El Paso County, Colorado · Nursing home
Falcon Heights Rehabilitation and Nursing LLC
2 of 5 overall from CMS
1795 Monterey Rd, Colorado Springs, CO 80910
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.05 hours Below the state average of 3.72
- Nursing staff who left in a year 47.9% Above the state average of 47.1%
- Health citations, last 3 inspection cycles 37 4 at the harm level or above
- Fines in 3 years $6,146 1 fine
- Certified beds in use 83.1% of 107 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Falcon Heights Rehabilitation and Nursing LLC is a 107-bed nursing home in Colorado Springs, Colorado (El Paso County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.05 nurse staffing hours per resident per day, below the Colorado average of 3.72. CMS lists 1 fine totaling $6,146 in the past three years.
- Certified beds
- 107
- Residents per day (average)
- 88.9
- Certified since
- 1982 (44 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers (20 homes)Ownership changed in last 12 monthsCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Falcon Heights Rehabilitation and Nursing LLC
Chosen from this home's public data.
- CMS lists 1 fine totaling $6,146 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 18 health deficiencies in the latest inspection cycle (the standard inspection on Jul 31, 2024 plus complaint and infection-control inspections); the Colorado average is 8.7. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 47.9%, above the Colorado average of 47.1%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Colorado average 3.2
- Health inspections 1 of 5 Colorado average 2.7
- Staffing 1 of 5 Colorado average 3.2
- Quality measures 5 of 5 Colorado average 4.1
The vertical line marks the Colorado average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.05 h Colorado average 3.72
- Nurse aides 2.12 h Colorado average 2.21
- Licensed practical nurses 0.41 h Colorado average 0.68
- Registered nurses 0.52 h Colorado average 0.82
- All staff, weekends 2.66 h Colorado average 3.29
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Colorado average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover47.9%
- Colorado average47.1%
- Registered nurse turnover58.8%
- Colorado average44.6%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Colorado and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Colorado | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.7% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.7% | 4.7% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.9% | 1.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 26.4% | 8.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3% | 93.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 7.8% | 13.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.3% | 11.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% | 94.7% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.4% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.8% | 21.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 27.6% | 20.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.54 | 1.38 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.70 | 1.74 | 1.78 |
Short-stay residents
| Measure | This home | Colorado | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 44.0% | 76.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.6% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.7% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 20.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 12.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 37 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 8 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 31, 2024: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 31, 2024 | 18 | 9 |
| Feb 22, 2023 | 4 | 11 |
| Nov 18, 2021 | 15 | 6 |
Colorado homes averaged 8.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (37)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has plan of correction (Aug 10, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 20, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 2, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 28, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 30, 2024)
Show 25 more
-
DPotential for more than minimal harm, isolated
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 8, 2024)
-
GActual harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Aug 28, 2024)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 28, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 28, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to choose his or her attending physician.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 28, 2024)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Aug 28, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2024)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Aug 28, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 28, 2024)
-
EPotential for more than minimal harm, pattern
Have enough outside ventilation via a window or mechanical ventilation, or both.
Environmental · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 18, 2023)
-
LImmediate jeopardy, widespread
Perform COVID19 testing on residents and staff.
Infection Control · Deficient, Provider has date of correction (Dec 18, 2021)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2021)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2021)
-
FPotential for more than minimal harm, widespread
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Rights · Deficient, Provider has date of correction (Dec 18, 2021)
-
FPotential for more than minimal harm, widespread
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 18, 2021)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 18, 2021)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Dec 18, 2021)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 18, 2021)
Showing the 30 most recent of 37.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Sep 24, 2024 | Fine | $6,146 |
Colorado homes averaged 1.1 fines and $22,802 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Colorado
- Size72 of 210 by certified beds
- Colorado average residents per day74.9
- ChainThe Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
- Chain average overall rating1.7 of 5
- Resident or family councilBoth
- Homes in Colorado Springs20
- Homes in El Paso County20
Common questions
What is the CMS star rating for Falcon Heights Rehabilitation and Nursing LLC?
Falcon Heights Rehabilitation and Nursing LLC has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 5.
How many beds does Falcon Heights Rehabilitation and Nursing LLC have?
Falcon Heights Rehabilitation and Nursing LLC has 107 certified beds. It averages 88.9 residents per day, about 83.1% of its certified beds.
How much nursing care do residents get at Falcon Heights Rehabilitation and Nursing LLC?
The home reports 3.05 hours of nurse staffing per resident per day, including 0.52 hours from registered nurses. The Colorado average is 3.72 hours and 0.82 hours from registered nurses.
Has Falcon Heights Rehabilitation and Nursing LLC been fined?
Yes. CMS lists 1 fine totaling $6,146 in the past three years.
Does Falcon Heights Rehabilitation and Nursing LLC accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Fountain View Rehabilitation and Nursing LLC 118beds 74.7%in use 3.04nurse hours a day
- 5 of 5 Life Care Center of Colorado Springs 121beds 74.7%in use 4.16nurse hours a day
- 5 of 5 Advanced Health Care of Colorado Springs 34beds 93.8%in use 5.43nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in El Paso County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 065168. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.