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Sundance Skilled Nursing And Rehabilitation

2612 W Cucharras St, Colorado Springs, CO 80904
7196327474
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Overall CMS Rating

5.0/5

vs State Average: 3.1 stars

4.0/5

Health Inspections

vs State Average: 2.7/5

4.0/5

Staffing Level

vs State Average: 3.1/5

5.0/5

Quality Measures

vs State Average: 4.2/5

2 penalties in last 3 years
Penalties
vs State Average: 1.5 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.7
National Average
2.8
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
Aug 15, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J
Feb 27, 2024 Provide and implement an infection prevention and control program. D
Oct 5, 2023 Provide care and assistance to perform activities of daily living for any resident who is unable. D
Oct 5, 2023 Let each resident or the resident's legal representative access or purchase copies of all the resident's records. D
Oct 5, 2023 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D
Score
4.0
State Average
3.1
National Average
2.9
0.9 RN Hours / Resident / Day
3.1 Total Nurse Hours / Resident / Day
56.3% RN Turnover Rate
Score
5.0
State Average
4.2
National Average
3.6
5.0 Long-Stay QM Rating
Short-Stay QM Rating
59.4 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST MADISON CREEK PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CHRISTENSEN, COVEY
OPERATIONAL/MANAGERIAL CONTROL MADISON CREEK PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL CHRISTENSEN, COVEY
OPERATIONAL/MANAGERIAL CONTROL CLEGG, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL HOPKINS, AMBER
OPERATIONAL/MANAGERIAL CONTROL SHEPHERD, DAVID
OPERATIONAL/MANAGERIAL CONTROL TERRAZAS, LISA
CORPORATE OFFICER CHRISTENSEN, COVEY
CORPORATE OFFICER CLEGG, MICHAEL
Recent Penalties
Date Type Fine
Aug 15, 2025 Fine $14,901
Jun 27, 2023 Fine $35,162

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