Liberty Heights
12205 Gunstock Dr, Colorado Springs, CO 80921
Liberty Heights is a nursing home in Colorado Springs, 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
- 4 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (719) 481-9494
- Last standard health inspection
- July 16, 2025 (1 year ago)
- Certified beds
- 42
- Residents per day, on average
- 36.2
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Ga Hc Reit II Liberty Trs Sub, LLC
- Chain
- Senior Lifestyle
- Takes part in
- Medicare
Fewer health citations than the Colorado average (16 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 8, 2026
Fine
CMS changed the fine from January 7, 2026 from $39,035 to $25,373.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
2 citations
Health inspection on April 15, 2026
CMS lists this as a complaint inspection.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on May 15, 2026.
CMS has cited this home for F0550 2 times since 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on March 18, 2026.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
1 citation
Health inspection on January 7, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
14 of 210 Colorado homes (7%) got a citation at the immediate jeopardy level in 2026.
Citation F0805. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS lists it as corrected on January 26, 2026.
Fine
January 7, 2026 (10 months ago)
CMS fine of $25,373 on January 7, 2026.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
10 citations
Health inspection on July 16, 2025
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 15, 2025.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 15, 2025.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on August 15, 2025.
Citation F0700. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on August 15, 2025.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on August 15, 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on August 15, 2025.
Citation F0679. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on August 15, 2025.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 15, 2025.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on August 15, 2025.
Citation F0807. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
CMS lists it as corrected on August 15, 2025.
9 citations
Fire safety inspection on July 16, 2025
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 21, 2025.
CMS has cited this home for K0345 3 times since 2019.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 21, 2025.
CMS has cited this home for K0353 2 times since 2023.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on September 21, 2025.
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 November 5, 2025.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on September 21, 2025.
CMS has cited this home for K0914 2 times since 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 21, 2025.
CMS has cited this home for K0918 3 times since 2019.
Citation K0221. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide rooms that can be unlocked from inside without a key.
CMS lists it as corrected on September 21, 2025.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 21, 2025.
CMS has cited this home for K0363 2 times since 2019.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on September 21, 2025.
CMS has cited this home for K0923 2 times since 2023.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
2 citations
Health inspection on September 13, 2023
CMS lists this as a standard inspection.
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 November 4, 2023.
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 November 13, 2023.
CMS has cited this home for F0689 2 times since 2019.
9 citations
Fire safety inspection on September 13, 2023
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on November 14, 2023.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on November 14, 2023.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on November 14, 2023.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on November 14, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on November 14, 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on November 14, 2023.
Citation K0911. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on November 14, 2023.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on November 14, 2023.
Citation K0927. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
CMS lists it as corrected on November 14, 2023.
1 citation
Health inspection on December 19, 2019
CMS lists this as a standard inspection.
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 January 21, 2020.
4 citations
Fire safety inspection on December 19, 2019
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on January 27, 2020.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on January 30, 2020.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 5, 2020.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on January 14, 2020.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CCRC OPS MB1-T LLC5% or greater direct ownership interest · 100% · since 12/03/2014
- BLACKROCK, INC.5% or greater indirect ownership interest · no percentage provided · since 05/01/2023
- J.P. MORGAN INVESTMENT MANAGEMENT, INC.5% or greater indirect ownership interest · no percentage provided · since 05/01/2023
- VENTAS MS, LLC5% or greater indirect ownership interest · no percentage provided · since 05/01/2023
- VENTAS REALTY LIMITED PARTNERSHIP5% or greater indirect ownership interest · no percentage provided · since 07/07/2026
- VENTAS SL HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 07/07/2026
- VENTAS SSL, INC.5% or greater indirect ownership interest · no percentage provided · since 05/01/2023
- VENTAS SUB HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 07/07/2026
- VENTAS US HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 07/07/2026
- VENTAS, INC.5% or greater indirect ownership interest · no percentage provided · since 05/01/2023
- VTR SHI TRS, LLC5% or greater indirect ownership interest · no percentage provided · since 05/01/2023
- VTR SHI VENTURE, LLC5% or greater indirect ownership interest · no percentage provided · since 05/01/2023
- SL LIBERTY HEIGHTS LLCOperational/managerial control · not applicable · since 04/01/2014
Questions
When was Liberty Heights last inspected?
CMS lists July 16, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Liberty Heights have?
CMS lists 16 health citations since December 19, 2019. CMS also calls these deficiencies.
Has Liberty Heights been fined?
CMS lists 1 fine in the past three years, $25,373 in total.
What is the CMS star rating of Liberty Heights?
Its CMS overall star rating is 4 of 5.
Is Liberty Heights a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.
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