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GRACE MANOR CARE CENTER

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GRACE MANOR CARE CENTER is a for profit - limited liability company facility in BURLINGTON, CO with 31 certified beds and a 4-star overall CMS rating. The facility has 10 deficiency records on file. Total penalties: $2K.

465 5TH ST, BURLINGTON, CO 80807

Phone: 7193467512

Overall Rating

4/5

Health Inspection

5/5

Staffing

2/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
065284
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
31
Residents
29
In Hospital
No
County
Kit Carson
Last Inspection
Apr 11, 2024

Staffing Data

RN Hours
0.77 (nat'l avg: 0.68)
LPN Hours
0.42
CNA Hours
1.51
Total Nursing Hours
2.70 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
53.6%

What the CMS Record Reveals About GRACE MANOR CARE CENTER

GRACE MANOR CARE CENTER operates 31 certified beds in BURLINGTON, CO with approximately 29 residents currently in care, and carries a CMS overall rating of 4 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 (2★), and quality measures (1★). 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 10 deficiency records from recent surveys, of which 2 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 $2K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.70 total nursing hours per resident day (national average 3.89), with RN coverage at 0.77 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, GRACE MANOR CARE CENTER 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 53.6%, 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 (10 most recent)

E — Pattern - Minimal harm Apr 11, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 26, 2024

D — Isolated - Minimal harm Apr 11, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 26, 2024

G — Isolated - Actual harm Apr 19, 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 20, 2023

E — Pattern - Minimal harm Jan 11, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 10, 2023

D — Isolated - Minimal harm Jan 11, 2023 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: Feb 16, 2023

E — Pattern - Minimal harm Sep 16, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 19, 2021

E — Pattern - Minimal harm Sep 16, 2021 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 19, 2021

E — Pattern - Minimal harm Sep 16, 2021 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 19, 2021

D — Isolated - Minimal harm Sep 16, 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: Oct 19, 2021

G — Isolated - Actual harm Sep 16, 2021 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 19, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 29.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.2% 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 4.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.3% 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 4.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 90.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 34.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 9.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 41.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 32.9% Yes

Penalty History 1 penalties totaling $2K

Date Type Amount
Apr 19, 2023 Fine $2K

Frequently Asked Questions

What is the overall CMS rating for GRACE MANOR CARE CENTER?
GRACE MANOR CARE CENTER has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (5★), staffing levels (2★), and quality measures (1★).
What are the staffing levels at GRACE MANOR CARE CENTER?
GRACE MANOR CARE CENTER reports 2.70 total nursing hours per resident day (national average: 3.89). RN hours are 0.77 per resident day (national average: 0.68). Nursing staff turnover is 53.6%.
How many beds does GRACE MANOR CARE CENTER have?
GRACE MANOR CARE CENTER has 31 certified beds with approximately 29 residents. The facility is located at 465 5TH ST, BURLINGTON, CO 80807.
Does GRACE MANOR CARE CENTER have any deficiencies on record?
Yes, GRACE MANOR CARE CENTER has 10 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has GRACE MANOR CARE CENTER received any fines or penalties?
Yes, GRACE MANOR CARE CENTER has received 1 penalties totaling $2K.
Who owns GRACE MANOR CARE CENTER?
GRACE MANOR CARE CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was GRACE MANOR CARE CENTER last inspected?
The most recent health inspection for GRACE MANOR CARE CENTER was on Apr 11, 2024. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for GRACE MANOR CARE CENTER?
GRACE MANOR CARE CENTER 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