Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BROOKDALE SKYLINE

COLORADO SPRINGS, CO · 82 certified beds · Last Life Safety survey April 17, 2025

CMS Certification Number 065382 · first certified November 2003

Ownership

Operated by BROOKDALE SENIOR LIVING · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

CMS's current file

Life Safety surveys

CMS's current file

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within CO

29 citations — more than 86% of the 210 certified nursing homes in CO. Compared within CO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 11 citations; the earlier surveys on file averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: October 2026 to May 2027. This facility’s last Life Safety survey was April 2025. Facilities in CO are typically surveyed 18–25 months after the last one (median 21), measured over 187 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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7 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 29 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 29 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.

How that compares

Citations in CMS's current file

Compared with the median facility in CO, and nationally. Surveyors differ markedly between states, so the CO figure is the meaningful one.

Citations in CMS's current file, compared
Measure	Citations
This facility	29
Median facility in CO	16
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
June 22, 2022	12
August 31, 2023	6
April 17, 2025	11

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0324	Provide properly protected cooking facilities.	3	2025-04-17
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2025-04-17
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2025-04-17
K-0541	Install properly constructed and protected linen or trash chutes.	2	2025-04-17
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	2	2025-04-17
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2023-08-31
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	2	2025-04-17
K-0712	Have simulated fire drills held at unexpected times.	2	2025-04-17

What the citations cover

Citations by CMS category

Smoke Deficiencies 10
Gas, Vacuum, and Electrical Systems Deficiencies 6
Services Deficiencies 6
Emergency Preparedness Deficiencies 3
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	10
Gas, Vacuum, and Electrical Systems Deficiencies	6
Services Deficiencies	6
Emergency Preparedness Deficiencies	3
Egress Deficiencies	2
Miscellaneous Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 17, 2025 — 11 citations

Citations issued on April 17, 2025
Tag	What the surveyor checks	Status
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (May 23, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (May 23, 2025)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (June 20, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (June 20, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 20, 2025)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (June 20, 2025)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (June 20, 2025)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (August 13, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (June 20, 2025)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (June 20, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 20, 2025)

August 31, 2023 — 6 citations

Citations issued on August 31, 2023
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (November 9, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (November 9, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 9, 2023)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (November 9, 2023)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (November 9, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 9, 2023)

June 22, 2022 — 12 citations

Citations issued on June 22, 2022
Tag	What the surveyor checks	Status
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (July 22, 2022)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (August 3, 2022)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 6, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 25, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (July 25, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (July 25, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Waiver has been granted (November 24, 2022)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (July 25, 2022)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (July 25, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (July 25, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 26, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (July 25, 2022)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.