PlainNursing
CMS Nursing Home Compare · August 2026

Sundance Skilled Nursing and Rehabilitation

2612 W Cucharras St, Colorado Springs, CO 80904

Sundance Skilled Nursing and Rehabilitation, a 68-bed for profit - limited liability company nursing facility in Colorado Springs, CO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #133 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7196327474

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2 / 5
Below average · CMS overall · nat'l 3.0
#133 of 209
In-state rank among rated CO homes
3.11
Well below average · nurse hrs/day · nat'l 3.86
27
Inspection findings · 1 serious

The verdict

Sundance Skilled Nursing and Rehabilitation, a 68-bed for profit - limited liability company nursing facility in Colorado Springs, CO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #133 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#133 of 209
In-state rank among rated CO homes
3.11
Nurse hrs/resident-day · national 3.86
27
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 210 CO nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
065152
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
68
Residents
60
In Hospital
No
County
El Paso
Last Inspection
Feb 26, 2026

Staffing Data

How the 3.11 total nursing hours per resident-day are staffed:

RN Hours
0.97 (nat'l avg: 0.69)
LPN Hours
0.50
CNA Hours
1.64
Total Nursing Hours
3.11 (nat'l avg: 3.86)
PT Hours
0.13
Nursing Turnover
42.9%
RN Turnover
25.0%

What the CMS Record Reveals About Sundance Skilled Nursing and Rehabilitation

According to CMS Nursing Home Compare, Sundance Skilled Nursing and Rehabilitation ranks #133 of 209 rated nursing homes in CO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Sundance Skilled Nursing and Rehabilitation operates 68 certified beds in Colorado Springs, CO with approximately 60 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 4★).

The inspection file contains 27 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $15K levied against this facility. Per resident day, this facility reports 3.11 total nursing hours (national average 3.86) and 0.97 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Sundance Skilled Nursing and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 42.9% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (27 most recent)

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0923

Have enough outside ventilation via a window or mechanical ventilation, or both.

Category: Environmental Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 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: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0565

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

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Feb 26, 2026 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2026

E - Pattern - Minimal harm Feb 26, 2026 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 28, 2026

E - Pattern - Minimal harm Feb 26, 2026 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 28, 2026

E - Pattern - Minimal harm Feb 26, 2026 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: Mar 28, 2026

E - Pattern - Minimal harm Feb 26, 2026 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: Mar 28, 2026

E - Pattern - Minimal harm Feb 26, 2026 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: Mar 28, 2026

J - Isolated - Jeopardy Aug 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

D - Isolated - Minimal harm Feb 27, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 22, 2024

D - Isolated - Minimal harm Oct 5, 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: Nov 13, 2023

D - Isolated - Minimal harm Oct 5, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 1, 2023

D - Isolated - Minimal harm Oct 5, 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: Nov 13, 2023

D - Isolated - Minimal harm Oct 5, 2023 Tag: 0573

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Category: Resident Rights Deficiencies

Corrected: Nov 1, 2023

D - Isolated - Minimal harm Nov 17, 2022 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: Jan 18, 2023

D - Isolated - Minimal harm Nov 17, 2022 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: Dec 27, 2022

E - Pattern - Minimal harm Nov 17, 2022 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: Dec 23, 2022

E - Pattern - Minimal harm Nov 17, 2022 Tag: 0565

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

Category: Resident Rights Deficiencies

Corrected: Dec 23, 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 4.6% Yes
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 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 28.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.1% No
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 assessed and appropriately given the pneumococcal vaccine Long Stay 96.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 6.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 53.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 1 penalties totaling $15K

Date Type Amount
Aug 15, 2025 Fine $15K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Sundance Skilled Nursing and Rehabilitation, both outside CO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Sundance Skilled Nursing and Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The CO registry aggregates state averages and the highest-rated homes in this cohort. View CO registry
  • Peer homes near 68 beds show how CMS stars vary at a similar scale in CO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Sundance Skilled Nursing and Rehabilitation?
Sundance Skilled Nursing and Rehabilitation has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (4★).
Where does Sundance Skilled Nursing and Rehabilitation rank among nursing homes in CO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Sundance Skilled Nursing and Rehabilitation ranks 133rd among 209 rated nursing homes in CO (#133 of 209). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Sundance Skilled Nursing and Rehabilitation?
Sundance Skilled Nursing and Rehabilitation reports 3.11 total nursing hours per resident day (national average: 3.86). RN hours are 0.97 per resident day (national average: 0.69). Nursing staff turnover is 42.9%.
How many beds does Sundance Skilled Nursing and Rehabilitation have?
Sundance Skilled Nursing and Rehabilitation has 68 certified beds with approximately 60 residents. The facility is located at 2612 W Cucharras St, Colorado Springs, CO 80904.
Does Sundance Skilled Nursing and Rehabilitation have any deficiencies on record?
Yes, Sundance Skilled Nursing and Rehabilitation has 27 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Sundance Skilled Nursing and Rehabilitation received any fines or penalties?
Yes, Sundance Skilled Nursing and Rehabilitation has received 1 penalties totaling $15K.
Who owns Sundance Skilled Nursing and Rehabilitation?
Sundance Skilled Nursing and Rehabilitation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Sundance Skilled Nursing and Rehabilitation last inspected?
The most recent health inspection for Sundance Skilled Nursing and Rehabilitation was on Feb 26, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Sundance Skilled Nursing and Rehabilitation?
Sundance Skilled Nursing 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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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