nursing home in Colorado Springs, CO
Liberty Heights
12205 Gunstock Dr, Colorado Springs, CO 80921 · (719) 481-9494
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★5
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Liberty Heights at a glance
Liberty Heights is a 42-bed for-profit nursing home in Colorado Springs, Colorado (El Paso County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Colorado average of 3.2.
Residents receive about 4.5 hours of nursing care per day (1.3 of them from registered nurses), better than the state average of 3.7 hours.
Its most recent standard health inspection (July 16, 2025) found 13 health citations. The Colorado average is 8.7.
Federal regulators fined it 1 time in the past three years, totaling $25,373.
Nursing staff turnover is 23.4% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 42
- Certified for
- Medicare
- Chain / affiliated entity
- Senior Lifestyle
- Medicare-certified since
- October 15, 1992
- Continuing care retirement community
- Yes
- Resident/family council
- Both
- County
- El Paso County
- CMS Certification Number
- 065305
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 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) | 5 / 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) | 4.48 hrs | 3.72 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.28 hrs | 0.82 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.24 hrs | 2.21 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 4.06 hrs | 3.29 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 23.4% | 47.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 0% | 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) | 13 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 99.5 | 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) | $25,373 | $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 | 42 | 94 | 107 | |
| Average residents per day | 37 | 75 | 86 | |
| Occupancy | 87.1% | 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) | 0% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.1% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0% | 20% | 15.4% | Better |
| 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) | 2% | 0.6% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 15.5% | 13.4% | 13.9% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.6% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.4% | 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) | 13.8% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 27.6% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 88.9% | 94.7% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99% | 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) | 1.2% | 1.6% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 86.1% | 75.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.3% | 76.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 22 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 15, 2026 Complaint | 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 18, 2026 |
| April 15, 2026 Complaint | 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 May 15, 2026 |
| January 7, 2026 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | J Immediate jeopardy, isolated | Corrected January 26, 2026 |
| July 16, 2025 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 21, 2025 |
| July 16, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 21, 2025 |
| July 16, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 21, 2025 |
| July 16, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected September 21, 2025 |
| July 16, 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 November 5, 2025 |
| July 16, 2025 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 21, 2025 |
| July 16, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected September 21, 2025 |
| July 16, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected September 21, 2025 |
| July 16, 2025 Fire safety | Provide rooms that can be unlocked from inside without a key. Egress Deficiencies · Tag K0221 | D Potential harm, isolated | Corrected September 21, 2025 |
| July 16, 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 | F Potential harm, widespread | Corrected August 15, 2025 |
| July 16, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 15, 2025 |
| July 16, 2025 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 August 15, 2025 |
| July 16, 2025 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected August 15, 2025 |
| July 16, 2025 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 15, 2025 |
| July 16, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected August 15, 2025 |
| July 16, 2025 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected August 15, 2025 |
| July 16, 2025 Standard | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | D Potential harm, isolated | Corrected August 15, 2025 |
| July 16, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 15, 2025 |
| July 16, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 15, 2025 |
| September 13, 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 November 14, 2023 |
| September 13, 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 November 14, 2023 |
| September 13, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 14, 2023 |
| September 13, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected November 14, 2023 |
| September 13, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected November 14, 2023 |
| September 13, 2023 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 13, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 13, 2023 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 13, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected November 14, 2023 |
| September 13, 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 | D Potential harm, isolated | Corrected November 13, 2023 |
| September 13, 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 November 4, 2023 |
| December 19, 2019 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 30, 2020 |
| December 19, 2019 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 February 5, 2020 |
| December 19, 2019 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 27, 2020 |
| December 19, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected January 14, 2020 |
| December 19, 2019 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 January 21, 2020 |
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 $25,373 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 7, 2026 | Fine | $25,373 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CCRC OPS MB1-T LLC Organization | 5% or greater direct ownership interest | 100% | 12/03/2014 |
| BLACKROCK, INC. Organization | 5% or greater indirect ownership interest | — | 05/01/2023 |
| J.P. MORGAN INVESTMENT MANAGEMENT, INC. Organization | 5% or greater indirect ownership interest | — | 05/01/2023 |
| VENTAS, INC. Organization | 5% or greater indirect ownership interest | — | 05/01/2023 |
| VENTAS MS, LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2023 |
| VENTAS SSL, INC. Organization | 5% or greater indirect ownership interest | — | 05/01/2023 |
| VTR SHI TRS, LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2023 |
| VTR SHI VENTURE, LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2023 |
| MINUHIN, TAMMY Individual | contracted managing employee | NOT APPLICABLE | 12/14/2015 |
| BAKER, DANA Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| CUMMINGS, CHRISTIAN Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| FRY, BRIAN Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| SMITH, MICHAEL Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| WOOD, BRIAN Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| SL LIBERTY HEIGHTS LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2014 |
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Frequently asked questions
What is Liberty Heights's rating?
Liberty Heights has 4 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 Liberty Heights receive?
Its most recent standard health inspection found 13 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Liberty Heights accept Medicare and Medicaid?
CMS lists it as certified for: Medicare. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Liberty Heights?
It is for profit - limited liability company and part of Senior Lifestyle. The ownership section on this page lists the owners and managers reported to CMS.
Where is Liberty Heights and how do I contact it?
Liberty Heights is at 12205 Gunstock Dr, Colorado Springs, CO 80921. Phone: (719) 481-9494.
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.