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Nursing Home Inspect > Colorado > El Paso County Data as of April 2024

    Falcon Heights Health And Rehabilitation Center

    For profit - Corporation  ·  1795 Monterey Rd, Colorado Springs, CO 80910  ·  See home’s Medicare page

    Affiliated With Recover Care Healthcare
    People or companies with an ownership interest in or managerial control of this home, according to CMS data.
    2.38
    Nurse hours/resident/day
    Reported total nurse staffing hours per resident per day.
    State Average: 3.6
    56.1%
    Nurse turnover
    The percentage of nursing staff who stopped working at the home over a 12-month period.
    State Average: 58.2%
    107
    Certified beds
    Qualifying beds in the certified provider or supplier facility.
    80
    Average residents/day
    Average number of residents based on daily census.
    Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
    Direct owners
    Rocky Mountain Snf Holdings Llc (100%)
    Indirect owners
    Colorado Snf Holdings Llc
    Mad Family Holdings Llc
    Natr Trust
    Rarmna Holdings Llc
    Ratr Trust
    Recover Care Healthcare Llc
    Rnr Holdings Llc
    Tafkar Llc
    Wetr Trust
    Nochum Freund
    Zisha Margulies
    Managerial control
    No information available
    Managing employee(s)
    Zisha Margulies since Jul, 2022

    Inspection Reports

    22

    total deficiencies

    3

    infection-related deficiencies

    This home violated federal standards protecting residents from the spread of infections.

    Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
    Feb 22, 2023
    Standard report
    2 deficiencies
    D
    Full report
    Quality of Life and Care Deficiency — F0684
    Failure to: Provide appropriate treatment and care according to orders, resident's preferences and goals.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Freedom from Abuse, Neglect, and Exploitation Deficiency — F0610
    Failure to: Respond appropriately to all alleged violations.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Nov 18, 2021
    Standard report
    15 deficiencies
    (2 infection)

    This report includes a citation for violating federal standards protecting residents from the spread of infections.
    $46,826 Fine
    D

     to L
    L
    Full report
    Infection Control Deficiency — F0886
    Failure to: Perform COVID19 testing on residents and staff.
    Severity
    Immediate jeopardy to resident health or safety
    Scope
    Many people affected
    Seriousness
    L
    Quality of Life and Care Deficiency — F0686
    Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Severity
    Actual harm that is not immediate jeopardy
    Scope
    Few people affected
    Seriousness
    G
    Quality of Life and Care Deficiency — F0697
    Failure to: Provide safe, appropriate pain management for a resident who requires such services.
    Severity
    Actual harm that is not immediate jeopardy
    Scope
    Few people affected
    Seriousness
    G
    Resident Rights Deficiency — F0563
    Failure to: Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Many people affected
    Seriousness
    F
    Resident Assessment and Care Planning Deficiency — F0658
    Failure to: Ensure services provided by the nursing facility meet professional standards of quality.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Many people affected
    Seriousness
    F
    Nutrition and Dietary Deficiency — F0812
    Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Many people affected
    Seriousness
    F
    Administration Deficiency — F0867
    Failure to: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Many people affected
    Seriousness
    F
    Infection Control Deficiency — F0880
    Failure to: Provide and implement an infection prevention and control program.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Many people affected
    Seriousness
    F
    Resident Rights Deficiency — F0554
    Failure to: Allow residents to self-administer drugs if determined clinically appropriate.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Some people affected
    Seriousness
    E
    Quality of Life and Care Deficiency — F0695
    Failure to: Provide safe and appropriate respiratory care for a resident when needed.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Some people affected
    Seriousness
    E
    Resident Rights Deficiency — F0578
    Failure to: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Resident Assessment and Care Planning Deficiency — F0645
    Failure to: PASARR screening for Mental disorders or Intellectual Disabilities
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Quality of Life and Care Deficiency — F0677
    Failure to: Provide care and assistance to perform activities of daily living for any resident who is unable.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Quality of Life and Care Deficiency — F0692
    Failure to: Provide enough food/fluids to maintain a resident's health.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Quality of Life and Care Deficiency — F0698
    Failure to: Provide safe, appropriate dialysis care/services for a resident who requires such services.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    May 24, 2021
    Complaint report
    2 deficiencies
    D
    Full report
    Resident Rights Deficiency — F0573
    Failure to: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Quality of Life and Care Deficiency — F0745
    Failure to: Provide medically-related social services to help each resident achieve the highest possible quality of life.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Aug 1, 2019
    Standard report
    3 deficiencies
    (1 infection)

    This report includes a citation for violating federal standards protecting residents from the spread of infections.
    D

     to F
    F
    Full report
    Pharmacy Service Deficiency — F0761
    Failure to: 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.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Many people affected
    Seriousness
    F
    Quality of Life and Care Deficiency — F0677
    Failure to: Provide care and assistance to perform activities of daily living for any resident who is unable.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D
    Infection Control Deficiency — F0880
    Failure to: Provide and implement an infection prevention and control program.
    Severity
    No actual harm, with a potential for more than minimal harm
    Scope
    Few people affected
    Seriousness
    D

    Penalties

    $102K

    total fines

    A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
    Apr 18, 2022
    $4,225 fine
    No corresponding inspection report.
    Mar 7, 2022
    $4,257 fine
    No corresponding inspection report.
    Feb 28, 2022
    $4,225 fine
    No corresponding inspection report.
    Feb 21, 2022
    $4,225 fine
    No corresponding inspection report.
    Feb 14, 2022
    $4,225 fine
    No corresponding inspection report.
    Feb 7, 2022
    $4,257 fine
    No corresponding inspection report.
    Jan 31, 2022
    $4,257 fine
    No corresponding inspection report.
    Jan 24, 2022
    $3,976 fine
    No corresponding inspection report.
    Jan 17, 2022
    $3,618 fine
    No corresponding inspection report.
    Jan 10, 2022
    $3,250 fine
    No corresponding inspection report.
    Jan 3, 2022
    $2,925 fine
    No corresponding inspection report.
    Dec 27, 2021
    $2,620 fine
    No corresponding inspection report.
    Dec 20, 2021
    $2,293 fine
    No corresponding inspection report.
    Dec 13, 2021
    $1,965 fine
    No corresponding inspection report.
    Dec 6, 2021
    $1,638 fine
    No corresponding inspection report.
    Nov 29, 2021
    $1,310 fine
    No corresponding inspection report.
    Nov 22, 2021
    $983 fine
    No corresponding inspection report.
    Nov 18, 2021
    $46,826 fine
    Nov 15, 2021
    $655 fine
    No corresponding inspection report.