SUNDANCE SKILLED NURSING AND REHABILITATION

CCN 065152 · CUCHARRAS OPERATIONS, LLC · For profit - Limited Liability company · MADISON CREEK PARTNERS chain · 68 certified beds · El Paso · CO


SUNDANCE SKILLED NURSING AND REHABILITATION is a 68-bed nursing home in COLORADO SPRINGS, Colorado. CMS has certified it for Medicare and Medicaid since 1981-02-12. It averages 60.0 residents a day.

What harm was found in the violations cited at SUNDANCE SKILLED NURSING AND REHABILITATION?

CMS lists 27 health-inspection deficiencies for SUNDANCE SKILLED NURSING AND REHABILITATION since 2022-11-17, 23 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-02-26.

Survey dateTagDeficiencySeverity
2026-02-26F0584, F0689, F0761, F0804, F0921Honor 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 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2026-02-26F0557, F0565, F0679, F0684, F0686, F0695, F0697, F0791, F0806, F0880, F0919, F0923Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide or obtain dental services for each resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Have enough outside ventilation via a window or mechanical ventilation, or both.D
2025-08-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-02-27F0880Provide and implement an infection prevention and control program.D
2023-10-05F0573, F0677, F0686, F0689Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2022-11-17F0565, F0761Honor the resident's right to organize and participate in resident/family groups in the facility. / 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
2022-11-17F0689, F0758Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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.D

Why was SUNDANCE SKILLED NURSING AND REHABILITATION fined?

DateTypeAmount
2025-08-15Fine$14,901

How is SUNDANCE SKILLED NURSING AND REHABILITATION staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day3.108493.72368
Total nursing staff turnover (%)42.947.1
Average number of residents per day60.074.8

Who owns SUNDANCE SKILLED NURSING AND REHABILITATION, and what chain is it in?

SUNDANCE SKILLED NURSING AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name CUCHARRAS OPERATIONS, LLC and belongs to the MADISON CREEK PARTNERS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCHIEF JOSEPH TRAIL, LLCsince 03/02/2026
5% OR GREATER INDIRECT OWNERSHIP INTERESTTIPPET, LLC, WHITE CANYON, LLC, CLEGG, MICHAELsince 03/02/2026
MANAGING CONTROL - GOVERNING BODYCLEGG, MICHAEL, IKERD, JOHNsince 03/02/2026
OPERATIONAL/MANAGERIAL CONTROLMADISON CREEK PARTNERS LLC, CHRISTENSEN, COVEY, CLEGG, MICHAEL, HOPKINS, AMBER, IKERD, JOHN, SHEPHERD, DAVID, TERRAZAS, LISAsince 04/25/2022
ADP OF THE SNFMADISON CREEK PARTNERS LLC, CHRISTENSEN, COVEY, CLEGG, MICHAEL, HOPKINS, AMBER, IKERD, JOHN, SHEPHERD, DAVID, TERRAZAS, LISAsince 04/25/2022

Were you or a family member harmed at SUNDANCE SKILLED NURSING AND REHABILITATION?