C

GRACE MANOR CARE CENTER

465 5TH ST, BURLINGTON, CO 80807
Score: 63 / 100

Grace Manor Care Center is an average performer in CMS ratings, earning a C grade with a score of 63/100. Located in Burlington, Colorado, the facility meets baseline standards across most quality metrics.

Staffing levels are a potential concern at Grace Manor Care Center, with 2.70 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 10 deficiencies at Grace Manor Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.70 3.8 Below Average
Registered Nurses (RN) 0.77 0.7 Above Average
Licensed Practical Nurses (LPN) 0.42 0.7 Below Average
Certified Nursing Assistants (CNA) 1.51 2.4 Below Average
Weekend Total Nursing 2.10 3.8 Below Average
Weekend RN Hours 0.57 0.7 Below Average

🔍 Inspection & Deficiency History

10
Total Deficiencies
Apr 10, 2024
Most Recent Inspection
🟠 10 Moderate
View recent deficiencies (5 shown)
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Apr 10, 2024 · Pharmacy Service Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Apr 10, 2024 · 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.
    Apr 18, 2023 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Jan 10, 2023 · Infection Control Deficiencies
  • Tag 0758 Severity D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Jan 10, 2023 · Pharmacy Service 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 9.8% 4.5% Worse
Falls with major injury 4.8% 3.0% Worse
On antipsychotic medication 32.9% 14.5% Worse
Urinary tract infections 4.1% 2.5% Worse
ADL decline (daily activities) 29.3% 14.0% Worse
Excessive weight loss 9.2% 7.5% Worse
New/worsened incontinence 41.4% 45.0% Average

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $1,609

How This Grade Was Calculated

This facility's grade of C is based on a score of 63 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 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
31
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 10, 2024
Deficiencies (Cycle 1)
2