Pikes Peak Post Acute
2719 N Union Blvd · Colorado Springs, CO · 80909 · 7196361676
210 certified beds For profit - Corporation Chain: Pacs Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $39,917 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.43 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 3.17 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 2 · $89,318 |
Inspection citations (47 in the current record)
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Potential for harm · D November 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 20, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 19, 2025 · Quality of Life and Care
-
Potential for harm · D January 30, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected February 18, 2025 · Resident Rights
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Potential for harm · D January 30, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 18, 2025 · Resident Rights
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Potential for harm · E January 30, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 18, 2025 · Resident Rights
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Potential for harm · D January 30, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 18, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected February 18, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 18, 2025 · Quality of Life and Care
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Potential for harm · E January 30, 2025
Observe each nurse aide's job performance and give regular training.
Corrected February 18, 2025 · Nursing and Physician Services
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Potential for harm · D January 30, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 18, 2025 · Environmental
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Potential for harm · D January 30, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 18, 2025 · Infection Control
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Actual harm · G September 17, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 17, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 17, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 14, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 12, 2024 · Quality of Life and Care
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Actual harm · G November 29, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 29, 2023 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected November 30, 2023 · Resident Rights
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Potential for harm · D November 29, 2023 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected November 30, 2023 · Resident Rights
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Actual harm · H September 5, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected November 7, 2023 · Quality of Life and Care
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Potential for harm · D September 5, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 27, 2023 · Resident Rights
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Potential for harm · E September 5, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 15, 2023 · Resident Rights
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Potential for harm · E September 5, 2023
Honor the resident's right to manage his or her financial affairs.
Corrected September 27, 2023 · Resident Rights
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Potential for harm · D September 5, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 5, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 5, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 15, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 17, 2024 | Fine | $39,917 |
| September 17, 2024 | Payment Denial | 28 days |
| September 5, 2023 | Fine | $49,401 |
| September 5, 2023 | Payment Denial | 63 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065415 · certified since September 9, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.