Eben Ezer Lutheran Care Center

Nursing Home · Brush, CO

CMS overall rating 2/5 Abuse citation Non profit - Corporation

CMS certification number065163
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

122 Hospital RD
Brush, CO 80723
Morgan County
Phone
(970) 842-2861
ZIP code
80723 – all care providers

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Facility details

Certified beds
125
Residents per day
82.1 (66% occupied)
Ownership
Non profit - Corporation
Medicare certified since
July 1, 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★★★★★ 3/5
State avg 4.1
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 3/5

Staffing

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

Total nurse staffing
4.22 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.56 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.75 (state 0.68 · U.S. 0.86)
Nurse aides
2.91 (state 2.22 · U.S. 2.32)
Weekend total
3.83 (state 3.30 · U.S. 3.42)
Nursing staff turnover
40.4 (state 47.1 · U.S. 45.8)%
RN turnover
43.8 (state 44.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
August 15, 2024
Health deficiencies (last cycle)
7.0 (state 8.6 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
13 health · 20 fire safety · includes actual harm
DateCitationSeverityStatus
2025-12-03 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-30
2024-08-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-13
2024-08-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-05
2024-08-15 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-13
2024-08-15 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-07
2024-08-15 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-13
2024-08-15 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-06
2023-03-02 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
G
Actual harm
Corrected 2023-01-14
2023-03-02 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
G
Actual harm
Corrected 2023-03-30
2023-03-02 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
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-30
2021-11-18 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
G
Actual harm
Corrected 2021-12-17
2021-11-18 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
G
Actual harm
Corrected 2021-12-17
2021-11-18 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-12-17

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Bass, Sonyou (individual)Corporate Director · NOT APPLICABLE
Chapin, Robert (individual)Corporate Director · NOT APPLICABLE
Frasier, Mark (individual)Corporate Director · NOT APPLICABLE
Lee, Michael (individual)Corporate Director · NOT APPLICABLE
Lefever, Travis (individual)Corporate Director · NOT APPLICABLE
Schaefer, Roger (individual)Corporate Director · NOT APPLICABLE
Tekroney, Michael (individual)Corporate Director · NOT APPLICABLE
Thistle, Jennifer (individual)Corporate Director · NOT APPLICABLE
Vannoy, Douglas (individual)Corporate Director · NOT APPLICABLE
Hergenreter, Shelly (individual)Corporate Officer · NOT APPLICABLE
Mason, Leslie (individual)Corporate Officer · NOT APPLICABLE
Eben Ezer Lutheran Care Center (organization)Operational/managerial Control · NOT APPLICABLE
Bass, Sonyou (individual)Trustee Of The Snf · NOT APPLICABLE
Chapin, Robert (individual)Trustee Of The Snf · NOT APPLICABLE
Frasier, Mark (individual)Trustee Of The Snf · NOT APPLICABLE
Lee, Michael (individual)Trustee Of The Snf · NOT APPLICABLE
Lefever, Travis (individual)Trustee Of The Snf · NOT APPLICABLE
Schaefer, Roger (individual)Trustee Of The Snf · NOT APPLICABLE
Tekroney, Michael (individual)Trustee Of The Snf · NOT APPLICABLE
Thistle, Jennifer (individual)Trustee Of The Snf · NOT APPLICABLE
Vannoy, Douglas (individual)Trustee Of The Snf · NOT APPLICABLE
Hergenreter, Shelly (individual)W-2 Managing Employee · NOT APPLICABLE
Mason, Leslie (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Eben Ezer Lutheran Care Center?

Eben Ezer Lutheran Care Center 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 Eben Ezer Lutheran Care Center have?

It has 125 certified beds and cares for about 82 residents per day.

Has Eben Ezer Lutheran Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Eben Ezer Lutheran Care Center?

(970) 842-2861. The facility is located at 122 Hospital RD, Brush, CO 80723.

Other nursing homes in Brush

Compare all nursing homes in Brush, CO →

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