KIOWA HILLS REHABILITATION AND NURSING, LLC
KIOWA HILLS REHABILITATION AND NURSING, LLC is a 83-bed nursing home in COLORADO SPRINGS, Colorado. CMS has certified it for Medicare and Medicaid since 1981-07-01. It averages 78.1 residents a day.
What harm was found in the violations cited at KIOWA HILLS REHABILITATION AND NURSING, LLC?
CMS lists 64 health-inspection deficiencies for KIOWA HILLS REHABILITATION AND NURSING, LLC since 2022-08-25, 42 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-12-10.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-10 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D |
| 2025-08-27 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-08-27 | F0565, F0803, F0804 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-08-27 | F0600, F0677, F0684 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-01-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-01-16 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2025-01-16 | F0553, F0584, F0658, F0680, F0761 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure the activities program is directed by a qualified professional. / 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. | E |
| 2025-01-16 | F0550, F0561, F0585, F0679, F0849 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Provide activities to meet all resident's needs. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| 2023-12-07 | F0804, F0812, F0867 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2023-12-07 | F0565, F0584, F0689, F0726, F0758, F0760, F0761, F0838, F0923, F0925 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. / 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. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Have enough outside ventilation via a window or mechanical ventilation, or both. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2023-12-07 | F0695, F0742, F0849, F0880 | Provide safe and appropriate respiratory care for a resident when needed. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Provide and implement an infection prevention and control program. | D |
| 2023-09-18 | F0812, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2023-09-18 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2023-09-18 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2022-08-25 | F0880, F0886, F0888 | Provide and implement an infection prevention and control program. / Perform COVID19 testing on residents and staff. / Ensure staff are vaccinated for COVID-19 | F |
| 2022-08-25 | F0553, F0563, F0584, F0688, F0689, F0761, F0804 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / 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. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2022-08-25 | F0554, F0659, F0677, F0679, F0684, F0687, F0690, F0691, F0692, F0695, F0849, F0921 | Allow residents to self-administer drugs if determined clinically appropriate. / Provide care by qualified persons according to each resident's written plan of care. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
How is KIOWA HILLS REHABILITATION AND NURSING, LLC staffed relative to the CO average?
| Measure | This facility | CO average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.74628 | 3.72368 |
| Total nursing staff turnover (%) | 54.0 | 47.1 |
| Average number of residents per day | 78.1 | 74.8 |
Who owns KIOWA HILLS REHABILITATION AND NURSING, LLC, and what chain is it in?
KIOWA HILLS REHABILITATION AND NURSING, LLC is registered with CMS as For profit - Limited Liability company, operates under the legal business name KIOWA HILLS REHABILITATION AND NURSING LLC and belongs to the THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS chain.
| Role | Owner | Association date |
|---|---|---|
| OPERATIONAL/MANAGERIAL CONTROL | COTTONWOOD HEALTHCARE LLC, BENNION, DEVAN, MYERS, WALTER | since 01/23/2025 |
| ADP OF THE SNF | OXFORD FINANCE LLC, BENNION, DEVAN, MYERS, WALTER, REDDY, VIKAS | since 09/01/2024 |
Were you or a family member harmed at KIOWA HILLS REHABILITATION AND NURSING, LLC?