CareSentinel

Federal Nursing-Home Survey Record

SUNDANCE SKILLED NURSING AND REHABILITATION

CCN 065152 · 2612 W CUCHARRAS ST, COLORADO SPRINGS, CO, 80904 · Operated within the MADISON CREEK PARTNERS chain

Does SUNDANCE SKILLED NURSING AND REHABILITATION have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), SUNDANCE SKILLED NURSING AND REHABILITATION (CCN 065152), in COLORADO SPRINGS, CO, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 18 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2026-02-26. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $50,063 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$50,063

CMS has $50,063 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 3  ·  CMS state average: 3.2

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-02-26
CURRENT CYCLE
F761S/S E

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.

2026-02-26
CURRENT CYCLE
F689S/S E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2026-02-26
CURRENT CYCLE
F921S/S E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2026-02-26
CURRENT CYCLE
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2026-02-26
CURRENT CYCLE
F584S/S E

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.

2026-02-26
CURRENT CYCLE
F923S/S D

Have enough outside ventilation via a window or mechanical ventilation, or both.

2026-02-26
CURRENT CYCLE
F565S/S D

Honor the resident's right to organize and participate in resident/family groups in the facility.

2026-02-26
CURRENT CYCLE
F679S/S D

Provide activities to meet all resident's needs.

2026-02-26
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2026-02-26
CURRENT CYCLE
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2026-02-26
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2026-02-26
CURRENT CYCLE
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2026-02-26
CURRENT CYCLE
F791S/S D

Provide or obtain dental services for each resident.

2026-02-26
CURRENT CYCLE
F806S/S D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2026-02-26
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2026-02-26
CURRENT CYCLE
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2026-02-26
CURRENT CYCLE
F557S/S D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2025-08-15
CURRENT CYCLE
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-02-27
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2023-10-05
HISTORICAL
F573S/S D

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

2023-10-05
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-10-05
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-10-05
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2023-06-27
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-06-27
HISTORICAL
F689S/S E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-06-27
HISTORICAL
F744S/S D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

2022-11-17
HISTORICAL
F565S/S E

Honor the resident's right to organize and participate in resident/family groups in the facility.

2022-11-17
HISTORICAL
F761S/S E

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.

2022-11-17
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2022-11-17
HISTORICAL
F758S/S D

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.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at SUNDANCE SKILLED NURSING AND REHABILITATION?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…