Grace Manor Care Center
465 5th St, Burlington, CO 80807
Grace Manor Care Center is a nursing home in Burlington, Colorado. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (719) 346-7512
- Last standard health inspection
- April 21, 2026 (6 months ago)
- Certified beds
- 37
- Residents per day, on average
- 28.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Madison Senior Living Management LLC
- Chain
- Frontline Management
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Colorado average (7 vs 25).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
3 citations
Health inspection on April 21, 2026
CMS lists this as a standard inspection.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 20, 2026.
CMS has cited this home for F0880 2 times since 2023.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on May 20, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 20, 2026.
4 citations
Fire safety inspection on April 21, 2026
CMS lists this as a standard inspection.
Citation K0293. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on May 15, 2026.
Citation K0341. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install a fire alarm system that can be heard throughout the facility.
CMS lists it as corrected on May 14, 2026.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on May 11, 2026.
Citation K0781. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have restrictions on the use of portable space heaters.
CMS lists it as corrected on May 13, 2026.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5.
Ownership
CMS lists this home under a new chain.
Staffing
Total nurse staffing reported to CMS went from 2.9 to 2.6 hours per resident per day.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 4 of 5.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 2.9 to 2.6 hours per resident per day.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Staffing
Total nurse staffing reported to CMS went from 3.4 to 2.9 hours per resident per day.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
2 citations
Health inspection on April 11, 2024
CMS lists this as a standard inspection.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on April 26, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on April 26, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
2 citations
Health inspection on January 11, 2023
CMS lists this as a standard inspection.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 10, 2023.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on February 16, 2023.
5 citations
Fire safety inspection on January 11, 2023
CMS lists this as a standard inspection.
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on February 23, 2023.
Citation K0223. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on February 23, 2023.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on February 23, 2023.
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on February 23, 2023.
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on February 23, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- MADISON REALITY EQUITIES LLC5% or greater direct ownership interest · 100% · since 06/12/2012
- LANGENDOEN, GARY5% or greater indirect ownership interest · 100% · since 07/01/2022
- FRONTIER MANAGEMENT INCOperational/managerial control · not applicable · since 07/01/2013
- CLEMMERSON, CHRISTINAOperational/managerial control · not applicable · since 03/16/2015
- CONNER, LORIOperational/managerial control · not applicable · since 03/28/2014
- DAISE, TRAVISOperational/managerial control · not applicable · since 03/01/2022
- HAYS, JASALYNOperational/managerial control · not applicable · since 08/01/2008
- JONES-GREGORY, BRENDAOperational/managerial control · not applicable · since 01/13/2020
- KIRKWOOD, CHELSEYOperational/managerial control · not applicable · since 10/20/2014
- ONG, EDISONOperational/managerial control · not applicable · since 04/04/2025
- SALAS, CHERISEOperational/managerial control · not applicable · since 04/04/2025
- SCHLICHENMAYER, JOSHUAOperational/managerial control · not applicable · since 11/12/2014
- SCHLICHENMAYER, STACIOperational/managerial control · not applicable · since 12/01/2014
- SCOTT, ANGELAOperational/managerial control · not applicable · since 04/01/2020
- VEGA ORTEGA, ALEJANDRAOperational/managerial control · not applicable · since 01/16/2019
- WEBER, CHARLOTTEOperational/managerial control · not applicable · since 11/01/1995
Questions
When was Grace Manor Care Center last inspected?
CMS lists April 21, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Grace Manor Care Center have?
CMS lists 7 health citations since January 11, 2023. CMS also calls these deficiencies.
Has Grace Manor Care Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Grace Manor Care Center?
Its CMS overall star rating is 5 of 5.
Is Grace Manor Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.