nursing home in Colorado Springs, CO
Gardens, the
104 Lois Ln, Colorado Springs, CO 80904 · (719) 635-2569
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★4
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Gardens, the at a glance
Gardens, the is a 45-bed for-profit nursing home in Colorado Springs, Colorado (El Paso County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Colorado average of 3.2.
Residents receive about 3 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (December 11, 2025) found 1 health citation. The Colorado average is 8.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 56.1% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 45
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Madison Creek Partners
- Medicare-certified since
- October 31, 1984
- Resident/family council
- Resident
- County
- El Paso County
- CMS Certification Number
- 065198
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| 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 |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.3 / 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) | 3.04 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.81 hrs | 0.82 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.94 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.65 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 56.1% | 47.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 58.3% | 44.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 7 | 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) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,802 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 45 | 94 | 107 | |
| Average residents per day | 43 | 75 | 86 | |
| Occupancy | 95.3% | 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) | 1.9% | 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) | 10.7% | 20% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 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) | 8.5% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.7% | 13.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.5% | 4.7% | 5.2% | Better |
| 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) | 8.3% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 12.8% | 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) | 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) | 1.7% | 1.6% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 85.2% | 75.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.1% | 76.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 3 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 11, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected June 15, 2026 |
| December 11, 2025 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | F Potential harm, widespread | Corrected April 17, 2026 |
| December 11, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected April 17, 2026 |
| December 11, 2025 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 June 15, 2026 |
| December 11, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected June 15, 2026 |
| December 11, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected April 17, 2026 |
| December 11, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 15, 2026 |
| December 11, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected April 17, 2026 |
| December 11, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected June 15, 2026 |
| December 11, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected April 17, 2026 |
| December 11, 2025 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 | E Potential harm, pattern | Corrected December 28, 2025 |
| November 30, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 11, 2024 |
| November 30, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected January 11, 2024 |
| November 30, 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 | D Potential harm, isolated | Corrected January 11, 2024 |
| November 30, 2023 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 December 26, 2023 |
| August 17, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 17, 2022 |
| August 17, 2022 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 September 14, 2022 |
| August 17, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 17, 2022 |
| August 17, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected September 14, 2022 |
| August 17, 2022 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected September 17, 2022 |
| August 17, 2022 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 September 9, 2022 |
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 no federal fines or payment denials in the past three years.
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 | 03/25/2026 |
| SHEPHERD, DAVID Individual | adp of the snf | NOT APPLICABLE | 12/19/2019 |
| WEST, DILLON Individual | adp of the snf | NOT APPLICABLE | 05/13/2024 |
| 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 |
| WEST, DILLON Individual | operational/managerial control | NOT APPLICABLE | 05/13/2024 |
Other nursing homes near Gardens, the
Sundance Skilled Nursing and Rehabilitation
2612 W Cucharras St, Colorado Springs, CO 80904 · under 1 mi
For-profit · 68 beds · Part of Madison Creek Partners
★★★★★2Below averageBear Creek Senior Living
1685 S 21st St, Colorado Springs, CO 80904 · 1.8 mi
For-profit · 45 beds
- New owner (last 12 months)
★★★★★4Above averageThe Healthcare Resort of Colorado Springs
2818 Grand Vista Cir, Colorado Springs, CO 80904 · 1.9 mi
For-profit · 97 beds · Part of The Ensign Group
★★★★★3AverageBrookdale Skyline
2365 Patriot Hts, Colorado Springs, CO 80904 · 2 mi
For-profit · 82 beds · Part of Brookdale Senior Living
★★★★★5Much above averageCenter at Centennial, the
3490 Centennial Blvd, Colorado Springs, CO 80907 · 2.4 mi
For-profit · 80 beds · Part of Veritas Management Group
★★★★★5Much above averageKiowa Hills Rehabilitation and Nursing, LLC
924 W Kiowa St, Colorado Springs, CO 80905 · 2.6 mi
For-profit · 83 beds · Part of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
- Abuse citation
★★★★★1Much below average
All nursing homes in Colorado Springs, CO · Compare side by side
Frequently asked questions
What is Gardens, the's rating?
Gardens, the has 5 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 Gardens, the receive?
Its most recent standard health inspection found 1 citation, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Gardens, the 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 Gardens, the?
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 Gardens, the and how do I contact it?
Gardens, the is at 104 Lois Ln, Colorado Springs, CO 80904. Phone: (719) 635-2569.
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.