Colorado › Kit Carson County › Burlington
Grace Manor Care Center
465 5th St, Burlington, CO 80807
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.
Grace Manor Care Center, in Burlington, Colorado, is certified for 31 beds under for-profit, limited liability company ownership and belongs to the Frontline Management 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 2.
Inspectors recorded 7 health deficiencies across the three most recent survey cycles (3, 2, 2 by cycle, most recent first), none at the actual-harm level. That is 22.6 per 100 beds, about the same as the state median of 25.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.8 RN), close to the Colorado median of 3.5; nursing staff turnover is 41.7%.
Compared with county, state and nation
| Measure | This facility | Kit Carson Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 7 | 7 | 22 | 28.7 |
| Citations per 100 beds | 22.6 | 22.6 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 3.5 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 41.7% | 41.7% | 46.7% | 45.8% |
| Fines listed | $0 | $0 | $10,033 | — |
County and state figures are medians across facilities (1 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: 21 Apr 2026, 11 Apr 2024.
Severity mix: D ×4 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 May 2026 |
| 21 Apr 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 May 2026 |
| 21 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 May 2026 |
| 11 Apr 2024 | F0761 | Ensure 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. | E | Standard survey | 26 Apr 2024 |
| 11 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 26 Apr 2024 |
| 11 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Feb 2023 |
| 11 Jan 2023 | F0758 | Implement 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. | D | Standard survey | 16 Feb 2023 |
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 41.7%, RNs —; 0 administrators 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 | 20.5% | 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 | 5.3% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 8.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.2% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.9% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.9% | 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: Madison Senior Living Management Llc. Chain: Frontline Management (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Madison Reality Equities LLC | 5% or greater direct ownership interest | 100% | 06/12/2012 |
| Frontier Management Inc | Operational/managerial control | NOT APPLICABLE | 07/01/2013 |
| Frontier Management Inc | Adp of the snf | NOT APPLICABLE | 07/11/2025 |
| Gtm Us Senior Housing Reit, Inc | Adp of the snf | NOT APPLICABLE | 07/11/2025 |
| Gtm Us Senior Housing Reit, LP | Adp of the snf | NOT APPLICABLE | 01/01/2018 |
| Key Rehabilitation Inc | Adp of the snf | NOT APPLICABLE | 02/01/2024 |
| North American Senior Properties, LP | Adp of the snf | NOT APPLICABLE | 07/21/2025 |
| Remedi Seniorcare of Colorado, LLC | Adp of the snf | NOT APPLICABLE | 05/31/2019 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Grace Manor Care Center been cited for?
7 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 Grace Manor Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Grace Manor Care Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Grace Manor Care Center?
It is part of the Frontline Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Madison Reality Equities LLC and Frontier Management Inc. Individual owners and managers are not listed on this site.
When was Grace Manor Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 Apr 2026; the most recent standard health survey was 21 Apr 2026.
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.