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

THE HEALTHCARE RESORT OF COLORADO SPRINGS

COLORADO SPRINGS, CO · 97 certified beds · Last Life Safety survey June 26, 2025

CMS Certification Number 065417 · first certified August 2016

Ownership

Operated by THE ENSIGN GROUP · For profit - Limited Liability company

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

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within CO

7 citations — more than 23% 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 the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was June 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

Physical environment (health survey)

2 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 7 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

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 facility7CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0722023-1142025-06
Citations at each Life Safety survey
Survey dateCitations
July 27, 20221
November 8, 20232
June 26, 20254

Most-cited tags

Most-cited tags at this facility
K-07121K-05211K-02221K-03451K-09141K-03631K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.12023-11-08
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12025-06-26
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12025-06-26
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-06-26
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12025-06-26
K-0363Install corridor and hallway doors that block smoke.12023-11-08
K-0918Have generator or other power source capable of supplying service within 10 seconds.12022-07-27

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
  • Miscellaneous Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

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

June 26, 2025 — 4 citations

Citations issued on June 26, 2025
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (September 22, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 22, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (September 22, 2025)
K-0914Ensure 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 (September 22, 2025)

November 8, 2023 — 2 citations

Citations issued on November 8, 2023
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 26, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 26, 2023)

July 27, 2022 — 1 citation

Citations issued on July 27, 2022
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 27, 2022)

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