Elder Care Record

Colorado › El Paso County › Colorado Springs

Liberty Heights

12205 Gunstock Dr, Colorado Springs, CO 80921

CCN 065305 · For-profit, limited liability company · 42 certified beds · chain Senior Lifestyle

Continuing care retirement community
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.

Certified for 42 beds, Liberty Heights serves Colorado Springs in El Paso County, Colorado and has taken Medicare and Medicaid residents since 1992.

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

Inspectors recorded 16 health deficiencies across the three most recent survey cycles (13, 2, 1 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 38.1 per 100 beds, more than the state median of 25.0.

CMS lists 1 penalty in the period covered: fines totalling $25K.

Reported nurse staffing is 4.5 hours per resident per day (1.3 RN), above the Colorado median of 3.5; nursing staff turnover is 23.4%.

16health deficiencies, 3 survey cycles1 at actual harm or worse
$25Kfines listed by CMS1 penalty in period
4.5nurse hours per resident per daystate median 3.5
87%occupancy (residents ÷ beds)37 residents a day

Compared with county, state and nation

MeasureThis facilityEl Paso Co. medianColorado medianUS average
Overall star rating4333.0
Health citations, 3 cycles16212228.7
Citations per 100 beds38.125.025.026.8
Total nurse hours per resident day4.53.53.53.9
RN hours per resident day1.30.90.70.7
Nursing staff turnover23.4%54.0%46.7%45.8%
Fines listed$25,373$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

Cycle 1 (latest)13
Cycle 22
Cycle 31

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Jul 2025, 13 Sep 2023.

Severity mix: J ×1 D ×11 E ×2 F ×2

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
15 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation15 May 2026
15 Apr 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation18 Mar 2026
7 Jan 2026F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.JComplaint investigation26 Jan 2026
16 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey15 Aug 2025
16 Jul 2025F0880Provide and implement an infection prevention and control program.FStandard survey15 Aug 2025
16 Jul 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey15 Aug 2025
16 Jul 2025F0700Try 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.EStandard survey15 Aug 2025
16 Jul 2025F0610Respond appropriately to all alleged violations.DStandard survey15 Aug 2025
16 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey15 Aug 2025
16 Jul 2025F0679Provide activities to meet all resident's needs.DStandard survey15 Aug 2025
16 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 survey15 Aug 2025
16 Jul 2025F0760Ensure that residents are free from significant medication errors.DStandard survey15 Aug 2025
16 Jul 2025F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard survey15 Aug 2025
13 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey4 Nov 2023
13 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey13 Nov 2023
19 Dec 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey21 Jan 2020

Penalties

DateTypeAmountDetail
7 Jan 2026Fine$25,373

Staffing

Total nursing4.48 h
Nurse aides2.24 h
LPN0.97 h
RN1.28 h
Weekend total4.06 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 23.4%, RNs 0.0%; 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 Stay15.5%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.2%0.9%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay2.1%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay0.0%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: Ga Hc Reit Ii Liberty Trs Sub, Llc. Chain: Senior Lifestyle (4 facilities).

OrganisationRole in the CMS recordInterestSince
Ccrc Ops Mb1-T LLC5% or greater direct ownership interest100%12/03/2014
Blackrock, Inc.5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2023
J.P. Morgan Investment Management, Inc.5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2023
Ventas Ssl, Inc.5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2023
Ventas, Inc.5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2023
Vtr Shi Trs, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2023
Vtr Shi Venture, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2023
Sl Liberty Heights LLCOperational/managerial controlNOT APPLICABLE04/01/2014

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Advanced Health Care of Colorado SpringsColorado Springs3455325.9—16 Mar 2023
Brookdale SkylineColorado Springs825351720.7$9K10 Dec 2025
Center At Centennial, TheColorado Springs805432025.0—23 Oct 2024
Gardens, TheColorado Springs4555436.7—11 Dec 2025
Life Care Center of Colorado SpringsColorado Springs121545108.3$32K26 Feb 2026
Bear Creek Senior LivingColorado Springs454441124.4$7K11 Feb 2026
The Center At CorderaColorado Springs804333543.8$9K14 Apr 2026
Fountain View Rehabilitation and Nursing LLCColorado Springs903321718.9—28 Jan 2026

All 20 facilities in El Paso County

Questions and answers

How many deficiencies has Liberty Heights been cited for?

16 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Liberty Heights been fined?

Yes. CMS lists fines totalling $25K in the period covered.

How does staffing at Liberty Heights compare?

Reported total nurse staffing is 4.5 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Liberty Heights?

It is part of the Senior Lifestyle chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ccrc Ops Mb1-T LLC, Blackrock, Inc. and J.P. Morgan Investment Management, Inc.. Individual owners and managers are not listed on this site.

When was Liberty Heights last inspected?

The most recent survey or investigation in the CMS record is dated 15 Apr 2026; the most recent standard health survey was 16 Jul 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.