Sundance Skilled Nursing And Rehabilitation earns a solid B grade from CMS data, with a score of 76/100. Performing above average across most metrics, this Colorado Springs facility ranks in the 76th percentile among Colorado nursing homes.
Staffing levels are a potential concern at Sundance Skilled Nursing And Rehabilitation, with 3.15 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 17 deficiencies at Sundance Skilled Nursing And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.95 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.43 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.77 | 2.4 | Below Average |
| Weekend Total Nursing | 2.74 | 3.8 | Below Average |
| Weekend RN Hours | 0.57 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 14, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Feb 26, 2024 · Infection Control Deficiencies
- Tag 0573 Severity DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.Oct 4, 2023 · Resident Rights Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Oct 4, 2023 · Quality of Life and Care Deficiencies
- Tag 0686 Severity DProvide appropriate pressure ulcer care and prevent new ulcers from developing.Oct 4, 2023 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.0% | 4.5% | Better |
| Falls with major injury | 1.3% | 3.0% | Better |
| On antipsychotic medication | 32.1% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 4.5% | 14.0% | Better |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 5.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $50,063
How This Grade Was Calculated
This facility's grade of B is based on a score of 76 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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