Pikes Peak Post Acute has received an F grade based on CMS data, with a score of 16/100 — 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 Pikes Peak Post Acute, with 3.34 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 47 deficiencies at Pikes Peak Post Acute. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.34 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.66 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.80 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.88 | 2.4 | Below Average |
| Weekend Total Nursing | 3.05 | 3.8 | Below Average |
| Weekend RN Hours | 0.40 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Nov 19, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0744 Severity DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Nov 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eJan 29, 2025 · Resident Rights Deficiencies
- Tag 0730 Severity EObserve each nurse aide's job performance and give regular training.Jan 29, 2025 · Nursing and Physician Services Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Jan 29, 2025 · Resident Rights 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 | 3.8% | 4.5% | Better |
| Falls with major injury | 6.1% | 3.0% | Worse |
| On antipsychotic medication | 30.5% | 14.5% | Worse |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 8.4% | 14.0% | Better |
| Excessive weight loss | 3.6% | 7.5% | Better |
| New/worsened incontinence | 13.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $89,318
How This Grade Was Calculated
This facility's grade of F is based on a score of 16 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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