nursing home in Colorado Springs, CO
Falcon Heights Rehabilitation and Nursing LLC
1795 Monterey Rd, Colorado Springs, CO 80910 · (719) 471-7850
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★5
- Abuse citation
- New owner (last 12 months)
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Falcon Heights Rehabilitation and Nursing LLC at a glance
Falcon Heights Rehabilitation and Nursing LLC is a 107-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 (0.5 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (July 31, 2024) found 18 health citations. The Colorado average is 8.7.
Federal regulators fined it 1 time in the past three years, totaling $6,146.
Nursing staff turnover is 47.9% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 107
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
- Medicare-certified since
- July 1, 1982
- Resident/family council
- Both
- County
- El Paso County
- CMS Certification Number
- 065168
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) | 1 / 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) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.05 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.52 hrs | 0.82 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.12 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.66 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 47.9% | 47.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 58.8% | 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) | 18 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 115 | 74 | 80.6 | Worse |
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) | $6,146 | $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 | 107 | 94 | 107 | |
| Average residents per day | 89 | 75 | 86 | |
| Occupancy | 83.1% | 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) | 1.2% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.4% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 27.6% | 20% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 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) | 8.7% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 7.8% | 13.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.7% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 26.4% | 8.8% | 12.8% | Worse |
| 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) | 13.3% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 5.8% | 21.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.5% | 94.7% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 91.3% | 93.5% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.6% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 64.7% | 75.6% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 44% | 76.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 37 health deficiencies and 26 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 23, 2026 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected August 10, 2026 |
| February 25, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected March 20, 2026 |
| December 1, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected December 2, 2025 |
| February 3, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected February 28, 2025 |
| September 24, 2024 Complaint | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Tag F0626 | D Potential harm, isolated | Corrected November 8, 2024 |
| September 24, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 30, 2024 |
| July 31, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected August 28, 2024 |
| July 31, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 28, 2024 |
| July 31, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 25, 2024 |
| July 31, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected October 18, 2024 |
| July 31, 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 September 20, 2024 |
| July 31, 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 August 28, 2024 |
| July 31, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected November 1, 2024 |
| July 31, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected August 28, 2024 |
| July 31, 2024 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | D Potential harm, isolated | Corrected August 28, 2024 |
| July 31, 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 | G Actual harm, isolated | Corrected August 28, 2024 |
| July 31, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 28, 2024 |
| July 31, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected August 28, 2024 |
| July 31, 2024 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 August 28, 2024 |
| July 31, 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 August 28, 2024 |
| July 31, 2024 Complaint | Honor the resident's right to choose his or her attending physician. Resident Rights Deficiencies · Tag F0555 | E Potential harm, pattern | Corrected August 28, 2024 |
| July 31, 2024 Standard | Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Tag F0923 | E Potential harm, pattern | Corrected August 28, 2024 |
| July 31, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 28, 2024 |
| July 31, 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 August 28, 2024 |
| July 31, 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 | D Potential harm, isolated | Corrected August 28, 2024 |
| July 31, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected August 28, 2024 |
| July 31, 2024 Complaint | 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 August 28, 2024 |
| July 31, 2024 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 August 28, 2024 |
| July 31, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 28, 2024 |
| July 31, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected August 28, 2024 |
| February 22, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 12, 2023 |
| February 22, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected April 3, 2023 |
| February 22, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected April 3, 2023 |
| February 22, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 30, 2023 |
| February 22, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 30, 2023 |
| February 22, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected April 3, 2023 |
| February 22, 2023 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 12, 2023 |
| February 22, 2023 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 13, 2023 |
| February 22, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 6, 2023 |
| February 22, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 3, 2023 |
| February 22, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected March 30, 2023 |
| February 22, 2023 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 18, 2023 |
| November 18, 2021 Fire safety | Have an alternate power supply for its alarm system. Smoke Deficiencies · Tag K0344 | F Potential harm, widespread | Corrected June 30, 2022 |
| November 18, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected December 26, 2021 |
| November 18, 2021 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected December 26, 2021 |
| November 18, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 8, 2022 |
| November 18, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 26, 2021 |
| November 18, 2021 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected January 6, 2022 |
| November 18, 2021 Standard | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Tag F0886 | L Immediate jeopardy, widespread | Corrected December 18, 2021 |
| November 18, 2021 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected December 18, 2021 |
| November 18, 2021 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected December 18, 2021 |
| November 18, 2021 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected December 18, 2021 |
| November 18, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 18, 2021 |
| November 18, 2021 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected December 18, 2021 |
| November 18, 2021 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | F Potential harm, widespread | Corrected December 18, 2021 |
| November 18, 2021 Standard | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Tag F0563 | F Potential harm, widespread | Corrected December 18, 2021 |
| November 18, 2021 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected December 18, 2021 |
| November 18, 2021 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | E Potential harm, pattern | Corrected December 18, 2021 |
| November 18, 2021 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected December 18, 2021 |
| November 18, 2021 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected December 18, 2021 |
| November 18, 2021 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 December 18, 2021 |
| November 18, 2021 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 | D Potential harm, isolated | Corrected December 18, 2021 |
| November 18, 2021 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected December 18, 2021 |
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 $6,146 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 24, 2024 | Fine | $6,146 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HOLMES, CAROLYN Individual | adp of the snf | NOT APPLICABLE | 04/17/2025 |
| REDDY, VIKAS Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| CHARLY BELLO FAMILY LIMITED PARTNERSHIP Organization | direct ownership interest | NOT APPLICABLE | 09/01/2024 |
| MAZE FAMILY LIMITED PARTNERSHIP Organization | direct ownership interest | NOT APPLICABLE | 09/01/2024 |
| MAHRT, DAVID Individual | indirect ownership interest | NOT APPLICABLE | 09/01/2024 |
| MYERS, KATIE Individual | indirect ownership interest | NOT APPLICABLE | 09/01/2024 |
| MYERS, WALTER Individual | indirect ownership interest | NOT APPLICABLE | 09/01/2024 |
| SWAIN, HOLLY Individual | indirect ownership interest | NOT APPLICABLE | 09/01/2024 |
| SWAIN, JARED Individual | indirect ownership interest | NOT APPLICABLE | 09/01/2024 |
| ABBOTT, IAN Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| COTTONWOOD HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| HOLMES, CAROLYN Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
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Frequently asked questions
What is Falcon Heights Rehabilitation and Nursing LLC's rating?
Falcon Heights Rehabilitation and Nursing LLC 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 Falcon Heights Rehabilitation and Nursing LLC receive?
Its most recent standard health inspection found 18 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Falcon Heights Rehabilitation and Nursing LLC 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 Falcon Heights Rehabilitation and Nursing LLC?
It is for profit - corporation and part of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers. The ownership section on this page lists the owners and managers reported to CMS.
Where is Falcon Heights Rehabilitation and Nursing LLC and how do I contact it?
Falcon Heights Rehabilitation and Nursing LLC is at 1795 Monterey Rd, Colorado Springs, CO 80910. Phone: (719) 471-7850.
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.