Skip to main content
Advertisement
Advertisement

Kiowa Hills Rehabilitation And Nursing, Llc

📍 924 W Kiowa St, Colorado-springs, CO 80905 📞 (719) 636-5221 🛏️ 83 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

January 16, 2025 Health Inspection

Fines and Penalties by Year

2022 10 penalties totaling $48,628

$13,406
Dec 13, 2022

Fine

$13,000
Aug 25, 2022

Fine

$4,225
Feb 21, 2022

Fine

$4,225
Feb 14, 2022

Fine

$4,257
Feb 7, 2022

Fine

$4,257
Jan 31, 2022

Fine

$3,947
Jan 24, 2022

Fine

$3,618
Jan 17, 2022

Fine

$3,250
Jan 10, 2022

Fine

$2,925
Jan 3, 2022

Fine

2021 8 penalties totaling $21,140

$2,600
Dec 27, 2021

Fine

$2,275
Dec 20, 2021

Fine

$1,950
Dec 13, 2021

Fine

$1,625
Dec 6, 2021

Fine

$1,310
Nov 29, 2021

Fine

$975
Nov 22, 2021

Fine

$655
Nov 15, 2021

Fine

$9,750
Jun 17, 2021

Fine

2020 2 penalties totaling $24,804

$24,804
Dec 8, 2020

Fine

$0
Dec 8, 2020

Payment Denial

Advertisement

Health Violations by Year

2025 13 violations

Tag 0550 D Jan 16, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Feb 14, 2025
Tag 0553 E Jan 16, 2025

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Feb 14, 2025
Tag 0561 D Jan 16, 2025

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

✓ Corrected: Feb 14, 2025
Tag 0584 E Jan 16, 2025

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.

✓ Corrected: Feb 14, 2025
Tag 0585 D Jan 16, 2025

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Feb 14, 2025
Tag 0658 E Jan 16, 2025

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

✓ Corrected: Feb 14, 2025
Tag 0679 D Jan 16, 2025

Provide activities to meet all resident's needs.

✓ Corrected: Feb 14, 2025
Tag 0680 E Jan 16, 2025

Ensure the activities program is directed by a qualified professional.

✓ Corrected: Feb 14, 2025
Tag 0689 G Jan 16, 2025

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

✓ Corrected: Feb 14, 2025
Tag 0761 E Jan 16, 2025

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.

✓ Corrected: Feb 14, 2025
Tag 0812 F Jan 16, 2025

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

✓ Corrected: Feb 14, 2025
Tag 0849 D Jan 16, 2025

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Feb 14, 2025
Tag 0880 F Jan 16, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 14, 2025

2023 21 violations

Tag 0565 E Dec 7, 2023

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

✓ Corrected: Feb 28, 2024
Tag 0584 E Dec 7, 2023

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.

✓ Corrected: Feb 28, 2024
Tag 0689 E Dec 7, 2023

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

✓ Corrected: Feb 28, 2024
Tag 0695 D Dec 7, 2023

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

✓ Corrected: Feb 28, 2024
Tag 0726 E Dec 7, 2023

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Feb 28, 2024
Tag 0742 D Dec 7, 2023

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.

✓ Corrected: Feb 28, 2024
Tag 0758 E Dec 7, 2023

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.

✓ Corrected: Feb 28, 2024
Tag 0760 E Dec 7, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: Feb 28, 2024
Tag 0761 E Dec 7, 2023

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.

✓ Corrected: Feb 28, 2024
Tag 0804 F Dec 7, 2023

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

✓ Corrected: Feb 28, 2024
Tag 0812 F Dec 7, 2023

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

✓ Corrected: Feb 28, 2024
Tag 0838 E Dec 7, 2023

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Feb 28, 2024
Tag 0849 D Dec 7, 2023

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Feb 28, 2024
Tag 0867 F Dec 7, 2023

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

✓ Corrected: Feb 28, 2024
Tag 0880 D Dec 7, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 28, 2024
Tag 0923 E Dec 7, 2023

Have enough outside ventilation via a window or mechanical ventilation, or both.

✓ Corrected: Feb 28, 2024
Tag 0925 E Dec 7, 2023

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Feb 28, 2024
Tag 0550 E Sep 18, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Oct 21, 2023
Tag 0677 D Sep 18, 2023

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

✓ Corrected: Oct 12, 2023
Tag 0812 F Sep 18, 2023

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

✓ Corrected: Oct 12, 2023
Advertisement

2022 23 violations

Tag 0600 G Dec 13, 2022

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

Tag 0553 E Aug 25, 2022

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Sep 28, 2022
Tag 0554 D Aug 25, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Sep 28, 2022
Tag 0563 E Aug 25, 2022

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

✓ Corrected: Sep 28, 2022
Tag 0584 E Aug 25, 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.

✓ Corrected: Sep 28, 2022
Tag 0659 D Aug 25, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0677 D Aug 25, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0679 D Aug 25, 2022

Provide activities to meet all resident's needs.

✓ Corrected: Sep 28, 2022
Tag 0684 D Aug 25, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0687 D Aug 25, 2022

Provide appropriate foot care.

