LIBERTY HEIGHTS

COLORADO SPRINGS, CO · 42 beds · For profit - Limited Liability company

89 Trust Score
Grade: A LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 5-star staffing rating
  • No fines or penalties on record
  • Above-average RN staffing (1.28 hrs vs 0.88 state avg)
  • Low staff turnover (19%)

Quick Facts

★★★★☆
CMS Overall
★★★☆☆
Health Inspection
10
1.1x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

July 15, 2025

20 deficiencyies
F0550 Potential Harm Scope/Severity: E

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.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

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.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0700 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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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.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0807 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

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: F

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0550 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

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

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Respond appropriately to all alleged violations.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

Show details

Provide activities to meet all resident's needs.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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.

F0700 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

Show details

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.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure that residents are free from significant medication errors.

F0807 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

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: F

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

See full violation history →

Staffing

1.28
RN hrs/res/day
1.04
LPN hrs/res/day
2.19
CNA hrs/res/day
4.03
Weekend hrs/res/day
19%
Total nurse turnover
0%
RN turnover

A nurse checks on each resident roughly every 5.3 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: SENIOR LIFESTYLE
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  • J.P. MORGAN INVESTMENT MANAGEMENT, INC.

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    5% OR GREATER INDIRECT OWNERSHIP INTEREST

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    NO PERCENTAGE PROVIDED Organization
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    5% OR GREATER INDIRECT OWNERSHIP INTEREST

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  • VENTAS SSL, INC.

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

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    NO PERCENTAGE PROVIDED Organization
  • VENTAS, INC.

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

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    NO PERCENTAGE PROVIDED Organization
  • VTR SHI TRS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 05/01/2023

    NO PERCENTAGE PROVIDED Organization
  • VTR SHI VENTURE, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 05/01/2023

    NO PERCENTAGE PROVIDED Organization
  • SL LIBERTY HEIGHTS LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2014

    Organization
  • BAKER, DANA

    CORPORATE OFFICER

    Since since 05/01/2023

    Individual
  • CUMMINGS, CHRISTIAN

    CORPORATE OFFICER

    Since since 05/01/2023

    Individual
  • FRY, BRIAN

    CORPORATE OFFICER

    Since since 05/01/2023

    Individual
  • SMITH, MICHAEL

    CORPORATE OFFICER

    Since since 05/01/2023

    Individual
  • WOOD, BRIAN

    CORPORATE OFFICER

    Since since 05/01/2023

    Individual
  • MINUHIN, TAMMY

    CONTRACTED MANAGING EMPLOYEE

    Since since 12/14/2015

    Individual

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