Sundance Skilled Nursing and Rehabilitation

2612 W Cucharras St, Colorado Springs, CO 80904

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Sundance Skilled Nursing and Rehabilitation 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.

At a glance

CMS overall star rating2 of 5
Last standard health inspectionFebruary 26, 2026 (8 months ago)
Health citations since November 17, 202227 (Colorado average 25)
Fines in the past three years1, $14,901 in total
CMS flagsNone listed by CMS

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

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 July 29, 2026
- Star rating
  The CMS overall star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of May 27, 2026
- Star rating
  The CMS overall star rating changed from 5 of 5 to 3 of 5.
- Star rating
  The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
Health inspection on February 26, 2026
17 citations
CMS lists this as a standard inspection.
Show the 17 citations
- Citation F0584. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on March 28, 2026.
- Citation F0689. Severity E: potential for more than minimal harm, pattern.
  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 March 28, 2026.
  CMS has cited this home for F0689 4 times since 2022.
- 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 March 28, 2026.
  CMS has cited this home for F0761 2 times since 2022.
- Citation F0804. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  CMS lists it as corrected on March 28, 2026.
- Citation F0921. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  CMS lists it as corrected on March 28, 2026.
- Citation F0557. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  CMS lists it as corrected on March 28, 2026.
- Citation F0565. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.
  CMS lists it as corrected on March 28, 2026.
  CMS has cited this home for F0565 2 times since 2022.
- 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 March 28, 2026.
- 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 March 28, 2026.
- Citation F0686. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  CMS lists it as corrected on March 28, 2026.
  CMS has cited this home for F0686 2 times since 2023.
- 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 28, 2026.
- Citation F0697. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.
  CMS lists it as corrected on March 28, 2026.
- Citation F0791. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide or obtain dental services for each resident.
  CMS lists it as corrected on March 28, 2026.
- Citation F0806. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  CMS lists it as corrected on March 28, 2026.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on March 28, 2026.
  CMS has cited this home for F0880 2 times since 2024.
- Citation F0919. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.
  CMS lists it as corrected on March 28, 2026.
- Citation F0923. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have enough outside ventilation via a window or mechanical ventilation, or both.
  CMS lists it as corrected on March 28, 2026.
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Fire safety inspection on February 26, 2026
4 citations
CMS lists this as a standard inspection.
Show the 4 citations
- Citation K0161. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Use approved construction type or materials.
  CMS lists it as corrected on August 4, 2026.
- 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 April 25, 2026.
  CMS has cited this home for K0353 3 times since 2022.
- Citation K0324. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide properly protected cooking facilities.
  CMS lists it as corrected on April 25, 2026.
- Citation K0751. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have restrictions on the use of flammable curtains.
  CMS lists it as corrected on August 4, 2026.
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CMS update of January 14, 2026
- Star rating
  The CMS overall star rating changed from 3 of 5 to 5 of 5.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
CMS update of November 20, 2025
- Star rating
  The CMS overall star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS health inspection star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Health inspection on August 15, 2025
1 citation
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.
25 of 210 Colorado homes (12%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $14,901 on August 15, 2025.
Show the 1 citation
- Citation F0689. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
See this home on CMS Care Compare
CMS update of July 30, 2025
- Star rating
  The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of March 26, 2025
- Star rating
  The CMS overall star rating changed from 3 of 5 to 4 of 5.
- Star rating
  The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of February 26, 2025
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS update of July 31, 2024
- Star rating
  The CMS overall star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
- CMS abuse icon
  CMS removed its abuse icon from this home.
- Staffing
  Total nurse staffing reported to CMS went from 3.3 to 2.9 hours per resident per day.
CMS update of May 29, 2024
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS update of April 25, 2024
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Health inspection on February 27, 2024
1 citation
CMS lists this as a standard inspection.
Show the 1 citation
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on March 22, 2024.
See this home on CMS Care Compare
Fire safety inspection on February 27, 2024
9 citations
CMS lists this as a standard inspection.
Show the 9 citations
- 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 April 28, 2024.
  CMS has cited this home for K0345 2 times since 2022.
- 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 April 28, 2024.
  CMS has cited this home for K0363 2 times since 2022.
- 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 April 28, 2024.
- 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 April 28, 2024.
  CMS has cited this home for K0712 2 times since 2022.
- 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 April 28, 2024.
- 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 April 28, 2024.
  CMS has cited this home for K0918 2 times since 2022.
- Citation K0353. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on April 28, 2024.
- Citation K0511. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have properly installed electrical wiring and gas equipment.
  CMS lists it as corrected on April 28, 2024.
- Citation K0372. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  CMS lists it as corrected on April 28, 2024.
See this home on CMS Care Compare
CMS update of January 31, 2024
- 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.
Health inspection on October 5, 2023
4 citations
CMS lists this as a complaint inspection.
Show the 4 citations
- Citation F0573. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
  CMS lists it as corrected on November 1, 2023.
- 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 November 13, 2023.
- Citation F0686. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  CMS lists it as corrected on November 1, 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.
See this home on CMS Care Compare
Health inspection on November 17, 2022
4 citations
CMS lists this as a standard inspection.
Show the 4 citations
- Citation F0565. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.
  CMS lists it as corrected on December 23, 2022.
- 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 December 23, 2022.
- 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 December 27, 2022.
- 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 January 18, 2023.
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Fire safety inspection on November 17, 2022
8 citations
CMS lists this as a standard inspection.
Show the 8 citations
- 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 December 14, 2022.
- 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 December 28, 2022.
- 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 December 30, 2022.
- 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 December 15, 2022.
- Citation K0741. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
  CMS lists it as corrected on December 28, 2022.
- 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 December 28, 2022.
- 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 December 28, 2022.
- Citation K0920. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure proper usage of power strips and extension cords.
  CMS lists it as corrected on December 28, 2022.
See this home on CMS Care Compare

