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Complaint Investigation

Sundance Skilled Nursing And Rehabilitation

August 15, 2025 · Colorado Springs, CO · 2612 W Cucharras St
Citations 1
CMS Rating 2/5
Beds 68
Provider ID 065152
Healthcare Facility
Sundance Skilled Nursing And Rehabilitation
Colorado Springs, CO  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

SUNDANCE SKILLED NURSING AND REHABILITATION in COLORADO SPRINGS, CO — inspection on August 15, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0689
Quality of Life and Care Deficiencies

bottle away from the resident. CNA #1 said she realized Resident #1 had drank some of the chemical

jeopardy to resident health or charge nurse and PCP evaluated the resident. CNA #1 said the facility had all staff check the facility, safety including all residents' rooms for hazardous items, including chemicals, following the incident on [DATE]. CNA #1 said the facility provided inservice training after the incident for all staff, which

hazardous items.The social services director (SSD) was interviewed on [DATE] at 9:30 a.m.

The SSD said she received hazardous material training upon hire and again recently completed training in person and online after the incident involving Resident #1.

The SSD said the training focused on the need to protect residents from hazardous items.

The SSD said she was one of the staff members who were doing weekly rounds to check for any hazardous items.

She said the extensive training post-incident for all staff helped to make the staff sensitive to the potential hazards that existed to residents.

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 SUNDANCE SKILLED NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.