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

PIKES PEAK POST ACUTE

COLORADO SPRINGS, CO · 210 certified beds · Last Life Safety survey January 30, 2025

CMS Certification Number 065415 · first certified September 2015

Ownership

Operated by PACS GROUP · For profit - Corporation

  • Ownership changed September 1, 2023 (change of ownership)from PEAK MEDICAL COLORADO NO. 2, LLC
1
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
0
Inspection & testing records
Of the citations on file

Position within CO

1 citations — more than 10% 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

When is the next survey likely?

The window is open now: July 2026 to February 2027. This facility’s last Life Safety survey was January 2025. Facilities in CO are typically surveyed 17–24 months after the last one (median 19), measured over 177 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 three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

1 of the 1 citations on file is Emergency Preparedness E-tags — every citation here is about the program, not the building. 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)

7 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 1 Life Safety citation 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-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

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

This facility1CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility1
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-0602023-0912025-01
Citations at each Life Safety survey
Survey dateCitations
June 10, 20220
September 5, 20230
January 30, 20251

Most-cited tags

Most-cited tags at this facility
E-00151
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0015Address subsistence needs for staff and patients.12025-01-30

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies1

Every citation on file

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

January 30, 2025 — 1 citation

Citations issued on January 30, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (February 18, 2025)

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