SUNDANCE SKILLED NURSING AND REHABILITATION

πŸ“ 2612 W CUCHARRAS ST, colorado-springs, CO 80904 πŸ“ž 7196327474 πŸ›οΈ 68 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

104
Total Violations
8 years of data
$202,066
Total Fines
7 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 1 violations

Tag 0880 D Feb 27, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 22, 2024

2023 7 violations

Tag 0573 D Oct 5, 2023

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

βœ“ Corrected: Nov 1, 2023
Tag 0677 D Oct 5, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Nov 13, 2023
Tag 0686 D Oct 5, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Nov 1, 2023
Tag 0689 D Oct 5, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 13, 2023
Tag 0600 G Jun 27, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jul 27, 2023
Tag 0689 E Jun 27, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jul 27, 2023
Tag 0744 D Jun 27, 2023

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Jul 27, 2023

2022 20 violations

Tag 0565 E Nov 17, 2022

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Dec 23, 2022
Tag 0689 D Nov 17, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Dec 23, 2022
Tag 0758 D Nov 17, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Dec 23, 2022
Tag 0761 E Nov 17, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Dec 23, 2022
Tag 0677 D May 19, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 24, 2022
Tag 0688 D May 19, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Jun 24, 2022
Tag 0697 D May 19, 2022

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jun 24, 2022
Tag 0742 D May 19, 2022

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Jun 24, 2022
Tag 0561 D Feb 22, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Mar 21, 2022
Tag 0584 E Feb 22, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Mar 21, 2022
Tag 0600 G Feb 22, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Mar 21, 2022
Tag 0604 D Feb 22, 2022

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Mar 21, 2022
Tag 0686 G Feb 22, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 21, 2022
Tag 0689 G Feb 22, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Mar 21, 2022
Tag 0808 D Feb 22, 2022

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

βœ“ Corrected: Mar 21, 2022
Tag 0812 F Feb 22, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Mar 21, 2022
Tag 0837 F Feb 22, 2022

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

βœ“ Corrected: Mar 21, 2022
Tag 0867 F Feb 22, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Mar 21, 2022
Tag 0888 C Feb 22, 2022

Ensure staff are vaccinated for COVID-19

βœ“ Corrected: Mar 21, 2022
Tag 0921 E Feb 22, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Mar 21, 2022

2021 29 violations

Tag 0561 D Oct 27, 2021

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Nov 18, 2021
Tag 0576 F Oct 27, 2021

Ensure residents have reasonable access to and privacy in their use of communication methods.

βœ“ Corrected: Nov 18, 2021
Tag 0580 D Oct 27, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Nov 18, 2021
Tag 0600 G Oct 27, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Nov 18, 2021
Tag 0610 D Oct 27, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Nov 18, 2021
Tag 0645 D Oct 27, 2021

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Nov 18, 2021
Tag 0679 E Oct 27, 2021

Provide activities to meet all resident's needs.

βœ“ Corrected: Nov 18, 2021
Tag 0684 D Oct 27, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Nov 18, 2021
Tag 0686 G Oct 27, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Nov 18, 2021
Tag 0689 E Oct 27, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 18, 2021
Tag 0692 G Oct 27, 2021

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Nov 18, 2021
Tag 0697 G Oct 27, 2021

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Nov 18, 2021
Tag 0755 E Oct 27, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Nov 18, 2021
Tag 0760 G Oct 27, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Nov 18, 2021
Tag 0761 E Oct 27, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Nov 18, 2021
Tag 0812 F Oct 27, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Nov 18, 2021
Tag 0867 G Oct 27, 2021

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Nov 18, 2021
Tag 0880 L Oct 27, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 18, 2021
Tag 0886 L Oct 27, 2021

Perform COVID19 testing on residents and staff.

