• CMS rates this facility 5/5 stars (above average)
• Has 68 certified beds with an average of 59.4 residents per day (87% occupancy)
• Last health inspection found 2 deficiencies (inspected Feb 27, 2024)
• Has been fined a total of $50,063 across 2 fine(s)
• Total nursing staff: 3.15 hours per resident per day
• Staff turnover rate: 59.6% (high)
• Part of the Madison Creek Partners chain (12 facilities)
Sundance Skilled Nursing and Rehabilitation is a 5-star Medicare and Medicaid certified nursing home in Colorado Springs, Colorado with 68 certified beds. It has been operating since 1981. The facility scored above average compared to Colorado facilities.
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.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Ensure 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.
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.
Let 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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Provide safe, appropriate pain management for a resident who requires such services.
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.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MADISON CREEK PARTNERS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Nov 1, 2013 |
| CHRISTENSEN, COVEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 100% | Nov 1, 2013 |
| MADISON CREEK PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Nov 1, 2013 |
| CHRISTENSEN, COVEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 1, 2013 |
| CLEGG, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 26, 2023 |
| HOPKINS, AMBER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2021 |
| SHEPHERD, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 19, 2019 |
| TERRAZAS, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2022 |
| CHRISTENSEN, COVEY | CORPORATE OFFICER | Individual | N/A | Nov 1, 2013 |
| CLEGG, MICHAEL | CORPORATE OFFICER | Individual | N/A | Jun 26, 2023 |
This chain operates 12 facilities. View all →