FALCON HEIGHTS REHABILITATION AND NURSING LLC

COLORADO SPRINGS, CO · 107 beds · For profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star staffing rating
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 3 citation(s) where residents suffered actual harm
  • 73% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
17
1.9x state avg
Deficiencies
$6,146
Fines (3-yr)
★☆☆☆☆
Staffing

Violation Timeline

November 30, 2025

1 deficiency
F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

February 2, 2025

1 deficiency
F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

September 23, 2024

2 deficiencyies
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0626 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

July 30, 2024

15 deficiencyies
F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0679 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0550 Actual Harm Scope/Severity: G

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0804 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0923 Potential Harm Scope/Severity: E

Environmental Deficiencies

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Have enough outside ventilation via a window or mechanical ventilation, or both.

F0555 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to choose his or her attending physician.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

February 21, 2023

1 deficiency
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

See full violation history →

Staffing

0.61
RN hrs/res/day
0.48
LPN hrs/res/day
1.81
CNA hrs/res/day
2.40
Weekend hrs/res/day
73%
Total nurse turnover
77%
RN turnover

A nurse checks on each resident roughly every 8.3 hours on average.

Fines & Penalties

  • Fine Sep 23, 2024
    $6,146
Total $6,146

Ownership

For profit - Corporation Chain: THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS
  • CHARLY BELLO FAMILY LIMITED PARTNERSHIP

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    40% Organization
  • MAZE FAMILY LIMITED PARTNERSHIP

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    50% Organization
  • PICKD LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    10% Organization
  • MAHRT, DAVID

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    10% Individual
  • MYERS, KATIE

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    24% Individual
  • MYERS, WALTER

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    25% Individual
  • SWAIN, HOLLY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    19% Individual
  • SWAIN, JARED

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    20% Individual
  • COTTONWOOD HEALTHCARE LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2024

    Organization
  • ABBOTT, IAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2024

    Individual
  • HOLMES, CAROLYN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2024

    Individual

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