βœ“ Corrected: Nov 18, 2021
Tag 0921 E Oct 27, 2021

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Nov 18, 2021

2020 15 violations

Tag 0692 G Nov 17, 2020

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Nov 18, 2020
Tag 0880 E Nov 17, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 18, 2020
Tag 0600 E Oct 22, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Nov 11, 2020
Tag 0689 E Oct 22, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 11, 2020
Tag 0742 D Oct 22, 2020

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Nov 11, 2020
Tag 0656 D Aug 13, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 10, 2020
Tag 0686 D Aug 13, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Sep 24, 2020
Tag 0697 D Aug 13, 2020

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Sep 10, 2020
Tag 0742 E Aug 13, 2020

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Sep 10, 2020
Tag 0745 D Aug 13, 2020

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Sep 10, 2020
Tag 0880 F Aug 13, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 28, 2020
Tag 0584 E Jun 11, 2020

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jul 10, 2020
Tag 0658 D Jun 11, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jul 10, 2020
Tag 0880 E Jun 11, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 10, 2020
Tag 0880 E Apr 15, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 12, 2020

2019 8 violations

Tag 0689 D Jul 2, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Aug 20, 2019
Tag 0695 D Jul 2, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Aug 20, 2019
Tag 0758 D Jul 2, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Aug 20, 2019
Tag 0802 F Jul 2, 2019

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

βœ“ Corrected: Aug 20, 2019
Tag 0804 F Jul 2, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Aug 20, 2019
Tag 0810 D Jul 2, 2019

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

βœ“ Corrected: Aug 20, 2019
Tag 0812 E Jul 2, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 20, 2019
Tag 0880 E Jul 2, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 20, 2019

2018 12 violations

Tag 0880 E Aug 22, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 25, 2018
Tag 0559 E May 18, 2018

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

βœ“ Corrected: Jun 15, 2018
Tag 0641 D May 18, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jun 15, 2018
Tag 0657 D May 18, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jun 15, 2018
Tag 0677 D May 18, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 15, 2018
Tag 0689 F May 18, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 15, 2018
Tag 0690 D May 18, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jun 15, 2018
Tag 0755 D May 18, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jun 15, 2018
Tag 0760 D May 18, 2018

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jun 15, 2018
Tag 0761 E May 18, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jun 15, 2018
Tag 0880 E May 18, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 15, 2018
Tag 0921 E May 18, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Jun 15, 2018

2016 12 violations

Tag 0248 D Nov 16, 2016

Provide activities to meet the interests and needs of each resident.

βœ“ Corrected: Dec 12, 2016
Tag 0253 E Nov 16, 2016

Provide housekeeping and maintenance services.

βœ“ Corrected: Dec 12, 2016
Tag 0282 D Nov 16, 2016

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Dec 12, 2016
Tag 0323 E Nov 16, 2016

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Dec 12, 2016
Tag 0325 D Nov 16, 2016

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Dec 12, 2016
Tag 0327 D Nov 16, 2016

Give each resident enough fluids to keep them healthy and prevent dehydration.

βœ“ Corrected: Dec 12, 2016
Tag 0329 D Nov 16, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Dec 12, 2016
Tag 0364 E Nov 16, 2016

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

βœ“ Corrected: Dec 12, 2016
Tag 0371 F Nov 16, 2016

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Dec 12, 2016
Tag 0431 D Nov 16, 2016

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Dec 12, 2016
Tag 0441 F Nov 16, 2016

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Dec 12, 2016
Tag 0465 F Nov 16, 2016

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Dec 12, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $90,948

$90,948
Fine
February 22, 2022
Average: $90,948 | Range: $90,948 - $90,948

2021 1 penalties totaling $45,009

$45,009
Fine
October 27, 2021
Average: $45,009 | Range: $45,009 - $45,009

2020 4 penalties totaling $52,725

$655
Fine
November 30, 2020
$22,320
Fine
November 17, 2020
$29,750
Fine
June 11, 2020
$0
Payment Denial
June 11, 2020
Average: $13,181 | Range: $0 - $29,750

2018 1 penalties totaling $13,384

$13,384
Fine
May 18, 2018
Average: $13,384 | Range: $13,384 - $13,384

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

February 27, 2024
0.00

Health

October 5, 2023
0.00

Health

June 27, 2023
0.00

Health

November 17, 2022
0.00

Health

May 19, 2022
0.00

Health

February 22, 2022
0.00

Health

October 27, 2021
0.00

Health

January 6, 2021
0.00

Quality Measures

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
065152
065152
7196327474
El Paso

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual