Falcon Heights Rehabilitation and Nursing LLC
1795 Monterey Rd, Colorado Springs, CO 80910 · El Paso County · 107 certified beds · avg 89 residents/day · certified since Jul 1, 1982
Abuse citation flag (CMS)
Part of chain: THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS (19 facilities, chain avg rating 1.7★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, facility-wide · Nov 18, 2021 · F-0886
The facility did not perform required COVID-19 testing on residents and staff.
Why it matters: Without testing, COVID-19 can spread silently through a facility full of high-risk residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Dec 18, 2021 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 31, 2024 · F-0550
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Why it matters: Being treated without dignity harms a resident's self-worth, mental health, and overall quality of life.
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: Aug 28, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 18, 2021 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Dec 18, 2021 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 18, 2021 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Dec 18, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (36)
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 25, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 3, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 24, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 24, 2024 | 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 |
| Jul 31, 2024 | ▲ G · Actual harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 31, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 31, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 31, 2024 | E · Potential for harm, repeated | The facility did not honor a resident's right to choose their own attending doctor. Residents get to decide which physician oversees their care. · from a complaint |
| Jul 31, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 31, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 31, 2024 | 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. |
| Jul 31, 2024 | E · Potential for harm, repeated | 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. |
| Jul 31, 2024 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
| Jul 31, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jul 31, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 31, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jul 31, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 31, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jul 31, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 22, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 18, 2021 | ▲ L · Immediate jeopardy, facility-wide | The facility did not perform required COVID-19 testing on residents and staff. |
| Nov 18, 2021 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Nov 18, 2021 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Nov 18, 2021 | F · Potential for harm, facility-wide | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. |
| Nov 18, 2021 | F · Potential for harm, facility-wide | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Nov 18, 2021 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 18, 2021 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Nov 18, 2021 | 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. |
| Nov 18, 2021 | E · Potential for harm, repeated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Nov 18, 2021 | E · Potential for harm, repeated | 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. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 15).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 15 | 3 | L ▲ |
| 2023 | 1 | 0 | D |
| 2024 | 17 | 1 | G ▲ |
| 2025 | 2 | 0 | D |
| 2026 | 1 | 0 | D |
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 $6,146.
| Date | Type | Amount / length |
|---|---|---|
| Sep 24, 2024 | Fine | $6,146 |
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) | 2.86 | 3.89 | 3.95 | bottom 7% in Colorado; bottom 9% in the U.S. |
| Registered Nurse hours | 0.49 | 0.86 | 0.69 | bottom 10% in Colorado; bottom 36% in the U.S. |
| Weekend total nurse staffing | 2.49 | 3.44 | 3.50 | bottom 7% in Colorado; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.61 | 0.48 | bottom 29% in Colorado; top 43% in the U.S. |
| Total nursing staff turnover (%) | 47.9 | 47.1 | 45.8 | bottom 47% in Colorado; bottom 42% in the U.S. |
| RN turnover (%) | 58.8 | 44.6 | 42.9 | bottom 20% in Colorado; bottom 23% 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 3.05, RN 0.52, weekend 2.66. Staffing rating: 1/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Charly Bello Family Limited Partnership | Organization | Direct Ownership Interest | NOT APPLICABLE | 09/01/2024 |
| Mahrt, David | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2024 |
| Maze Family Limited Partnership | Organization | Direct Ownership Interest | NOT APPLICABLE | 09/01/2024 |
| Myers, Katie | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2024 |
| Myers, Walter | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2024 |
| Swain, Holly | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2024 |
| Swain, Jared | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2024 |
| Abbott, Ian | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Cottonwood Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Holmes, Carolyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Holmes, Carolyn | Individual | ADP of the SNF | NOT APPLICABLE | 04/17/2025 |
| Reddy, Vikas | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
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 current policy for testing residents and staff when someone shows symptoms or there's an outbreak?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If my family member is hospitalized, what is your bed-hold policy and what guarantees their right to return?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "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 |
|---|---|---|---|---|---|
| Fountain View Rehabilitation and Nursing LLC | 0.8 mi | Colorado Springs, CO | ★★★☆☆ | 3/5 | |
| Life Care Center of Colorado Springs | 1.6 mi | Colorado Springs, CO | ★★★★★ | 4/5 | |
| Advanced Health Care of Colorado Springs | 1.7 mi | Colorado Springs, CO | ★★★★★ | 5/5 | |
| Mountain View Post Acute | 1.8 mi | Colorado Springs, CO | ★★☆☆☆ | 1/5 | abuse |
| Medallion Post Acute Rehabilitation | 2.3 mi | Colorado Springs, CO | ★☆☆☆☆ | 1/5 | |
| Sunny Vista Living Center | 2.7 mi | Colorado Springs, CO | ★★★☆☆ | 3/5 | |
| Kiowa Hills Rehabilitation and Nursing, LLC | 3.9 mi | Colorado Springs, CO | ★☆☆☆☆ | 1/5 | |
| Pikes Peak Post Acute | 4.5 mi | Colorado Springs, CO | ★☆☆☆☆ | 1/5 | abuse |
| Colonial Rehabilitation and Nursing, LLC | 4.8 mi | Colorado Springs, CO | ★☆☆☆☆ | 2/5 | abuse |
| Bear Creek Senior Living | 4.8 mi | Colorado Springs, CO | ★★★★☆ | 4/5 | |
| Springs Village Care Center | 5.0 mi | Colorado Springs, CO | ★★☆☆☆ | 2/5 | |
| Brookdale Skyline | 5.2 mi | Colorado Springs, CO | ★★★★★ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 065168.