Liberty Heights is an average performer in CMS ratings, earning a C grade with a score of 66/100. Located in Colorado Springs, Colorado, the facility meets baseline standards across most quality metrics.
Staffing levels at Liberty Heights exceed national averages, with 4.47 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.27 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 14 deficiencies at Liberty Heights, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.47 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.27 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.03 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.17 | 2.4 | Average |
| Weekend Total Nursing | 4.00 | 3.8 | Average |
| Weekend RN Hours | 0.80 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0805 Severity JEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Jan 6, 2026 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 15, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Jul 15, 2025 · Infection Control Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jul 15, 2025 · Resident Rights Deficiencies
- Tag 0700 Severity ETry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review theseJul 15, 2025 · 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 | 6.1% | 4.5% | Worse |
| Falls with major injury | 1.1% | 3.0% | Better |
| On antipsychotic medication | 6.8% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 12.7% | 14.0% | Average |
| Excessive weight loss | 6.7% | 7.5% | Better |
| New/worsened incontinence | 37.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 66 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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