Falcon Heights Rehabilitation and Nursing LLC

Nursing Home · Colorado Springs, CO

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

CMS certification number065168
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1795 Monterey RD
Colorado Springs, CO 80910
El Paso County
Phone
(719) 471-7850
ZIP code
80910 – all care providers

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Facility details

Certified beds
107
Residents per day
88.9 (83% occupied)
Ownership
For profit - Corporation
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers (19 facilities, avg 1.7★)
Medicare certified since
July 1, 1982
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 1/5
State avg 3.1
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
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
3.05 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.52 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.41 (state 0.68 · U.S. 0.86)
Nurse aides
2.12 (state 2.22 · U.S. 2.32)
Weekend total
2.66 (state 3.30 · U.S. 3.42)
Nursing staff turnover
47.9 (state 47.1 · U.S. 45.8)%
RN turnover
58.8 (state 44.6 · U.S. 42.9)%

Inspections

Last standard inspection
July 31, 2024
Health deficiencies (last cycle)
17.0 (state 8.6 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
36 health · 26 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-25 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-20
2025-12-01 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-02
2025-02-03 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-28
2024-09-24 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-30
2024-09-24 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
F0626 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-08
2024-07-31 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 G
Actual harm		 Corrected 2024-08-28
2024-07-31 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-08-28
2024-07-31 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		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-08-28
2024-07-31 Honor the resident's right to choose his or her attending physician.
F0555 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-28
2024-07-31 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 2024-08-28
2024-07-31 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 2024-08-28
2024-07-31 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 2024-08-28
2024-07-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-28
2024-07-31 Have enough outside ventilation via a window or mechanical ventilation, or both.
F0923 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-28
2024-07-31 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-28
2024-07-31 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-28
2024-07-31 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 2024-08-28
2024-07-31 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-28
2024-07-31 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 2024-08-28
2024-07-31 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-28
2023-02-22 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 2023-03-18
2021-11-18 Perform COVID19 testing on residents and staff.
F0886 · Infection Control Deficiencies		 L
Immediate jeopardy to resident health or safety		 Corrected 2021-12-18
2021-11-18 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2021-12-18
2021-11-18 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2021-12-18
2021-11-18 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
F0563 · Resident Rights Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 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		 F
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18
2021-11-18 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-12-18

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 $6,146 in fines.

DateTypeAmount
2024-09-24Fine$6,146

Ownership & management

NameRoleSince
Holmes, Carolyn (individual)Administrator · NOT APPLICABLE
Reddy, Vikas (individual)Administrator · NOT APPLICABLE
Charly Bello Family Limited Partnership (organization)Direct Ownership Interest · NOT APPLICABLE
Maze Family Limited Partnership (organization)Direct Ownership Interest · NOT APPLICABLE
Mahrt, David (individual)Indirect Ownership Interest · NOT APPLICABLE
Myers, Katie (individual)Indirect Ownership Interest · NOT APPLICABLE
Myers, Walter (individual)Indirect Ownership Interest · NOT APPLICABLE
Swain, Holly (individual)Indirect Ownership Interest · NOT APPLICABLE
Swain, Jared (individual)Indirect Ownership Interest · NOT APPLICABLE
Abbott, Ian (individual)Operational/managerial Control · NOT APPLICABLE
Cottonwood Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Holmes, Carolyn (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Falcon Heights Rehabilitation and Nursing LLC?

Falcon Heights Rehabilitation and Nursing LLC 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 Falcon Heights Rehabilitation and Nursing LLC have?

It has 107 certified beds and cares for about 89 residents per day.

Has Falcon Heights Rehabilitation and Nursing LLC been fined?

Yes. CMS lists 1 penalty totaling $6,146 in the last three years.

Who owns Falcon Heights Rehabilitation and Nursing LLC?

It is part of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Falcon Heights Rehabilitation and Nursing LLC?

(719) 471-7850. The facility is located at 1795 Monterey RD, Colorado Springs, CO 80910.

Other nursing homes in Colorado Springs

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