Nursing homes › Colorado › Colorado Springs › Pikes Peak Post Acute
2719 N Union Blvd, Colorado Springs, CO 80909 · (719) 636-1676 · 210 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 209 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Pacs Group, a group operating 274 facilities in 16 states. Group record: average rating 2.9/5, 28 abuse citation icons, 12 facilities on the Special Focus list, $8,781,073 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 3.61 (Colorado median: 3.49). RN hours: 0.61. Weekend total: 3.30. Nursing staff turnover: 61%.
In the downloaded CMS dataset: 47 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-12-19 |
| 2025-11-20 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2025-12-19 |
| 2025-01-30 | 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. | E | Health | corrected 2025-02-18 |
| 2025-01-30 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2025-02-18 |
| 2025-01-30 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-02-18 |
| 2025-01-30 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2025-02-18 |
| 2025-01-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2025-02-18 |
| 2025-01-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-02-18 |
| 2025-01-30 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-02-18 |
| 2025-01-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-02-18 |
| 2025-01-30 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-02-18 |
| 2025-01-30 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2025-02-18 |
| 2024-09-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-09-18 |
| 2024-09-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2024-11-13 |
| 2024-09-17 | Respond appropriately to all alleged violations. | E | complaint | corrected 2024-11-13 |
| 2024-03-14 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2024-04-12 |
| 2023-11-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | G | complaint | corrected 2023-11-30 |
| 2023-11-29 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2023-11-30 |
| 2023-11-29 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | complaint | corrected 2023-11-30 |
| 2023-09-05 | Provide enough food/fluids to maintain a resident's health. | H | complaint | corrected 2023-11-07 |
| 2023-09-05 | 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. | F | Health | corrected 2023-09-27 |
| 2023-09-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-09-27 |
| 2023-09-05 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Health | corrected 2023-11-15 |
| 2023-09-05 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2023-11-15 |
| 2023-09-05 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Health | corrected 2023-11-15 |
| 2023-09-05 | Honor the resident's right to manage his or her financial affairs. | E | Health | corrected 2023-09-27 |
| 2023-09-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2023-09-27 |
| 2023-09-05 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Health | corrected 2023-11-05 |
| 2023-09-05 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-09-27 |
| 2023-09-05 | 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. | E | Health | corrected 2023-12-04 |
| 2023-09-05 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-11-15 |
| 2023-09-05 | Implement a program that monitors antibiotic use. | E | Health | corrected 2023-09-27 |
| 2023-09-05 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2023-09-27 |
| 2023-09-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2023-11-05 |
| 2023-09-05 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-11-15 |
| 2023-09-05 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2023-09-27 |
| 2023-09-05 | Provide activities to meet all resident's needs. | D | Health | corrected 2023-09-27 |
| 2023-09-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-11-06 |
| 2023-09-05 | 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. | D | Health | corrected 2023-10-30 |
| 2023-09-05 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Health | corrected 2023-09-27 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-17 | Fine | $39,917 |
| 2024-09-17 | Payment Denial | 28 days payment denial |
| 2023-09-05 | Fine | $49,401 |
| 2023-09-05 | Payment Denial | 63 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PANTHER MASTER TENANT, LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 09/01/2023 |
| PROVIDENCE GROUP NH, LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 09/01/2023 |
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
How to cite this page: CareRecords, “Pikes Peak Post Acute — compliance, penalty and ownership record” (CCN 065415), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/pikes-peak-post-acute-colorado-springs-co/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065415. Corrections: data@carerecords.org.