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CASTLE PEAK SENIOR LIFE AND REHABILITATION

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CASTLE PEAK SENIOR LIFE AND REHABILITATION is a non profit - other facility in EAGLE, CO with 44 certified beds and a 5-star overall CMS rating. The facility has 18 deficiency records on file. Total penalties: $10K.

195 FREESTONE RD, EAGLE, CO 81631

Phone: 9709892500

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
065420
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
44
Residents
39
In Hospital
No
County
Eagle
Last Inspection
Sep 19, 2024

Staffing Data

RN Hours
1.64 (nat'l avg: 0.68)
LPN Hours
0.43
CNA Hours
3.10
Total Nursing Hours
5.17 (nat'l avg: 3.89)
PT Hours
0.12
Nursing Turnover
47.3%
RN Turnover
28.6%

What the CMS Record Reveals About CASTLE PEAK SENIOR LIFE AND REHABILITATION

CASTLE PEAK SENIOR LIFE AND REHABILITATION operates 44 certified beds in EAGLE, CO with approximately 39 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 18 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $10K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 5.17 total nursing hours per resident day (national average 3.89), with RN coverage at 1.64 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, CASTLE PEAK SENIOR LIFE AND REHABILITATION falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 47.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (18 most recent)

D — Isolated - Minimal harm Aug 20, 2025 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

Corrected: Sep 16, 2025

D — Isolated - Minimal harm Jun 18, 2025 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 17, 2025

D — Isolated - Minimal harm Sep 19, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 17, 2024

D — Isolated - Minimal harm Sep 19, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 17, 2024

G — Isolated - Actual harm Sep 19, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 17, 2024

D — Isolated - Minimal harm Sep 19, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 17, 2024

D — Isolated - Minimal harm Sep 19, 2024 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 17, 2024

D — Isolated - Minimal harm Mar 16, 2023 Tag: 0744

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 17, 2023

D — Isolated - Minimal harm Mar 16, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 17, 2023

G — Isolated - Actual harm Dec 2, 2021 Tag: 0742

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 19, 2022

D — Isolated - Minimal harm Dec 2, 2021 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 19, 2022

G — Isolated - Actual harm Dec 2, 2021 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 19, 2022

D — Isolated - Minimal harm Dec 2, 2021 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 19, 2022

D — Isolated - Minimal harm Dec 2, 2021 Tag: 0676

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 19, 2022

D — Isolated - Minimal harm Dec 2, 2021 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 19, 2022

D — Isolated - Minimal harm Dec 2, 2021 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 19, 2022

D — Isolated - Minimal harm Dec 2, 2021 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 19, 2022

G — Isolated - Actual harm Dec 2, 2021 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 19, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 7.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 94.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 89.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 94.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 9.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.2% Yes

Penalty History 1 penalties totaling $10K

Date Type Amount
Aug 20, 2025 Fine $15K

Frequently Asked Questions

What is the overall CMS rating for CASTLE PEAK SENIOR LIFE AND REHABILITATION?
CASTLE PEAK SENIOR LIFE AND REHABILITATION has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at CASTLE PEAK SENIOR LIFE AND REHABILITATION?
CASTLE PEAK SENIOR LIFE AND REHABILITATION reports 5.17 total nursing hours per resident day (national average: 3.89). RN hours are 1.64 per resident day (national average: 0.68). Nursing staff turnover is 47.3%.
How many beds does CASTLE PEAK SENIOR LIFE AND REHABILITATION have?
CASTLE PEAK SENIOR LIFE AND REHABILITATION has 44 certified beds with approximately 39 residents. The facility is located at 195 FREESTONE RD, EAGLE, CO 81631.
Does CASTLE PEAK SENIOR LIFE AND REHABILITATION have any deficiencies on record?
Yes, CASTLE PEAK SENIOR LIFE AND REHABILITATION has 18 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has CASTLE PEAK SENIOR LIFE AND REHABILITATION received any fines or penalties?
Yes, CASTLE PEAK SENIOR LIFE AND REHABILITATION has received 1 penalties totaling $10K.
Who owns CASTLE PEAK SENIOR LIFE AND REHABILITATION?
CASTLE PEAK SENIOR LIFE AND REHABILITATION is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was CASTLE PEAK SENIOR LIFE AND REHABILITATION last inspected?
The most recent health inspection for CASTLE PEAK SENIOR LIFE AND REHABILITATION was on Sep 19, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for CASTLE PEAK SENIOR LIFE AND REHABILITATION?
CASTLE PEAK SENIOR LIFE AND REHABILITATION is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial