Kiowa Hills Rehabilitation and Nursing, LLCCMS ratings, inspections and fines
- Address
- 924 W Kiowa St, Colorado Springs, CO 80905
- CCN
- 065175
- Ownership type
- For-profit, limited liability company
- Certified beds
- 83
- Chain
- Chain name not shown
- Residents per day
- 78
- CMS flags
- None in the CMS record
Open the watch listCare 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 Kiowa Hills Rehabilitation and Nursing, LLC an overall rating of 1 of 5 stars. The last standard survey was on 16 Jan 2025. The latest survey cycle has 21 health citations. The median for nursing homes in Colorado is 8. CMS lists no fines for this home in its penalties file.
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.
| Rating (1 to 5 stars) | This home | El Paso County median | Colorado median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 2.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 5.0 | 5.0 | 3.6 |
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.
| Survey cycle | Standard survey | Citations | Colorado median |
|---|---|---|---|
| Cycle 1 (latest) | 16 Jan 2025 | 21 | 8 |
| Cycle 2 | 7 Dec 2023 | 17 | 8 |
| Cycle 3 | No date | 26 | 6 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Dec 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 10 Jan 2026 |
| 27 Aug 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 6 Oct 2025 |
| 27 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Oct 2025 |
| 27 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 6 Oct 2025 |
| 27 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 6 Oct 2025 |
| 27 Aug 2025 | F0803 | Ensure 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. | E | Complaint investigation | 6 Oct 2025 |
| 27 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 6 Oct 2025 |
| 27 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 6 Oct 2025 |
| 16 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0584 | Honor 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. | E | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | 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 | 14 Feb 2025 |
| 16 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 14 Feb 2025 |
| 16 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Feb 2025 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Dec 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0584 | Honor 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. | E | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 28 Feb 2024 |
| 7 Dec 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0742 | Provide 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. | D | Standard survey | 28 Feb 2024 |
| 7 Dec 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. | E | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | 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 | 28 Feb 2024 |
| 7 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 28 Feb 2024 |
| 7 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | Standard survey | 28 Feb 2024 |
| 7 Dec 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 28 Feb 2024 |
Survey cycle 3: 26 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 21 Oct 2023 |
| 18 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Oct 2023 |
| 18 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 12 Oct 2023 |
| 18 Sep 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 12 Oct 2023 |
| 25 Aug 2022 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | E | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0584 | Honor 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. | E | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0687 | Provide appropriate foot care. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0688 | Provide 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. | E | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | 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 | 28 Sep 2022 |
| 25 Aug 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0886 | Perform COVID19 testing on residents and staff. | F | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | F | Standard survey | 28 Sep 2022 |
| 25 Aug 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 28 Sep 2022 |
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.
CMS lists no fine and no payment denial for this home in its penalties file.
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.
| Staff | This home | Colorado median | Colorado average (CMS) |
|---|---|---|---|
| All nurse staff | 2.75 | 3.50 | 3.72 |
| Registered nurses (RN) | 0.46 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.77 | 0.68 | |
| Nurse aides | 1.52 | 2.22 | |
| All nurse staff, weekends | 2.43 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 54.0%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 57.1%
- 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.
| Measure (CMS text) | Residents | This home | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 27.9% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 13.2% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 33.5% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.8% | 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
- Kiowa Hills Rehabilitation and Nursing LLC
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cottonwood Healthcare LLC | Operational/managerial control | 23 Jan 2025 | |
| Oxford Finance LLC | Adp of the snf | 1 Sep 2024 |
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
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Bear Creek Senior Living | Colorado Springs | 4 of 5 | 1 | $6,614 | 11 Feb 2026 | |
| Brookdale Skyline | Colorado Springs | 5 of 5 | 6 | $9,110 | 17 Apr 2025 | |
| Sundance Skilled Nursing and Rehabilitation | Colorado Springs | 2 of 5 | 18 | $14,901 | 26 Feb 2026 | |
| Medallion Post Acute Rehabilitation | Colorado Springs | 1 of 5 | 16 | $86,723 | 15 Aug 2024 | |
| Springs Village Care Center | Colorado Springs | 2 of 5 | 10 | $26,845 | 15 May 2025 | |
| The Healthcare Resort of Colorado Springs | Colorado Springs | 3 of 5 | 9 | $79,098 | 26 Jun 2025 | |
| Gardens, The | Colorado Springs | 5 of 5 | 1 | $0 | 11 Dec 2025 | |
| Advanced Health Care of Colorado Springs | Colorado Springs | 5 of 5 | 0 | $0 | 25 Jun 2026 | |
| Life Care Center of Colorado Springs | Colorado Springs | 5 of 5 | 5 | $32,260 | 26 Feb 2026 | |
| Sunny Vista Living Center | Colorado Springs | 3 of 5 | 6 | $0 | 24 Jul 2025 | |
| Center at Centennial, The | Colorado Springs | 5 of 5 | 1 | $0 | 23 Oct 2024 | |
| Colonial Rehabilitation and Nursing, LLC | Colorado Springs | 1 of 5 | 16 | $24,453 | 24 Jul 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Kiowa Hills Rehabilitation and Nursing, LLC (CCN 065175). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/kiowa-hills-rehabilitation-and-nursing-llc-colorado-springs-co-065175/
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 Kiowa Hills Rehabilitation and Nursing, LLC last inspected?
- The latest inspection with a citation in the CMS record was on 10 Dec 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 7 Dec 2023.
- Who operates Kiowa Hills 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 Kiowa Hills 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.