Pikes Peak Post Acute
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
another resident's room, she would provide redirection. She said she did not know where written interventions were documented for each resident. She said she had worked at the facility for two years and felt she knew each resident well enough to know what interventions worked. She said all allegations or incidents of abuse were reported to the abuse coordinator.
CNA #1 said prior to one-to-one supervision, Resident #4 wandered freely throughout the unit, going in and out of other residents' rooms. She said that if a room door was open, Resident #4 would go inside. She said some days, Resident #4 was able to be redirected and other times she could not be redirected at all. She said the one-to-one supervision began after the incident on 10/31/25 with Resident #5 and continued for at least two weeks before she was discharged to another facility. She said she believed the lack of staffing directly contributed to the incident between Residents #4 and #5.
CNA #1 said when she came on shift on 10/31/25, she was informed Resident #4 had entered Resident #5's room and hit her. She said Resid
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Pikes Peak Post Acute
2719 N Union Blvd Colorado Springs, CO 80909
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0744
F 0744 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident #3 in her room and closing the door as an intervention for her wandering. The AD was interviewed
on 11/20/25 at 4:16 p.m. The AD said she did a four hour dementia training when people were hired, annually, and then as needed. She said she also did on-the-spot training with staff on the secured unit. She said for Resident #3, there was a busy box for her but it would disappear. She said Resident #3's daughter would bring in snacks and there was a stash of her favorite snacks for staff to offer her. She said regular staff members were aware of Resident #3's interventions.
Event ID:
Facility ID:
If continuation sheet
PIKES PEAK POST ACUTE in COLORADO SPRINGS, CO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COLORADO SPRINGS, CO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PIKES PEAK POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.