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Colonial Rehabilitation and Nursing, LLCCMS ratings, inspections and fines

Address
1340 E Fillmore St, Colorado Springs, CO 80907
CCN
065225
Ownership type
For-profit, limited liability company
Certified beds
80
Chain
Chain name not shown
Residents per day
76
CMS flags
  • CMS abuse icon
CMS star ratings
Overall rating1 of 5
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measure rating2 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Colonial Rehabilitation and Nursing, LLC an overall rating of 1 of 5 stars. The last standard survey was on 24 Jul 2025. The latest survey cycle has 16 health citations. The median for nursing homes in Colorado is 8. CMS lists 1 fine of $24,453 for this home in its penalties file. CMS also lists 1 payment denial.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Colonial Rehabilitation and Nursing, LLC, with medians
Rating (1 to 5 stars)This homeEl Paso County medianColorado medianUS average (CMS)
Overall rating13.03.03.0
Health inspection rating22.02.02.8
Staffing rating13.03.02.9
Quality measure rating25.05.03.6

A median is the middle value of the homes in the group: 20 homes in the county, 210 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Colonial Rehabilitation and Nursing, LLC in the last three survey cycles
Survey cycleStandard surveyCitationsColorado median
Cycle 1 (latest)24 Jul 2025168
Cycle 231 Aug 202398
Cycle 3No date146

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 39 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 16 citations

Standard survey of this cycle: .

Health citations of Colonial Rehabilitation and Nursing, LLC in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
9 Mar 2026F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DComplaint investigation22 Mar 2026
4 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation22 Dec 2025
4 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 Dec 2025
24 Jul 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard survey21 Aug 2025
24 Jul 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey21 Aug 2025
24 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey21 Aug 2025
24 Jul 2025F0679Provide activities to meet all resident's needs.EStandard survey21 Aug 2025
24 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey21 Aug 2025
24 Jul 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey21 Aug 2025
24 Jul 2025F0688Provide 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.DStandard survey21 Aug 2025
24 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey21 Aug 2025
24 Jul 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey21 Aug 2025
24 Jul 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey21 Aug 2025
24 Jul 2025F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey21 Aug 2025
24 Jul 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey21 Aug 2025
24 Jul 2025F0880Provide and implement an infection prevention and control program.DStandard survey21 Aug 2025

Survey cycle 2: 9 citations

Standard survey of this cycle: .

Health citations of Colonial Rehabilitation and Nursing, LLC in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
17 Oct 2024F0555Honor the resident's right to choose his or her attending physician.EComplaint investigation25 Oct 2024
31 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey1 Sep 2023
31 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey1 Sep 2023
31 Aug 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey1 Sep 2023
31 Aug 2023F0760Ensure that residents are free from significant medication errors.DStandard survey17 Oct 2023
31 Aug 2023F0803Ensure 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.EStandard survey1 Sep 2023
31 Aug 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey8 Nov 2023
31 Aug 2023F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard survey1 Sep 2023
31 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Sep 2023

Survey cycle 3: 14 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Colonial Rehabilitation and Nursing, LLC in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
16 Oct 2019F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey27 Nov 2019
16 Oct 2019F0584Honor 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.EStandard survey27 Nov 2019
16 Oct 2019F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard survey27 Nov 2019
16 Oct 2019F0637Assess the resident when there is a significant change in conditionDStandard survey27 Nov 2019
16 Oct 2019F0659Provide care by qualified persons according to each resident's written plan of care.EStandard survey27 Nov 2019
16 Oct 2019F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey27 Nov 2019
16 Oct 2019F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey27 Nov 2019
16 Oct 2019F0692Provide enough food/fluids to maintain a resident's health.DStandard survey27 Nov 2019
16 Oct 2019F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey27 Nov 2019
16 Oct 2019F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey27 Nov 2019
16 Oct 2019F0759Ensure medication error rates are not 5 percent or greater.EStandard survey27 Nov 2019
16 Oct 2019F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey27 Nov 2019
16 Oct 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Nov 2019
16 Oct 2019F0880Provide and implement an infection prevention and control program.DStandard survey27 Nov 2019

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Colonial Rehabilitation and Nursing, LLC in the CMS penalties file
DateTypeFineDays without payment
31 Aug 2023Fine$24,453
31 Aug 2023Payment denial40

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Colonial Rehabilitation and Nursing, LLC
StaffThis homeColorado medianColorado average (CMS)
All nurse staff3.083.503.72
Registered nurses (RN)0.330.700.82
Licensed practical nurses (LPN)0.790.68
Nurse aides1.962.22
All nurse staff, weekends2.783.103.30
Nurse staff turnover in a year
61.5%
Nurse staff turnover, Colorado median
46.7%
RN turnover in a year
90.0%
Administrators who left in a year
No data

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Colonial Rehabilitation and Nursing, LLC, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeColorado medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay27.6%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.1%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.5%3.0%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay23.2%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.3%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay26.9%18.8%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Colonial Rehabilitation and Nursing LLC
Chain
Chain name not shown
Organisations in the CMS ownership record of Colonial Rehabilitation and Nursing, LLC
OrganisationRole in the CMS recordInterestSince
Pickd LLCDirect ownership interest1 Sep 2024
Cottonwood Healthcare LLCOperational/managerial control1 Sep 2024
Professional Business Advisors LLCAdp of the snf17 Apr 2025

The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.

Other homes in El Paso County

The 12 nearest other nursing homes in El Paso County, Colorado
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Pikes Peak Post AcuteColorado Springs1 of 512$89,31830 Jan 2025
Springs Village Care CenterColorado Springs2 of 510$26,84515 May 2025
Sunny Vista Living CenterColorado Springs3 of 56$024 Jul 2025
Medallion Post Acute RehabilitationColorado Springs1 of 516$86,72315 Aug 2024
The Healthcare Resort of Colorado SpringsColorado Springs3 of 59$79,09826 Jun 2025
Center at Centennial, TheColorado Springs5 of 51$023 Oct 2024
Advanced Health Care of Colorado SpringsColorado Springs5 of 50$025 Jun 2026
Life Care Center of Colorado SpringsColorado Springs5 of 55$32,26026 Feb 2026
Kiowa Hills Rehabilitation and Nursing, LLCColorado Springs1 of 521$016 Jan 2025
Fountain View Rehabilitation and Nursing LLCColorado Springs3 of 510$019 Sep 2024
Bear Creek Senior LivingColorado Springs4 of 51$6,61411 Feb 2026
Sundance Skilled Nursing and RehabilitationColorado Springs2 of 518$14,90126 Feb 2026

All 20 nursing homes in El Paso County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Colonial Rehabilitation and Nursing, LLC (CCN 065225). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/colonial-rehabilitation-and-nursing-llc-colorado-springs-co-065225/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Colonial Rehabilitation and Nursing, LLC last inspected?
The latest inspection with a citation in the CMS record was on 9 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 31 Aug 2023.
Who operates Colonial Rehabilitation and Nursing, LLC?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names Cottonwood Healthcare LLC for operational or managerial control. This site does not show the names of persons.
Is Colonial Rehabilitation and Nursing, LLC a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists no home in Colorado as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.