nursing home in Colorado Springs, CO
Sundance Skilled Nursing and Rehabilitation
2612 W Cucharras St, Colorado Springs, CO 80904 · (719) 632-7474
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Sundance Skilled Nursing and Rehabilitation at a glance
Sundance Skilled Nursing and Rehabilitation is a 68-bed for-profit nursing home in Colorado Springs, Colorado (El Paso County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Colorado average of 3.2.
Residents receive about 3.1 hours of nursing care per day (1 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (February 26, 2026) found 17 health citations. The Colorado average is 8.7.
Federal regulators fined it 1 time in the past three years, totaling $14,901.
Nursing staff turnover is 42.9% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 68
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Madison Creek Partners
- Medicare-certified since
- February 12, 1981
- Resident/family council
- Resident
- County
- El Paso County
- CMS Certification Number
- 065152
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 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) | 4 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.1 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.11 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.97 hrs | 0.82 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.64 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.68 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 42.9% | 47.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 25% | 44.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 17 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 76 | 74 | 80.6 | Better |
Penalties
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,901 | $22,802 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 68 | 94 | 107 | |
| Average residents per day | 60 | 75 | 86 | |
| Occupancy | 88.2% | 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) | 1.8% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.2% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 28.7% | 20% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 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) | 4.6% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.1% | 13.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.1% | 4.7% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 8.8% | 12.8% | Better |
| 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) | 10.6% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 6% | 21.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.7% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.1% | 93.5% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 53.1% | 76.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 27 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 26, 2026 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected August 4, 2026 |
| February 26, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 25, 2026 |
| February 26, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected April 25, 2026 |
| February 26, 2026 Fire safety | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Tag K0751 | E Potential harm, pattern | Corrected August 4, 2026 |
| February 26, 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 March 28, 2026 |
| February 26, 2026 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 | E Potential harm, pattern | Corrected March 28, 2026 |
| February 26, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected March 28, 2026 |
| February 26, 2026 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected March 28, 2026 |
| February 26, 2026 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 March 28, 2026 |
| February 26, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Tag F0923 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected March 28, 2026 |
| February 26, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 28, 2026 |
| August 15, 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 | Past Non-Compliance |
| February 27, 2024 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 April 28, 2024 |
| February 27, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected April 28, 2024 |
| February 27, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 28, 2024 |
| February 27, 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 April 28, 2024 |
| February 27, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 28, 2024 |
| February 27, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected April 28, 2024 |
| February 27, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected April 28, 2024 |
| February 27, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected April 28, 2024 |
| February 27, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected April 28, 2024 |
| February 27, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 22, 2024 |
| October 5, 2023 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 | D Potential harm, isolated | Corrected November 13, 2023 |
| October 5, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 1, 2023 |
| October 5, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 13, 2023 |
| October 5, 2023 Complaint | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Tag F0573 | D Potential harm, isolated | Corrected November 1, 2023 |
| November 17, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 14, 2022 |
| November 17, 2022 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 December 15, 2022 |
| November 17, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 30, 2022 |
| November 17, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 28, 2022 |
| November 17, 2022 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 | E Potential harm, pattern | Corrected December 28, 2022 |
| November 17, 2022 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected December 28, 2022 |
| November 17, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 28, 2022 |
| November 17, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected December 28, 2022 |
| November 17, 2022 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 December 23, 2022 |
| November 17, 2022 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 December 23, 2022 |
| November 17, 2022 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 | D Potential harm, isolated | Corrected December 27, 2022 |
| November 17, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected January 18, 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 1 federal penalty in the past three years, including $14,901 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 15, 2025 | Fine | $14,901 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CHIEF JOSEPH TRAIL, LLC Organization | 5% or greater direct ownership interest | 100% | 03/02/2026 |
| CLEGG, MICHAEL Individual | 5% or greater indirect ownership interest | — | 03/02/2026 |
| TIPPET, LLC Organization | 5% or greater indirect ownership interest | — | 03/02/2026 |
| WHITE CANYON, LLC Organization | 5% or greater indirect ownership interest | — | 03/02/2026 |
| CHRISTENSEN, COVEY Individual | adp of the snf | NOT APPLICABLE | 11/01/2013 |
| CLEGG, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 06/26/2023 |
| HOPKINS, AMBER Individual | adp of the snf | NOT APPLICABLE | 12/01/2021 |
| IKERD, JOHN Individual | adp of the snf | NOT APPLICABLE | 04/25/2022 |
| MADISON CREEK PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 11/01/2013 |
| SHEPHERD, DAVID Individual | adp of the snf | NOT APPLICABLE | 12/19/2019 |
| TERRAZAS, LISA Individual | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| CLEGG, MICHAEL Individual | managing control - governing body | NOT APPLICABLE | 06/26/2023 |
| IKERD, JOHN Individual | managing control - governing body | NOT APPLICABLE | 03/02/2026 |
| CHRISTENSEN, COVEY Individual | operational/managerial control | NOT APPLICABLE | 11/01/2013 |
| CLEGG, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 06/26/2023 |
| HOPKINS, AMBER Individual | operational/managerial control | NOT APPLICABLE | 12/01/2021 |
| IKERD, JOHN Individual | operational/managerial control | NOT APPLICABLE | 04/25/2022 |
| MADISON CREEK PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 11/01/2013 |
| SHEPHERD, DAVID Individual | operational/managerial control | NOT APPLICABLE | 12/19/2019 |
| TERRAZAS, LISA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2022 |
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Frequently asked questions
What is Sundance Skilled Nursing and Rehabilitation's rating?
Sundance Skilled Nursing and Rehabilitation has 2 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 Sundance Skilled Nursing and Rehabilitation receive?
Its most recent standard health inspection found 17 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Sundance Skilled Nursing and 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 Sundance Skilled Nursing and Rehabilitation?
It is for profit - limited liability company and part of Madison Creek Partners. The ownership section on this page lists the owners and managers reported to CMS.
Where is Sundance Skilled Nursing and Rehabilitation and how do I contact it?
Sundance Skilled Nursing and Rehabilitation is at 2612 W Cucharras St, Colorado Springs, CO 80904. Phone: (719) 632-7474.
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.