Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-11 | 1 | 2026-02-11 | 3 |
| Cycle 2 | 2024-05-06 | 6 | 2024-05-06 | 6 |
| Cycle 3 | 2023-01-26 | 4 | 2023-01-26 | 6 |
NURSING HOME PUBLIC RECORD
1685 S 21St St · Colorado Springs, CO 80904 · El Paso County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-11 | 1 | 2026-02-11 | 3 |
| Cycle 2 | 2024-05-06 | 6 | 2024-05-06 | 6 |
| Cycle 3 | 2023-01-26 | 4 | 2023-01-26 | 6 |
1 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-03-20Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2026-06-01Meet other general requirements that are deficient.
Correction field: Deficient, Provider has date of correction · 2026-04-10Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2026-04-10Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2025-03-07 · complaintPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Correction field: Deficient, Provider has date of correction · 2025-03-07 · complaintProvide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-06-07Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-06-07Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-06-07Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2024-06-07Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-07-12Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-07-12Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-07-12Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-07-12Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-07-12Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-07-12Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2023-02-21Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-02-21Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2023-02-21Ensure 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.
Correction field: Deficient, Provider has date of correction · 2023-02-21Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Waiver has been granted · 2023-09-30Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-04-05Inspect, test, and maintain automatic sprinkler systems.
Correction field: Waiver has been granted · 2023-09-30Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-04-05Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-30 | Fine | $6,614 | 0 |
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.