Sundance Skilled Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 2612 W Cucharras St, Colorado Springs, CO 80904
- CCN
- 065152
- Ownership type
- For-profit, limited liability company
- Certified beds
- 68
- Residents per day
- 60
- CMS flags
- None in the CMS record
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 Sundance Skilled Nursing and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 26 Feb 2026. The latest survey cycle has 18 health citations. The median for nursing homes in Colorado is 8. CMS lists 1 fine of $14,901 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 | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 2.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 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) | 26 Feb 2026 | 18 | 8 |
| Cycle 2 | 27 Feb 2024 | 1 | 8 |
| Cycle 3 | No date | 8 | 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 | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | 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 Mar 2026 |
| 26 Feb 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | 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 Mar 2026 |
| 26 Feb 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | 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 | 28 Mar 2026 |
| 26 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 28 Mar 2026 |
| 26 Feb 2026 | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | D | Standard survey | 28 Mar 2026 |
| 15 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
Survey cycle 2: 1 citation
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Mar 2024 |
Survey cycle 3: 8 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 |
|---|---|---|---|---|---|
| 5 Oct 2023 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 1 Nov 2023 |
| 5 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 13 Nov 2023 |
| 5 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 1 Nov 2023 |
| 5 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 Nov 2023 |
| 17 Nov 2022 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 23 Dec 2022 |
| 17 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Dec 2022 |
| 17 Nov 2022 | 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 | 18 Jan 2023 |
| 17 Nov 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 | 23 Dec 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 15 Aug 2025 | Fine | $14,901 |
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 | 3.11 | 3.50 | 3.72 |
| Registered nurses (RN) | 0.97 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.50 | 0.68 | |
| Nurse aides | 1.64 | 2.22 | |
| All nurse staff, weekends | 2.68 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 42.9%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 25.0%
- Administrators who left in a year
- 0
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 | 4.6% | 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 | 0.0% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.1% | 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 | 28.7% | 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
- Cucharras Operations, LLC
- Chain
- Madison Creek Partners (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chief Joseph Trail, LLC | 5% or greater direct ownership interest | 100% | 2 Mar 2026 |
| Tippet, LLC | 5% or greater indirect ownership interest | 2 Mar 2026 | |
| White Canyon, LLC | 5% or greater indirect ownership interest | 2 Mar 2026 | |
| Madison Creek Partners LLC | Operational/managerial control | 1 Nov 2013 | |
| Madison Creek Partners LLC | Adp of the snf | 1 Nov 2013 |
The site shows organisations only. It does not show the names of persons.
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 | |
| Gardens, The | Colorado Springs | 5 of 5 | 1 | $0 | 11 Dec 2025 | |
| Brookdale Skyline | Colorado Springs | 5 of 5 | 6 | $9,110 | 17 Apr 2025 | |
| Kiowa Hills Rehabilitation and Nursing, LLC | Colorado Springs | 1 of 5 | 21 | $0 | 16 Jan 2025 | |
| The Healthcare Resort of Colorado Springs | Colorado Springs | 3 of 5 | 9 | $79,098 | 26 Jun 2025 | |
| Springs Village Care Center | Colorado Springs | 2 of 5 | 10 | $26,845 | 15 May 2025 | |
| Center at Centennial, The | Colorado Springs | 5 of 5 | 1 | $0 | 23 Oct 2024 | |
| Medallion Post Acute Rehabilitation | Colorado Springs | 1 of 5 | 16 | $86,723 | 15 Aug 2024 | |
| Colonial Rehabilitation and Nursing, LLC | Colorado Springs | 1 of 5 | 16 | $24,453 | 24 Jul 2025 | |
| Pikes Peak Post Acute | Colorado Springs | 1 of 5 | 12 | $89,318 | 30 Jan 2025 | |
| Sunny Vista Living Center | Colorado Springs | 3 of 5 | 6 | $0 | 24 Jul 2025 | |
| Mountain View Post Acute | Colorado Springs | 2 of 5 | 12 | $29,224 | 11 Dec 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 Sundance Skilled Nursing and Rehabilitation (CCN 065152). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/sundance-skilled-nursing-and-rehabilitation-colorado-springs-co-065152/
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 Sundance Skilled Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2026. It was a standard survey. It gave 17 citations. The standard survey before the last one was on 27 Feb 2024.
- Who operates Sundance Skilled Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Madison Creek Partners. The CMS ownership file names Madison Creek Partners LLC for operational or managerial control. This site does not show the names of persons.
- Is Sundance Skilled Nursing and Rehabilitation 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.