Colorado › El Paso County › Colorado Springs
Gardens, The
104 Lois Ln, Colorado Springs, CO 80904
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.
Gardens, The, in Colorado Springs, Colorado, is certified for 45 beds under for-profit, limited liability company ownership and belongs to the Madison Creek Partners chain.
CMS gives it 5 of 5 stars overall, above the Colorado median of 3; the health inspection rating is 5, staffing 4 and quality measures 5.
Inspectors recorded 3 health deficiencies across the three most recent survey cycles (1, 1, 1 by cycle, most recent first), none at the actual-harm level. That is 6.7 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 3.0 hours per resident per day (0.8 RN), close to the Colorado median of 3.5; nursing staff turnover is 56.1%.
Compared with county, state and nation
| Measure | This facility | El Paso Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 3 | 21 | 22 | 28.7 |
| Citations per 100 beds | 6.7 | 25.0 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.5 | 3.5 | 3.9 |
| RN hours per resident day | 0.8 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 56.1% | 54.0% | 46.7% | 45.8% |
| Fines listed | $0 | $9,110 | $10,033 | — |
County and state figures are medians across facilities (20 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Dec 2025, 30 Nov 2023.
Severity mix: D ×2 E ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Dec 2025 |
| 30 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 26 Dec 2023 |
| 17 Aug 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 9 Sep 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 56.1%, RNs 58.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.5% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.7% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.7% | 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: for-profit, limited liability company. Legal business name: Lois Lane Operations, Llc. Chain: Madison Creek Partners (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chief Joseph Trail, LLC | 5% or greater direct ownership interest | 100% | 03/02/2026 |
| Tippet, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/02/2026 |
| White Canyon, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/02/2026 |
| Madison Creek Partners LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2013 |
| Madison Creek Partners LLC | Adp of the snf | NOT APPLICABLE | 03/25/2026 |
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 El Paso County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Advanced Health Care of Colorado Springs | Colorado Springs | 34 | 5 | 5 | 3 | 2 | 5.9 | — | 16 Mar 2023 |
| Brookdale Skyline | Colorado Springs | 82 | 5 | 3 | 5 | 17 | 20.7 | $9K | 10 Dec 2025 |
| Center At Centennial, The | Colorado Springs | 80 | 5 | 4 | 3 | 20 | 25.0 | — | 23 Oct 2024 |
| Life Care Center of Colorado Springs | Colorado Springs | 121 | 5 | 4 | 5 | 10 | 8.3 | $32K | 26 Feb 2026 |
| Bear Creek Senior Living | Colorado Springs | 45 | 4 | 4 | 4 | 11 | 24.4 | $7K | 11 Feb 2026 |
| Liberty Heights | Colorado Springs | 42 | 4 | 2 | 5 | 16 | 38.1 | $25K | 15 Apr 2026 |
| The Center At Cordera | Colorado Springs | 80 | 4 | 3 | 3 | 35 | 43.8 | $9K | 14 Apr 2026 |
| Fountain View Rehabilitation and Nursing LLC | Colorado Springs | 90 | 3 | 3 | 2 | 17 | 18.9 | — | 28 Jan 2026 |
All 20 facilities in El Paso County
Questions and answers
How many deficiencies has Gardens, The been cited for?
3 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.
Has Gardens, The been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Gardens, The compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Gardens, The?
It is part of the Madison Creek Partners chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Chief Joseph Trail, LLC, Tippet, LLC and White Canyon, LLC. Individual owners and managers are not listed on this site.
When was Gardens, The last inspected?
The most recent survey or investigation in the CMS record is dated 11 Dec 2025; the most recent standard health survey was 11 Dec 2025.
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.