Pikes Peak Post Acute

Certification

Medicare-certified.

Ratings

Inspection history (47)

Records from June 2022 to November 2025.

• September 5, 2023

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 5, 2023.

• September 5, 2023

  Tag F0679

  Provide activities to meet all resident's needs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.

• September 5, 2023

  Tag F0658

  Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 15, 2023.

• September 5, 2023

  Tag F0867

  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 15, 2023.

• September 5, 2023

  Tag F0881

  Implement a program that monitors antibiotic use.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0676

  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0688

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 30, 2023.

• September 5, 2023

  Tag F0567

  Honor the resident's right to manage his or her financial affairs.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0838

  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 15, 2023.

• September 5, 2023

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0803

  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 15, 2023.

• September 5, 2023

  Tag F0692

  Provide enough food/fluids to maintain a resident's health.

  Severity H: pattern, actual harm. Corrected November 7, 2023.

• September 5, 2023

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0806

  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0712

  Ensure that the resident and his/her doctor meet face-to-face at all required visits.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0554

  Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 27, 2023.

• September 5, 2023

  Tag F0565

  Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 15, 2023.

• September 5, 2023

  Tag F0744

  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 5, 2023.

Penalties (4)

Total fines: $89,318

• September 17, 2024 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting October 16, 2024, lasting 28 days (triggered by inspection on September 17, 2024).

• September 17, 2024 · Fine

  CMS recorded a civil money penalty of $39,917 against this nursing home on September 17, 2024.

• September 5, 2023 · Fine

  CMS recorded a civil money penalty of $49,401 against this nursing home on September 5, 2023.

• September 5, 2023 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting September 28, 2023, lasting 63 days (triggered by inspection on September 5, 2023).

Staffing

3.47 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit