Bear Creek Senior Living

Name: Bear Creek Senior Living
Address: 1685 S 21ST ST, Colorado Springs, CO, 80904, US
Telephone: 7193291774

1685 S 21st St, Colorado Springs, CO 80904 · El Paso County · 45 certified beds · avg 36 residents/day · certified since Dec 2, 1999

4/5

Health inspection rating (on-site)

Serious findings on record

$6,614

Fines, last 3 years

3.21

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jan 26, 2023 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 21, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 11, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 30, 2025	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
Jan 30, 2025	D · Potential for harm, one-off	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint
May 6, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 6, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 6, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 6, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jan 26, 2023	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 26, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 26, 2023	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 1).

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	1	G ▲
2024	4	0	F
2025	2	0	D
2026	1	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $6,614.

Date	Type	Amount / length
Jan 30, 2025	Fine	$6,614

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Colorado avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.21	3.89	3.95	bottom 17% in Colorado; bottom 22% in the U.S.
Registered Nurse hours	1.20	0.86	0.69	top 17% in Colorado; top 10% in the U.S.
Weekend total nurse staffing	2.78	3.44	3.50	bottom 16% in Colorado; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.75	0.61	0.48	top 27% in Colorado; top 14% in the U.S.
Total nursing staff turnover (%)	33.3	47.1	45.8	top 17% in Colorado; top 20% in the U.S.
RN turnover (%)	23.1	44.6	42.9	top 13% in Colorado; top 18% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.26, RN 1.22, weekend 2.83. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company · changed ownership in the last 12 months

Owner / manager	Type	Role	Stake	Since
Stellar X, LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/14/2025
Benton, Adam	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2025
Benton, Adam	Individual	ADP of the SNF	NOT APPLICABLE	11/14/2025
Benton, Evrett	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2025
Benton, Evrett	Individual	ADP of the SNF	NOT APPLICABLE	11/14/2025
Colorado Springs Management, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/14/2025
Colorado Springs Management, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/18/2025
Forbright Bank	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	11/14/2025
Forbright Bank	Organization	Operational/Managerial Control	NOT APPLICABLE	11/14/2025
Forbright Bank	Organization	ADP of the SNF	NOT APPLICABLE	11/18/2025
Henderson, Ray	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2025
Henderson, Ray	Individual	ADP of the SNF	NOT APPLICABLE	11/14/2025
Schultz, Kari	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2025
Schultz, Kari	Individual	ADP of the SNF	NOT APPLICABLE	11/14/2025
Stellar X, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/14/2025
Stellar X, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/03/2025
Swanson, Christine	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2025
Swanson, Christine	Individual	ADP of the SNF	NOT APPLICABLE	11/14/2025
York, Heather	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2025
York, Heather	Individual	ADP of the SNF	NOT APPLICABLE	11/14/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Brookdale Skyline	0.7 mi	Colorado Springs, CO	★★★★★	3/5
Sundance Skilled Nursing and Rehabilitation	0.9 mi	Colorado Springs, CO	★★☆☆☆	2/5
Kiowa Hills Rehabilitation and Nursing, LLC	1.1 mi	Colorado Springs, CO	★☆☆☆☆	1/5
Gardens, the	1.8 mi	Colorado Springs, CO	★★★★★	5/5
The Healthcare Resort of Colorado Springs	2.5 mi	Colorado Springs, CO	★★★☆☆	2/5
Springs Village Care Center	2.6 mi	Colorado Springs, CO	★★☆☆☆	2/5
Medallion Post Acute Rehabilitation	3.2 mi	Colorado Springs, CO	★☆☆☆☆	1/5
Center at Centennial, the	3.2 mi	Colorado Springs, CO	★★★★★	4/5
Mountain View Post Acute	4.0 mi	Colorado Springs, CO	★★☆☆☆	1/5	abuse
Colonial Rehabilitation and Nursing, LLC	4.1 mi	Colorado Springs, CO	★☆☆☆☆	2/5	abuse
Sunny Vista Living Center	4.3 mi	Colorado Springs, CO	★★★☆☆	3/5
Advanced Health Care of Colorado Springs	4.3 mi	Colorado Springs, CO	★★★★★	5/5

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Facility data as of CMS processing date 2026-08-01. CCN 065373.

The Care File

Visit checklist — Bear Creek Senior Living

1685 S 21st St, Colorado Springs, CO 80904 · 7193291774

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $6,614

Most serious findings on record:

▲ Jan 26, 2023 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 065373 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)