Elder Care Record

Colorado › Morgan County › Brush

Eben Ezer Lutheran Care Center

122 Hospital Rd, Brush, CO 80723

CCN 065163 · Non-profit, corporation · 125 certified beds

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Eben Ezer Lutheran Care Center, in Brush, Colorado, is certified for 125 beds under non-profit, corporation ownership.

CMS gives it 2 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.

Inspectors recorded 13 health deficiencies across the three most recent survey cycles (7, 3, 3 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 10.4 per 100 beds, fewer than the state median of 25.0.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.2 hours per resident per day (0.6 RN), close to the Colorado median of 3.5; nursing staff turnover is 40.4%.

CMS flags that the facility carries the CMS abuse icon.

13health deficiencies, 3 survey cycles4 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.2nurse hours per resident per daystate median 3.5
66%occupancy (residents ÷ beds)82 residents a day

Compared with county, state and nation

MeasureThis facilityMorgan Co. medianColorado medianUS average
Overall star rating2233.0
Health citations, 3 cycles13132228.7
Citations per 100 beds10.410.425.026.8
Total nurse hours per resident day4.23.93.53.9
RN hours per resident day0.60.60.70.7
Nursing staff turnover40.4%40.4%46.7%45.8%
Fines listed$0$0$10,033—

County and state figures are medians across facilities (3 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 23
Cycle 33

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Aug 2024, 2 Mar 2023.

Severity mix: G ×4 D ×6 E ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
3 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation30 Dec 2025
15 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey13 Sep 2024
15 Aug 2024F0880Provide and implement an infection prevention and control program.EStandard survey5 Sep 2024
15 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey13 Sep 2024
15 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey7 Sep 2024
15 Aug 2024F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey13 Sep 2024
15 Aug 2024F0730Observe each nurse aide's job performance and give regular training.DStandard survey6 Sep 2024
2 Mar 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard survey14 Jan 2023
2 Mar 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey30 Mar 2023
2 Mar 2023F0761Ensure 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.DStandard survey30 Mar 2023
18 Nov 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey17 Dec 2021
18 Nov 2021F0758Implement 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.GStandard survey17 Dec 2021
18 Nov 2021F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey17 Dec 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.22 h
Nurse aides2.91 h
LPN0.75 h
RN0.56 h
Weekend total3.83 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 40.4%, RNs 43.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityColorado medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.9%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 Stay7.2%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.3%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.6%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.2%18.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation.

OrganisationRole in the CMS recordInterestSince
Eben Ezer Lutheran Care CenterOperational/managerial controlNOT APPLICABLE01/01/1966

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Morgan County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Valley View VillaFort Morgan12055554.2—1 Dec 2025
South Platte Rehabilitation and Nursing LLCBrush781211823.1$36K15 Oct 2025

All 3 facilities in Morgan County

Questions and answers

How many deficiencies has Eben Ezer Lutheran Care Center been cited for?

13 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Eben Ezer Lutheran Care Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Eben Ezer Lutheran Care Center compare?

Reported total nurse staffing is 4.2 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Eben Ezer Lutheran Care Center?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Eben Ezer Lutheran Care Center. Individual owners and managers are not listed on this site.

When was Eben Ezer Lutheran Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 3 Dec 2025; the most recent standard health survey was 15 Aug 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.