SUNDANCE SKILLED NURSING AND REHABILITATION

2612 W CUCHARRAS ST
COLORADO SPRINGS, CO, 80904
7196327474
CCN: 065152
5
Overall
4
Health
4
Staffing
5
Quality
ChainMADISON CREEK PARTNERS
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
MADISON CREEK PARTNERS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
CHRISTENSEN, COVEY5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
CHRISTENSEN, COVEYCORPORATE OFFICERNOT APPLICABLE
CLEGG, MICHAELCORPORATE OFFICERNOT APPLICABLE
CLEGG, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHEPHERD, DAVIDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOPKINS, AMBEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TERRAZAS, LISAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MADISON CREEK PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHRISTENSEN, COVEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2025-08-15Fine$15K
2023-06-27Fine$35K
Health Deficiencies (17)
2025-08-15 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-02-27 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2023-10-05 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F573 · Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
2023-06-27 · Health
D
F744 · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2022-11-17 · Health
E
F761 · Pharmacy Service Deficiencies
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.
D
F758 · Pharmacy Service Deficiencies
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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2022-05-19 · Health
D
F742 · Quality of Life and Care Deficiencies
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.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F688 · Quality of Life and Care Deficiencies
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
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.15
3.68
RN Hrs/Resident/Day
0.95
0.54
LPN Hrs/Resident/Day
0.43
0.81
CNA Hrs/Resident/Day
1.77
2.33
PT Hrs/Resident/Day
0.06
0.12
Data as of 2026-03-01