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GARDENS, THE

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GARDENS, THE is a for profit - limited liability company facility in COLORADO SPRINGS, CO with 45 certified beds and a 5-star overall CMS rating. The facility has 3 deficiency records on file.

104 LOIS LN, COLORADO SPRINGS, CO 80904

Phone: 7196352569

Overall Rating

5/5

Health Inspection

5/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
065198
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
45
Residents
44
In Hospital
No
County
El Paso
Last Inspection
Dec 11, 2025

Staffing Data

RN Hours
0.79 (nat'l avg: 0.68)
LPN Hours
0.30
CNA Hours
1.82
Total Nursing Hours
2.91 (nat'l avg: 3.89)
PT Hours
0.10
Nursing Turnover
58.3%
RN Turnover
70.0%

What the CMS Record Reveals About GARDENS, THE

GARDENS, THE operates 45 certified beds in COLORADO SPRINGS, CO with approximately 44 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 (5★), staffing levels (3★), 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 3 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 2.91 total nursing hours per resident day (national average 3.89), with RN coverage at 0.79 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, GARDENS, THE 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 58.3%, above the level where continuity of care typically begins to suffer. 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 (3 most recent)

E — Pattern - Minimal harm Dec 11, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 28, 2025

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 26, 2023

D — Isolated - Minimal harm Aug 17, 2022 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: Sep 9, 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 12.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 1.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 7.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 85.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.1% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for GARDENS, THE?
GARDENS, THE has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at GARDENS, THE?
GARDENS, THE reports 2.91 total nursing hours per resident day (national average: 3.89). RN hours are 0.79 per resident day (national average: 0.68). Nursing staff turnover is 58.3%.
How many beds does GARDENS, THE have?
GARDENS, THE has 45 certified beds with approximately 44 residents. The facility is located at 104 LOIS LN, COLORADO SPRINGS, CO 80904.
Does GARDENS, THE have any deficiencies on record?
Yes, GARDENS, THE has 3 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has GARDENS, THE received any fines or penalties?
No, GARDENS, THE has no fines or penalties on record.
Who owns GARDENS, THE?
GARDENS, THE is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was GARDENS, THE last inspected?
The most recent health inspection for GARDENS, THE was on Dec 11, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for GARDENS, THE?
GARDENS, THE 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