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SPRINGS VILLAGE CARE CENTER

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SPRINGS VILLAGE CARE CENTER is a for profit - limited liability company facility in COLORADO SPRINGS, CO with 91 certified beds and a 2-star overall CMS rating. The facility has 37 deficiency records on file. Total penalties: $27K.

110 W VAN BUREN ST, COLORADO SPRINGS, CO 80907

Phone: 7194758686

Overall Rating

2/5

Health Inspection

2/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
065247
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
91
Residents
86
In Hospital
No
County
El Paso
Last Inspection
May 15, 2025

Staffing Data

RN Hours
0.68 (nat'l avg: 0.68)
LPN Hours
0.68
CNA Hours
1.79
Total Nursing Hours
3.15 (nat'l avg: 3.89)
PT Hours
0.11
Nursing Turnover
57.6%
RN Turnover
41.2%

What the CMS Record Reveals About SPRINGS VILLAGE CARE CENTER

SPRINGS VILLAGE CARE CENTER operates 91 certified beds in COLORADO SPRINGS, CO with approximately 86 residents currently in care, and carries a CMS overall rating of 2 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 (2★), 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 37 deficiency records from recent surveys, of which 3 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 $27K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.15 total nursing hours per resident day (national average 3.89), with RN coverage at 0.68 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, SPRINGS VILLAGE 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 57.6%, 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 (37 most recent)

E — Pattern - Minimal harm May 15, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 14, 2025

D — Isolated - Minimal harm May 15, 2025 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: Jun 14, 2025

D — Isolated - Minimal harm May 15, 2025 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: Jun 14, 2025

D — Isolated - Minimal harm May 15, 2025 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: Jun 14, 2025

D — Isolated - Minimal harm May 15, 2025 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: Jun 14, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 14, 2025

E — Pattern - Minimal harm May 15, 2025 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Jun 14, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Jun 14, 2025

D — Isolated - Minimal harm May 15, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jun 14, 2025

D — Isolated - Minimal harm Feb 10, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 19, 2025

D — Isolated - Minimal harm Feb 10, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 19, 2025

D — Isolated - Minimal harm Feb 10, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 19, 2025

D — Isolated - Minimal harm Feb 10, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 19, 2025

D — Isolated - Minimal harm Feb 10, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 19, 2025

D — Isolated - Minimal harm Apr 8, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 22, 2024

D — Isolated - Minimal harm Apr 8, 2024 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: May 22, 2024

D — Isolated - Minimal harm Feb 6, 2024 Tag: 0626

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Category: Resident Rights Deficiencies

Corrected: Feb 21, 2024

D — Isolated - Minimal harm Feb 6, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Feb 21, 2024

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 19, 2023

F — Widespread - Minimal harm Sep 14, 2023 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: Oct 19, 2023

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0807

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 19, 2023

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 19, 2023

E — Pattern - Minimal harm Sep 14, 2023 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: Oct 19, 2023

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 19, 2023

E — Pattern - Minimal harm Sep 14, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Oct 19, 2023

G — Isolated - Actual harm Sep 14, 2023 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 19, 2023

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 19, 2023

G — Isolated - Actual harm Sep 14, 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: Oct 19, 2023

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 19, 2023

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 19, 2023

D — Isolated - Minimal harm Sep 14, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 19, 2023

E — Pattern - Minimal harm Sep 14, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 19, 2023

E — Pattern - Minimal harm Sep 14, 2023 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Oct 19, 2023

G — Isolated - Actual harm Sep 14, 2023 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, 2023

D — Isolated - Minimal harm Mar 8, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 17, 2023

E — Pattern - Minimal harm Mar 8, 2023 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Apr 13, 2023

E — Pattern - Minimal harm Mar 8, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 13, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.6% 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 1.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 90.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 76.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 65.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 20.6% Yes

Penalty History 1 penalties totaling $27K

Date Type Amount
Sep 14, 2023 Fine $27K
Sep 14, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for SPRINGS VILLAGE CARE CENTER?
SPRINGS VILLAGE CARE CENTER has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at SPRINGS VILLAGE CARE CENTER?
SPRINGS VILLAGE CARE CENTER reports 3.15 total nursing hours per resident day (national average: 3.89). RN hours are 0.68 per resident day (national average: 0.68). Nursing staff turnover is 57.6%.
How many beds does SPRINGS VILLAGE CARE CENTER have?
SPRINGS VILLAGE CARE CENTER has 91 certified beds with approximately 86 residents. The facility is located at 110 W VAN BUREN ST, COLORADO SPRINGS, CO 80907.
Does SPRINGS VILLAGE CARE CENTER have any deficiencies on record?
Yes, SPRINGS VILLAGE CARE CENTER has 37 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has SPRINGS VILLAGE CARE CENTER received any fines or penalties?
Yes, SPRINGS VILLAGE CARE CENTER has received 1 penalties totaling $27K.
Who owns SPRINGS VILLAGE CARE CENTER?
SPRINGS VILLAGE CARE CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was SPRINGS VILLAGE CARE CENTER last inspected?
The most recent health inspection for SPRINGS VILLAGE CARE CENTER was on May 15, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for SPRINGS VILLAGE CARE CENTER?
SPRINGS VILLAGE 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