Sundance Skilled Nursing and Rehabilitation

Nursing Home · Colorado Springs, CO

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number065152

Contact & location

2612 W Cucharras ST
Colorado Springs, CO 80904
El Paso County
Phone
(719) 632-7474
ZIP code
80904 – all care providers

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Facility details

Certified beds
68
Residents per day
60.0 (88% occupied)
Ownership
For profit - Limited Liability company
Legal name
Cucharras Operations, LLC
Chain
Madison Creek Partners (13 facilities, avg 3.2★)
Medicare certified since
February 12, 1981
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 4/5
State avg 3.1
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.11 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.97 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.50 (state 0.68 · U.S. 0.86)
Nurse aides
1.64 (state 2.22 · U.S. 2.32)
Weekend total
2.68 (state 3.30 · U.S. 3.42)
Nursing staff turnover
42.9 (state 47.1 · U.S. 45.8)%
RN turnover
25.0 (state 44.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 26, 2026
Health deficiencies (last cycle)
18.0 (state 8.6 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
27 health · 21 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-26 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2026-02-26 Have enough outside ventilation via a window or mechanical ventilation, or both.
F0923 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-28
2025-08-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Past Non-Compliance
2024-02-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-22
2023-10-05 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F0573 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-01
2023-10-05 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-13
2023-10-05 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-01
2023-10-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-13
2022-11-17 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-12-23
2022-11-17 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-12-23
2022-11-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-12-27
2022-11-17 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-01-18

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $14,901 in fines.

DateTypeAmount
2025-08-15Fine$14,901

Ownership & management

NameRoleSince
Chief Joseph Trail, LLC (organization)5%+ Direct Ownership Interest · 100%
Clegg, Michael (individual)5%+ Indirect Ownership Interest
Tippet, LLC (organization)5%+ Indirect Ownership Interest
White Canyon, LLC (organization)5%+ Indirect Ownership Interest
Christensen, Covey (individual)Administrator · NOT APPLICABLE
Clegg, Michael (individual)Administrator · NOT APPLICABLE
Hopkins, Amber (individual)Administrator · NOT APPLICABLE
Ikerd, John (individual)Administrator · NOT APPLICABLE
Madison Creek Partners LLC (organization)Administrator · NOT APPLICABLE
Shepherd, David (individual)Administrator · NOT APPLICABLE
Terrazas, Lisa (individual)Administrator · NOT APPLICABLE
Clegg, Michael (individual)Managing Control - Governing Body · NOT APPLICABLE
Ikerd, John (individual)Managing Control - Governing Body · NOT APPLICABLE
Christensen, Covey (individual)Operational/managerial Control · NOT APPLICABLE
Clegg, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Hopkins, Amber (individual)Operational/managerial Control · NOT APPLICABLE
Ikerd, John (individual)Operational/managerial Control · NOT APPLICABLE
Madison Creek Partners LLC (organization)Operational/managerial Control · NOT APPLICABLE
Shepherd, David (individual)Operational/managerial Control · NOT APPLICABLE
Terrazas, Lisa (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Sundance Skilled Nursing and Rehabilitation?

Sundance Skilled Nursing and Rehabilitation has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Colorado.

How many beds does Sundance Skilled Nursing and Rehabilitation have?

It has 68 certified beds and cares for about 60 residents per day.

Has Sundance Skilled Nursing and Rehabilitation been fined?

Yes. CMS lists 1 penalty totaling $14,901 in the last three years.

Who owns Sundance Skilled Nursing and Rehabilitation?

It is part of Madison Creek Partners and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Sundance Skilled Nursing and Rehabilitation?

(719) 632-7474. The facility is located at 2612 W Cucharras ST, Colorado Springs, CO 80904.

Other nursing homes in Colorado Springs

Compare all nursing homes in Colorado Springs, CO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.