✓ Corrected: Sep 28, 2022
Tag 0688 E Aug 25, 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.

✓ Corrected: Sep 28, 2022
Tag 0689 E Aug 25, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0690 D Aug 25, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0691 D Aug 25, 2022

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

✓ Corrected: Sep 28, 2022
Tag 0692 D Aug 25, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0695 D Aug 25, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0761 E Aug 25, 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.

✓ Corrected: Sep 28, 2022
Tag 0804 E Aug 25, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0849 D Aug 25, 2022

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Sep 28, 2022
Tag 0880 F Aug 25, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 28, 2022

2021 3 violations

Tag 0600 D Jun 17, 2021

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

✓ Corrected: Jul 16, 2021
Tag 0695 D Jun 17, 2021

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

✓ Corrected: Jul 16, 2021
Tag 0810 D Jun 17, 2021

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

✓ Corrected: Jul 16, 2021
Advertisement

2020 3 violations

Tag 0580 D Dec 30, 2020

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

Tag 0880 L Dec 8, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 31, 2020
Tag 0880 E Apr 6, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: May 6, 2020

2019 12 violations

Tag 0689 D Oct 17, 2019

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

✓ Corrected: Nov 20, 2019
Tag 0604 D Jun 20, 2019

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

✓ Corrected: Aug 1, 2019
Tag 0660 D Jun 20, 2019

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Aug 1, 2019
Tag 0679 D Jun 20, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Aug 1, 2019
Tag 0684 D Jun 20, 2019

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

✓ Corrected: Aug 1, 2019
Tag 0689 E Jun 20, 2019

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

✓ Corrected: Aug 1, 2019
Tag 0690 D Jun 20, 2019

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

✓ Corrected: Aug 1, 2019
Tag 0695 D Jun 20, 2019

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

✓ Corrected: Aug 1, 2019
Tag 0812 F Jun 20, 2019

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

✓ Corrected: Aug 1, 2019
Tag 0838 F Jun 20, 2019

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Aug 1, 2019
Tag 0880 F Jun 20, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 6, 2019
Tag 0921 F Jun 20, 2019

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

✓ Corrected: Aug 1, 2019
Advertisement

2018 20 violations

Tag 0550 D Apr 2, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 16, 2018
Tag 0565 D Apr 2, 2018

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

✓ Corrected: May 25, 2018
Tag 0580 D Apr 2, 2018

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

✓ Corrected: Jun 8, 2018
Tag 0585 D Apr 2, 2018

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: May 16, 2018
Tag 0620 C Apr 2, 2018

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

✓ Corrected: May 25, 2018
Tag 0656 D Apr 2, 2018

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

✓ Corrected: May 16, 2018
Tag 0658 E Apr 2, 2018

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

✓ Corrected: Jun 8, 2018
Tag 0677 D Apr 2, 2018

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

✓ Corrected: May 23, 2018
Tag 0689 D Apr 2, 2018

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

✓ Corrected: May 22, 2018
Tag 0695 D Apr 2, 2018

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

✓ Corrected: May 22, 2018
Tag 0755 D Apr 2, 2018

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

✓ Corrected: May 22, 2018
Tag 0759 D Apr 2, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 16, 2018
Tag 0761 E Apr 2, 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.

✓ Corrected: May 16, 2018
Tag 0802 E Apr 2, 2018

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

✓ Corrected: May 16, 2018
Tag 0803 E Apr 2, 2018

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: May 16, 2018
Tag 0807 D Apr 2, 2018

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

✓ Corrected: May 16, 2018
Tag 0812 F Apr 2, 2018

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

✓ Corrected: May 16, 2018
Tag 0842 D Apr 2, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 16, 2018
Tag 0880 D Apr 2, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: May 20, 2018
Tag 0881 D Apr 2, 2018

Implement a program that monitors antibiotic use.

✓ Corrected: May 20, 2018

2016 12 violations

Tag 0156 D Oct 11, 2016

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Nov 15, 2016
Tag 0242 D Oct 11, 2016

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

✓ Corrected: Nov 15, 2016
Tag 0253 E Oct 11, 2016

Provide housekeeping and maintenance services.

✓ Corrected: Nov 15, 2016
Tag 0257 E Oct 11, 2016

Maintain comfortable and safe temperature levels.

✓ Corrected: Nov 15, 2016
Tag 0282 D Oct 11, 2016

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

✓ Corrected: Nov 15, 2016
Tag 0309 D Oct 11, 2016

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Nov 15, 2016
Tag 0318 D Oct 11, 2016

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Nov 15, 2016
Tag 0323 D Oct 11, 2016

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

✓ Corrected: Nov 15, 2016
Tag 0328 D Oct 11, 2016

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Nov 15, 2016
Tag 0329 D Oct 11, 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.

✓ Corrected: Nov 15, 2016
Tag 0406 D Oct 11, 2016

Give or get specialized rehabilitative services per the patient's assessment or plan of care.

✓ Corrected: Nov 15, 2016
Tag 0465 F Oct 11, 2016

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

✓ Corrected: Nov 15, 2016
Advertisement