nursing home in Colorado Springs, CO
Medallion Post Acute Rehabilitation
1719 E Bijou St, Colorado Springs, CO 80909 · (719) 381-4963
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Medallion Post Acute Rehabilitation at a glance
Medallion Post Acute Rehabilitation is a 60-bed for-profit nursing home in Colorado Springs, Colorado (El Paso County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Colorado average of 3.2.
Residents receive about 3.2 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (June 16, 2026) found 7 health citations. The Colorado average is 8.7.
Federal regulators fined it 4 times in the past three years, totaling $86,723.
Nursing staff turnover is 55.6% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- September 21, 1970
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- El Paso County
- CMS Certification Number
- 065113
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 4.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 4 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.25 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.82 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.85 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.75 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 55.6% | 47.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 44.6% | 42.9% | Worse |
Inspections
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 79.8 | 74 | 80.6 | Average |
Penalties
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $86,723 | $22,802 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 94 | 107 | |
| Average residents per day | 58 | 75 | 86 | |
| Occupancy | 96% | 80.7% | 80.9% |
Long-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.5% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.3% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.5% | 20% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 1.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 22.4% | 13.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.2% | 13.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.7% | 4.7% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 12.8% | 8.8% | 12.8% | Average |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 4.8% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 19.4% | 21.2% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 88.2% | 94.7% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 93.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.4% | 1.6% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 94.2% | 75.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.7% | 76.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 22 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 16, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 3, 2026 |
| June 16, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected September 3, 2026 |
| June 16, 2026 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected September 3, 2026 |
| June 16, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected September 3, 2026 |
| June 16, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 10, 2026 |
| June 16, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected July 10, 2026 |
| June 16, 2026 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected July 10, 2026 |
| June 16, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 16, 2026 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 16, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 16, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected July 10, 2026 |
| April 22, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected May 14, 2025 |
| February 13, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected February 4, 2025 |
| August 15, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected October 15, 2024 |
| August 15, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected October 15, 2024 |
| August 15, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected September 12, 2024 |
| August 15, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected September 12, 2024 |
| August 15, 2024 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected September 12, 2024 |
| August 15, 2024 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected September 12, 2024 |
| August 15, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 12, 2024 |
| August 15, 2024 Standard | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Tag F0660 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 12, 2024 |
| April 11, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 17, 2024 |
| February 16, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected May 14, 2023 |
| February 16, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected May 14, 2023 |
| February 16, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected May 15, 2023 |
| February 16, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected May 14, 2023 |
| February 16, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected May 14, 2023 |
| February 16, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected May 14, 2023 |
| February 16, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 10, 2023 |
| February 16, 2023 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected March 10, 2023 |
| February 16, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | B No harm, pattern | Corrected March 10, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $86,723 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 22, 2025 | Fine | $24,382 |
| February 13, 2025 | Fine | $12,617 |
| August 15, 2024 | Fine | $40,905 |
| April 11, 2024 | Fine | $8,819 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BIJOU HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| COOK, RONALD Individual | adp of the snf | NOT APPLICABLE | 04/08/2025 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 07/01/2017 |
| SHEPHERD, DAVID Individual | adp of the snf | NOT APPLICABLE | 04/12/2025 |
| STANDARD BEARER HEALTHCARE OP LP Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| THE ENSIGN GROUP INC Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 09/09/2024 |
| JORGENSEN, DAVID Individual | corporate officer | NOT APPLICABLE | 07/01/2017 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 07/01/2017 |
| PORT, BARRY Individual | corporate officer | NOT APPLICABLE | 07/01/2017 |
| BURNAM, SOON Individual | managing control - governing body | NOT APPLICABLE | 09/09/2024 |
| COOK, RONALD Individual | managing control - governing body | NOT APPLICABLE | 01/10/2025 |
| SHEPHERD, DAVID Individual | managing control - governing body | NOT APPLICABLE | 10/07/2022 |
| COOK, RONALD Individual | operational/managerial control | NOT APPLICABLE | 01/10/2025 |
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Frequently asked questions
What is Medallion Post Acute Rehabilitation's rating?
Medallion Post Acute Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Colorado nursing homes is 3.2 stars.
How many inspection citations did Medallion Post Acute Rehabilitation receive?
Its most recent standard health inspection found 7 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Medallion Post Acute Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Medallion Post Acute Rehabilitation?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Medallion Post Acute Rehabilitation and how do I contact it?
Medallion Post Acute Rehabilitation is at 1719 E Bijou St, Colorado Springs, CO 80909. Phone: (719) 381-4963.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.