CMS star ratings

2 of 5CMS overall star rating
2 of 5CMS health inspection star rating
4 of 5CMS staffing star rating
4 of 5CMS quality measures star rating

Facts from CMS

Phone: (719) 632-7474
Last standard health inspection: February 26, 2026 (8 months ago)
Certified beds: 68
Residents per day, on average: 58.1
Ownership type: For profit - Limited Liability company
Legal business name: Cucharras Operations, LLC
Chain: Madison Creek Partners
Takes part in: Medicare and Medicaid

More health citations than the Colorado average (27 vs 25).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

CHIEF JOSEPH TRAIL, LLC5% or greater direct ownership interest · 100% · since 03/02/2026
TIPPET, LLC5% or greater indirect ownership interest · no percentage provided · since 03/02/2026
WHITE CANYON, LLC5% or greater indirect ownership interest · no percentage provided · since 03/02/2026
CLEGG, MICHAEL5% or greater indirect ownership interest · no percentage provided · since 03/02/2026
MADISON CREEK PARTNERS LLCOperational/managerial control · not applicable · since 11/01/2013

Show 6 more

CHRISTENSEN, COVEYOperational/managerial control · not applicable · since 11/01/2013
CLEGG, MICHAELOperational/managerial control · not applicable · since 06/26/2023
HOPKINS, AMBEROperational/managerial control · not applicable · since 12/01/2021
IKERD, JOHNOperational/managerial control · not applicable · since 04/25/2022
SHEPHERD, DAVIDOperational/managerial control · not applicable · since 12/19/2019
TERRAZAS, LISAOperational/managerial control · not applicable · since 05/01/2022

Questions

When was Sundance Skilled Nursing and Rehabilitation last inspected?

CMS lists February 26, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Sundance Skilled Nursing and Rehabilitation have?

CMS lists 27 health citations since November 17, 2022. CMS also calls these deficiencies.

Has Sundance Skilled Nursing and Rehabilitation been fined?

CMS lists 1 fine in the past three years, $14,901 in total.

What is the CMS star rating of Sundance Skilled Nursing and Rehabilitation?

Its CMS overall star rating is 2 of 5.

Is Sundance Skilled Nursing and Rehabilitation a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

At a glance

Get an email when CMS publishes something new about this home

CMS flags

Inspections, fines and changes

CMS update of July 29, 2026

CMS update of May 27, 2026

Health inspection on February 26, 2026

Fire safety inspection on February 26, 2026

CMS update of January 14, 2026

CMS update of November 20, 2025

Health inspection on August 15, 2025

CMS update of July 30, 2025

CMS update of March 26, 2025

CMS update of February 26, 2025

CMS update of October 30, 2024

CMS update of July 31, 2024

CMS update of May 29, 2024

CMS update of April 25, 2024

Health inspection on February 27, 2024

Fire safety inspection on February 27, 2024

CMS update of January 31, 2024

Health inspection on October 5, 2023

Health inspection on November 17, 2022

Fire safety inspection on November 17, 2022

CMS star ratings

Facts from CMS

Owners and managers

Questions

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