm

6. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-30 · Health · corrected 2025-02-18

   Potential for more than minimal harm

7. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-30 · Health · corrected 2025-02-18

   Potential for more than minimal harm

8. DF0685Assist a resident in gaining access to vision and hearing services.2025-01-30 · Health · corrected 2025-02-18

   Potential for more than minimal harm

9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-30 · Health · corrected 2025-02-18

   Potential for more than minimal harm

10. EF0730Observe each nurse aide's job performance and give regular training.2025-01-30 · Health · corrected 2025-02-18

    Potential for more than minimal harm

11. DF0880Provide and implement an infection prevention and control program.2025-01-30 · Health · corrected 2025-02-18

    Potential for more than minimal harm

12. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-01-30 · Health · corrected 2025-02-18

    Potential for more than minimal harm

13. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-17 · Health · corrected 2024-09-18

    Actual harm

14. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-17 · Health · corrected 2024-11-13

    Potential for more than minimal harm

15. EF0610Respond appropriately to all alleged violations.2024-09-17 · Health · corrected 2024-11-13

    Potential for more than minimal harm

16. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-14 · Health · corrected 2024-04-12

    Potential for more than minimal harm

17. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-11-29 · Health · corrected 2023-11-30

    Potential for more than minimal harm

18. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2023-11-29 · Health · corrected 2023-11-30

    Potential for more than minimal harm

19. GF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-29 · Health · corrected 2023-11-30

    Actual harm

20. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

21. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-09-05 · Health · corrected 2023-11-15

    Potential for more than minimal harm

22. EF0567Honor the resident's right to manage his or her financial affairs.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

23. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-05 · Health · corrected 2023-11-05

    Potential for more than minimal harm

24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-05 · Health · corrected 2023-11-15

    Potential for more than minimal harm

25. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

26. DF0679Provide activities to meet all resident's needs.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

27. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-05 · Health · corrected 2023-11-06

    Potential for more than minimal harm

28. DF0688Provide 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.2023-09-05 · Health · corrected 2023-10-30

    Potential for more than minimal harm

29. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

30. HF0692Provide enough food/fluids to maintain a resident's health.2023-09-05 · Health · corrected 2023-11-07

    Actual harm

31. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

32. EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-09-05 · Health · corrected 2023-11-05

    Potential for more than minimal harm

33. EF0759Ensure medication error rates are not 5 percent or greater.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

34. 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.2023-09-05 · Health · corrected 2023-12-04

    Potential for more than minimal harm

35. FF0803Ensure 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.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

36. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

37. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

38. FF0838Conduct 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.2023-09-05 · Health · corrected 2023-11-15

    Potential for more than minimal harm

39. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-09-05 · Health · corrected 2023-11-15

    Potential for more than minimal harm

40. EF0880Provide and implement an infection prevention and control program.2023-09-05 · Health · corrected 2023-11-15

    Potential for more than minimal harm

41. EF0881Implement a program that monitors antibiotic use.2023-09-05 · Health · corrected 2023-09-27

    Potential for more than minimal harm

42. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-06-10 · Health · corrected 2022-07-15

    Potential for more than minimal harm

43. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-06-10 · Health · corrected 2022-07-15

    Potential for more than minimal harm

44. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-10 · Health · corrected 2022-07-15

    Potential for more than minimal harm

45. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-10 · Health · corrected 2022-07-15

    Potential for more than minimal harm

46. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-06-10 · Health · corrected 2022-07-15

    Potential for more than minimal harm

47. DF0880Provide and implement an infection prevention and control program.2022-06-10 · Health · corrected 2022-07-12

    Potential for more than minimal harm

Ownership

Other facilities in COLORADO SPRINGS

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.