ElderGrade
F

25.1/100

Poor

Medallion Post Acute Rehabilitation

1719 E Bijou St, Colorado Springs, CO 80909

CMS 1/5 stars #20 of 20 in El Paso County (719) 381-4963
Certified beds
60
Occupancy
96%
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.

  • 7 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.

  • $86,723 in federal fines

    CMS has fined this facility across 4 penalty action(s).

How this grade was calculated

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

Inspection safety

1.6/30

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

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -0.4 for 18 total citations against a national median of 17

Staffing

11.5/30

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

  • 3.44 total nurse hours per resident per day (national median 3.77)
  • 0.46 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

5/15

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

  • 56% of nursing staff left in the last year

Resident outcomes

5/15

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

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

Enforcement history

2/10

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

  • $86,723 in federal fines across 4 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 3.25 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.46 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.75 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 55.60%
National average 45.80% Below average

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

Recent inspection findings

All 25 citations

Last standard health inspection: August 15, 2024 (2 years ago).

G Apr 22, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm to a resident

J Feb 13, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

G Aug 15, 2024 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm to a resident

E Aug 15, 2024 F0561

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

No actual harm, potential for more than minimal harm

E Aug 15, 2024 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

E Aug 15, 2024 F0584

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

E Aug 15, 2024 F0677

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

E Aug 15, 2024 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of THE ENSIGN GROUP, which operates 346 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BURNAM, SOON Individual MANAGING CONTROL - GOVERNING BODY
COOK, RONALD Individual MANAGING CONTROL - GOVERNING BODY
SHEPHERD, DAVID Individual MANAGING CONTROL - GOVERNING BODY
BURNAM, SOON Individual CORPORATE OFFICER
JORGENSEN, DAVID Individual CORPORATE OFFICER
KEETCH, CHAD Individual CORPORATE OFFICER
PORT, BARRY Individual CORPORATE OFFICER
COOK, RONALD Individual OPERATIONAL/MANAGERIAL CONTROL
BIJOU HEALTH HOLDINGS LLC Organization ADP OF THE SNF
ENSIGN SERVICES INC Organization ADP OF THE SNF
STANDARD BEARER HEALTHCARE OP LP Organization ADP OF THE SNF
THE ENSIGN GROUP INC Organization ADP OF THE SNF

What families say

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Common questions about Medallion Post Acute Rehabilitation

What is the ElderGrade for Medallion Post Acute Rehabilitation? +

Medallion Post Acute Rehabilitation holds an ElderGrade of F (25.1 out of 100), which we describe as "poor". 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 Medallion Post Acute Rehabilitation? +

Residents receive an average of 3.25 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Medallion Post Acute Rehabilitation been cited for harming residents? +

Yes. 7 of the 25 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 Medallion Post Acute Rehabilitation accept Medicaid? +

Yes, Medallion Post Acute Rehabilitation 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.