Colorado › El Paso County › Colorado Springs
Pikes Peak Post Acute
2719 N Union Blvd, Colorado Springs, CO 80909
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 210 beds, Pikes Peak Post Acute serves Colorado Springs in El Paso County, Colorado and has taken Medicare and Medicaid residents since 2015.
CMS gives it 1 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (12, 25, 10 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 22.4 per 100 beds, about the same as the state median of 25.0.
CMS lists 4 penalties in the period covered: fines totalling $89K and 2 payment denials.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the Colorado median of 3.5; nursing staff turnover is 60.9%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | El Paso Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 47 | 21 | 22 | 28.7 |
| Citations per 100 beds | 22.4 | 25.0 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.5 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 60.9% | 54.0% | 46.7% | 45.8% |
| Fines listed | $89,318 | $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: 30 Jan 2025, 5 Sep 2023.
Severity mix: G ×2 H ×1 D ×26 E ×14 F ×4
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 |
|---|---|---|---|---|---|
| 20 Nov 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 | 19 Dec 2025 |
| 20 Nov 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 19 Dec 2025 |
| 30 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. | E | Standard survey | 18 Feb 2025 |
| 30 Jan 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 18 Feb 2025 |
| 30 Jan 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 18 Feb 2025 |
| 30 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 | 18 Feb 2025 |
| 30 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 18 Feb 2025 |
| 30 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 Feb 2025 |
| 30 Jan 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 18 Feb 2025 |
| 30 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Feb 2025 |
| 30 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 18 Feb 2025 |
| 30 Jan 2025 | 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 | 18 Feb 2025 |
| 17 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 18 Sep 2024 |
| 17 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 13 Nov 2024 |
| 17 Sep 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 13 Nov 2024 |
| 14 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 12 Apr 2024 |
| 29 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | G | Complaint investigation | 30 Nov 2023 |
| 29 Nov 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 30 Nov 2023 |
| 29 Nov 2023 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 30 Nov 2023 |
| 5 Sep 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | H | Complaint investigation | 7 Nov 2023 |
| 5 Sep 2023 | 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. | F | Standard survey | 27 Sep 2023 |
| 5 Sep 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 | 27 Sep 2023 |
| 5 Sep 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. | F | Standard survey | 15 Nov 2023 |
| 5 Sep 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 15 Nov 2023 |
| 5 Sep 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 15 Nov 2023 |
| 5 Sep 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 27 Sep 2023 |
| 5 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 27 Sep 2023 |
| 5 Sep 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 5 Nov 2023 |
| 5 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 27 Sep 2023 |
| 5 Sep 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 | 4 Dec 2023 |
| 5 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Nov 2023 |
| 5 Sep 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 27 Sep 2023 |
| 5 Sep 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 27 Sep 2023 |
| 5 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 5 Nov 2023 |
| 5 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Nov 2023 |
| 5 Sep 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 27 Sep 2023 |
| 5 Sep 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 27 Sep 2023 |
| 5 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 Nov 2023 |
| 5 Sep 2023 | 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. | D | Standard survey | 30 Oct 2023 |
| 5 Sep 2023 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 27 Sep 2023 |
| 5 Sep 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 27 Sep 2023 |
| 10 Jun 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 15 Jul 2022 |
| 10 Jun 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 15 Jul 2022 |
| 10 Jun 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Jul 2022 |
| 10 Jun 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Jul 2022 |
| 10 Jun 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 | 15 Jul 2022 |
| 10 Jun 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Jul 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Sep 2024 | Payment denial | — | 28 days |
| 17 Sep 2024 | Fine | $39,917 | |
| 5 Sep 2023 | Payment denial | — | 63 days |
| 5 Sep 2023 | Fine | $49,401 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 60.9%, RNs 44.8%; 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 | 5.9% | 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 | 4.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.6% | 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 | 28.6% | 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, corporation. Legal business name: Pikes Peak Snf Healthcare Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Panther Master Tenant, LLC | 5% or greater direct ownership interest | 100% | 09/01/2023 |
| Providence Group Nh, LLC | 5% or greater indirect ownership interest | 100% | 09/01/2023 |
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 |
| Gardens, The | Colorado Springs | 45 | 5 | 5 | 4 | 3 | 6.7 | — | 11 Dec 2025 |
| 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 |
All 20 facilities in El Paso County
Questions and answers
How many deficiencies has Pikes Peak Post Acute been cited for?
47 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.
Has Pikes Peak Post Acute been fined?
Yes. CMS lists fines totalling $89K in the period covered, plus 2 payment denials.
How does staffing at Pikes Peak Post Acute compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Pikes Peak Post Acute?
It is part of the Pacs Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Panther Master Tenant, LLC and Providence Group Nh, LLC. Individual owners and managers are not listed on this site.
When was Pikes Peak Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 30 Jan 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.