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Sundance Skilled Nursing And Rehabilitation

📍 2612 W Cucharras St, Colorado-springs, CO 80904 📞 (719) 632-7474 🛏️ 68 beds

Inspection History Overview

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
Feb 22, 2022

Fine

2021 1 penalties totaling $45,009

$45,009
Oct 27, 2021

Fine

2020 4 penalties totaling $52,725

$655
Nov 30, 2020

Fine

$22,320
Nov 17, 2020

Fine

$29,750
Jun 11, 2020

Fine

$0
Jun 11, 2020

Payment Denial

2018 1 penalties totaling $13,384

$13,384
May 18, 2018

Fine

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Health Violations by Year

2024 1 violations

Tag 0880 D Feb 27, 2024

Provide and implement an infection prevention and control program.

✓ 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.

✓ 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.

✓ Corrected: Nov 13, 2023
Tag 0686 D Oct 5, 2023

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

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Jul 27, 2023
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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.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Jun 24, 2022
Tag 0697 D May 19, 2022

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

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Mar 21, 2022
Tag 0686 G Feb 22, 2022

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

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Mar 21, 2022
Tag 0888 C Feb 22, 2022

Ensure staff are vaccinated for COVID-19

✓ 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.

✓ 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.

✓ Corrected: Nov 18, 2021
Tag 0576 F Oct 27, 2021

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

✓ 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.

✓ 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.

✓ Corrected: Nov 18, 2021
Tag 0610 D Oct 27, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Nov 18, 2021
Tag 0645 D Oct 27, 2021

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Nov 18, 2021
Tag 0679 E Oct 27, 2021

Provide activities to meet all resident's needs.

✓ Corrected: Nov 18, 2021
Tag 0684 D Oct 27, 2021

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

✓ Corrected: Nov 18, 2021
Tag 0686 G Oct 27, 2021

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

✓ 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.

✓ Corrected: Nov 18, 2021
Tag 0692 G Oct 27, 2021

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

✓ Corrected: Nov 18, 2021
Tag 0697 G Oct 27, 2021

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

✓ 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.

✓ Corrected: Nov 18, 2021
Tag 0760 G Oct 27, 2021

Ensure that residents are free from significant medication errors.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Nov 18, 2021
Tag 0880 L Oct 27, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 18, 2021
Tag 0886 L Oct 27, 2021

Perform COVID19 testing on residents and staff.

✓ 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.

✓ Corrected: Nov 18, 2021
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2020 15 violations

Tag 0692 G Nov 17, 2020

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

✓ Corrected: Nov 18, 2020
Tag 0880 E Nov 17, 2020

Provide and implement an infection prevention and control program.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Sep 10, 2020
Tag 0686 D Aug 13, 2020

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

✓ Corrected: Sep 24, 2020
Tag 0697 D Aug 13, 2020

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

✓ 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.

✓ 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.

✓ Corrected: Sep 10, 2020
Tag 0880 F Aug 13, 2020

Provide and implement an infection prevention and control program.

✓ 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.

✓ Corrected: Jul 10, 2020
Tag 0658 D Jun 11, 2020

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

✓ Corrected: Jul 10, 2020
Tag 0880 E Jun 11, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 10, 2020
Tag 0880 E Apr 15, 2020

Provide and implement an infection prevention and control program.

✓ 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.

✓ Corrected: Aug 20, 2019
Tag 0695 D Jul 2, 2019

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

✓ 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.

✓ 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.

✓ Corrected: Aug 20, 2019
Tag 0804 F Jul 2, 2019

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

✓ Corrected: Aug 20, 2019
Tag 0810 D Jul 2, 2019

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

✓ 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.

✓ Corrected: Aug 20, 2019
Tag 0880 E Jul 2, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 20, 2019
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2018 12 violations

Tag 0880 E Aug 22, 2018

Provide and implement an infection prevention and control program.

✓ 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.

✓ Corrected: Jun 15, 2018
Tag 0641 D May 18, 2018

Ensure each resident receives an accurate assessment.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ 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.

✓ Corrected: Jun 15, 2018
Tag 0760 D May 18, 2018

Ensure that residents are free from significant medication errors.

✓ 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.

✓ Corrected: Jun 15, 2018
Tag 0880 E May 18, 2018

Provide and implement an infection prevention and control program.

✓ 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.

✓ Corrected: Jun 15, 2018

2016 12 violations

Tag 0248 D Nov 16, 2016

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

✓ Corrected: Dec 12, 2016
Tag 0253 E Nov 16, 2016

Provide housekeeping and maintenance services.

✓ Corrected: Dec 12, 2016
Tag 0282 D Nov 16, 2016

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

✓ 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.

✓ Corrected: Dec 12, 2016
Tag 0325 D Nov 16, 2016

Ensure residents maintain acceptable nutritional status.

✓ Corrected: Dec 12, 2016
Tag 0327 D Nov 16, 2016

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

✓ 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.

✓ 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.

✓ Corrected: Dec 12, 2016
Tag 0371 F Nov 16, 2016

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

✓ 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.

✓ Corrected: Dec 12, 2016
Tag 0441 F Nov 16, 2016

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

✓ 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.

✓ Corrected: Dec 12, 2016
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