ElderGrade
C

64/100

Average

Falcon Heights Rehabilitation And Nursing Llc

1795 Monterey Rd, Colorado Springs, CO 80910

CMS 2/5 stars #9 of 20 in El Paso County (719) 471-7850
Certified beds
107
Occupancy
83%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $6,146 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Changed ownership in the last 12 months

    New owners often change staffing and management. Ratings from before the sale may not reflect current care.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 24.9/30 Staffing 8/30 Stability 9/15 Outcomes 15/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

24.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -1.1 for 20 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.86 total nurse hours per resident per day (national median 3.77)
  • 0.52 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 48% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $6,146 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.05 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.52 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.66 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 47.90%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 36 citations

Last standard health inspection: July 31, 2024 (2 years ago).

D Feb 25, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Dec 1, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Feb 3, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Sep 24, 2024 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Sep 24, 2024 F0626 From a complaint

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

No actual harm, potential for more than minimal harm

G Jul 31, 2024 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Actual harm to a resident

F Jul 31, 2024 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

F Jul 31, 2024 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CHARLY BELLO FAMILY LIMITED PARTNERSHIP Organization DIRECT OWNERSHIP INTEREST
MAZE FAMILY LIMITED PARTNERSHIP Organization DIRECT OWNERSHIP INTEREST
MAHRT, DAVID Individual INDIRECT OWNERSHIP INTEREST
MYERS, KATIE Individual INDIRECT OWNERSHIP INTEREST
MYERS, WALTER Individual INDIRECT OWNERSHIP INTEREST
SWAIN, HOLLY Individual INDIRECT OWNERSHIP INTEREST
SWAIN, JARED Individual INDIRECT OWNERSHIP INTEREST
COTTONWOOD HEALTHCARE LLC Organization OPERATIONAL/MANAGERIAL CONTROL
ABBOTT, IAN Individual OPERATIONAL/MANAGERIAL CONTROL
HOLMES, CAROLYN Individual OPERATIONAL/MANAGERIAL CONTROL
HOLMES, CAROLYN Individual ADP OF THE SNF
REDDY, VIKAS Individual ADP OF THE SNF

What families say

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Common questions about Falcon Heights Rehabilitation And Nursing Llc

What is the ElderGrade for Falcon Heights Rehabilitation And Nursing Llc? +

Falcon Heights Rehabilitation And Nursing Llc holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Falcon Heights Rehabilitation And Nursing Llc? +

Residents receive an average of 3.05 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Falcon Heights Rehabilitation And Nursing Llc been cited for harming residents? +

Yes. 4 of the 36 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Falcon Heights Rehabilitation And Nursing Llc accept Medicaid? +

Yes, Falcon Heights Rehabilitation And Nursing Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.