PIKES PEAK POST ACUTE

CMS abuse icon · El Paso · CO · For profit - Corporation · PACS GROUP chain · 210 certified beds · CCN 065415 · PIKES PEAK SNF HEALTHCARE LLC


PIKES PEAK POST ACUTE operates 210 certified beds in COLORADO SPRINGS, Colorado. Its Medicare and Medicaid certification dates to 2015-09-09. It averages 168.4 residents a day.

What harm was found in the violations cited at PIKES PEAK POST ACUTE?

CMS lists 47 health-inspection deficiencies for PIKES PEAK POST ACUTE since 2022-06-10, 41 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2025-11-20.

Survey dateTagDeficiencySeverity
2025-11-20F0600, F0744Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D
2025-01-30F0585, F0730Honor 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. / Observe each nurse aide's job performance and give regular training.E
2025-01-30F0558, F0561, F0600, F0677, F0685, F0689, F0880, F0921Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2024-09-17F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-09-17F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.E
2024-03-14F0695Provide safe and appropriate respiratory care for a resident when needed.E
2023-11-29F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.G
2023-11-29F0552, F0559Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D
2023-09-05F0692Provide enough food/fluids to maintain a resident's health.H
2023-09-05F0803, F0812, F0838, F0867Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2023-09-05F0565, F0567, F0689, F0744, F0759, F0761, F0880, F0881Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to manage his or her financial affairs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.E
2023-09-05F0554, F0600, F0658, F0676, F0679, F0686, F0688, F0712, F0806Allow residents to self-administer drugs if determined clinically appropriate. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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 the resident and his/her doctor meet face-to-face at all required visits. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2022-06-10F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2022-06-10F0645, F0657, F0684, F0690, F0880PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 and implement an infection prevention and control program.D

Why was PIKES PEAK POST ACUTE fined 2 times?

DateTypeAmount
2024-09-17Fine$39,917
2023-09-05Fine$49,401

Has PIKES PEAK POST ACUTE had payment denied by Medicare more than once?

Payment denial startLength in days
2024-10-1628
2023-09-2863

How is PIKES PEAK POST ACUTE staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day3.607463.72368
Total nursing staff turnover (%)60.947.1
Average number of residents per day168.474.8

Who owns PIKES PEAK POST ACUTE, and what chain is it in?

PIKES PEAK POST ACUTE is registered with CMS as For profit - Corporation, operates under the legal business name PIKES PEAK SNF HEALTHCARE LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPANTHER MASTER TENANT, LLCsince 09/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTPROVIDENCE GROUP NH, LLCsince 09/01/2023
CONTRACTED MANAGING EMPLOYEESHEPHERD, DAVIDsince 01/01/2022
W-2 MANAGING EMPLOYEECREASON, JONATHANsince 09/01/2023
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at PIKES PEAK POST ACUTE?