F

COLONIAL REHABILITATION AND NURSING, LLC

1340 E FILLMORE ST, COLORADO SPRINGS, CO 80907
Score: 24 / 100

Colonial Rehabilitation And Nursing, Llc has received an F grade based on CMS data, with a score of 24/100 — placing it among the lowest-rated nursing facilities in Colorado. Families considering this Colorado Springs facility should carefully review its inspection history and quality metrics.

Staffing levels are a potential concern at Colonial Rehabilitation And Nursing, Llc, with 3.20 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 inspections identified 38 deficiencies at Colonial Rehabilitation And Nursing, Llc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.20 3.8 Below Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 0.79 0.7 Above Average
Certified Nursing Assistants (CNA) 2.05 2.4 Below Average
Weekend Total Nursing 2.90 3.8 Below Average
Weekend RN Hours 0.28 0.7 Below Average

🔍 Inspection & Deficiency History

38
Total Deficiencies
Dec 3, 2025
Most Recent Inspection
🟠 38 Moderate
View recent deficiencies (5 shown)
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Dec 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 3, 2025 · Quality of Life and Care Deficiencies
  • Tag 0684 Severity G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jul 23, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jul 23, 2025 · Quality of Life and Care Deficiencies
  • Tag 0600 Severity E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jul 23, 2025 · Freedom from Abuse, Neglect, and Exploitation 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 3.7% 4.5% Better
Falls with major injury 4.0% 3.0% Worse
On antipsychotic medication 31.8% 14.5% Worse
Urinary tract infections 1.1% 2.5% Better
ADL decline (daily activities) 19.2% 14.0% Worse
Excessive weight loss 6.4% 7.5% Better
New/worsened incontinence 22.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $24,453

How This Grade Was Calculated

This facility's grade of F is based on a score of 24 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
80
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 23, 2025
Deficiencies (Cycle 1)
15