SUNDANCE SKILLED NURSING AND REHABILITATION
2612 W CUCHARRAS ST, COLORADO SPRINGS, CO 80904 · CCN 065152
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 68
- Avg residents/day
- 59.4
- Phone
- 7196327474
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 | 2024-02-27 | 2 | 8.7 | 9.5 | -6.7 better |
| 2 | 2022-11-17 | 4 | 8.7 | 9.8 | -4.7 better |
| 3 | 2022-05-19 | 11 | 7.5 | 9.3 | +3.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.15 | 59.6% |
| RN staffing (reported) | 0.95 | 56.3% |
| Total nurse staffing (adjusted) | 4.06 | — |
Fines & penalties
- Total fines
- $50,063
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- MADISON CREEK PARTNERS
- Facilities in chain
- 12
- Chain avg overall
- 3.20 / 5
Inspection citations (17)1 immediate jeopardy1 actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-15 · Health
Immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2024-02-27 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-10-05 · Health · corrected 2023-11-01
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-05 · Health · corrected 2023-11-13
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-05 · Health · corrected 2023-11-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-05 · Health · corrected 2023-11-13
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-27 · Health · corrected 2023-07-27
Actual harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-27 · Health · corrected 2023-07-27
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-06-27 · Health · corrected 2023-07-27
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-11-17 · Health · corrected 2022-12-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-17 · Health · corrected 2022-12-27
Potential for more than minimal harm
- DF0758Implement 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.2022-11-17 · Health · corrected 2023-01-18
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.2022-11-17 · Health · corrected 2022-12-23
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-05-19 · Health · corrected 2022-06-24
Potential for more than minimal harm
- 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.2022-05-19 · Health · corrected 2022-06-24
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-05-19 · Health · corrected 2022-06-24
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.2022-05-19 · Health · corrected 2022-06-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MADISON CREEK PARTNERS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-11-01 |
| CHRISTENSEN, COVEY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2013-11-01 |
| MADISON CREEK PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-11-01 |
| CHRISTENSEN, COVEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-11-01 |
| CLEGG, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-26 |
| HOPKINS, AMBER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-12-01 |
| SHEPHERD, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-19 |
| TERRAZAS, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-01 |
| CHRISTENSEN, COVEY | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| CLEGG, MICHAEL | Individual | CORPORATE OFFICER | — | 2023-06-26 |
Other facilities in COLORADO SPRINGS
| Name | Overall | Beds |
|---|---|---|
| ADVANCED HEALTH CARE OF COLORADO SPRINGS | ★★★★★ | 34 |
| LIFE CARE CENTER OF COLORADO SPRINGS | ★★★★★ | 121 |
| GARDENS, THE | ★★★★★ | 45 |
| CENTER AT CENTENNIAL, THE | ★★★★★ | 80 |
| BEAR CREEK SENIOR LIVING | ★★★★☆ | 45 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.