Liberty Heights
12205 Gunstock Dr, Colorado Springs, CO 80921 · El Paso County · 42 certified beds · avg 37 residents/day · certified since Oct 15, 1992
Part of chain: SENIOR LIFESTYLE (4 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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)
▲ Immediate jeopardy, one-off · Jan 7, 2026 · F-0805 · triggered by a complaint
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 26, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Apr 15, 2026 | D · Potential for 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. · from a complaint |
| Apr 15, 2026 | 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. · from a complaint |
| Jan 7, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint |
| Jul 16, 2025 | 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 16, 2025 | 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. |
| Jul 16, 2025 | E · Potential for harm, repeated | 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 16, 2025 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jul 16, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jul 16, 2025 | 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 16, 2025 | 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 16, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jul 16, 2025 | D · Potential for harm, one-off | 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. |
| Jul 16, 2025 | D · Potential for harm, one-off | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. |
| Sep 13, 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. |
| Sep 13, 2023 | D · Potential for 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. |
| Dec 19, 2019 | D · Potential for 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2023 | 2 | 0 | D |
| 2025 | 10 | 0 | F |
| 2026 | 3 | 1 | J ▲ |
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 $25,373.
| Date | Type | Amount / length |
|---|---|---|
| Jan 7, 2026 | Fine | $25,373 |
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) | 4.67 | 3.89 | 3.95 | top 16% in Colorado; top 19% in the U.S. |
| Registered Nurse hours | 1.33 | 0.86 | 0.69 | top 10% in Colorado; top 7% in the U.S. |
| Weekend total nurse staffing | 4.23 | 3.44 | 3.50 | top 14% in Colorado; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.81 | 0.61 | 0.48 | top 19% in Colorado; top 11% in the U.S. |
| Total nursing staff turnover (%) | 23.4 | 47.1 | 45.8 | top 3% in Colorado; top 5% in the U.S. |
| RN turnover (%) | 0.0 | 44.6 | 42.9 | top 1% in Colorado; top 1% 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 4.48, RN 1.28, weekend 4.06. Staffing rating: 5/5.
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: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Blackrock, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2023 |
| CCRC Ops MB1-T LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/03/2014 |
| J.P. Morgan Investment Management, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2023 |
| Ventas Ms, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2023 |
| Ventas SSL, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2023 |
| Ventas, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2023 |
| VTR Shi TRS, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2023 |
| VTR Shi Venture, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2023 |
| Baker, Dana | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2023 |
| Cummings, Christian | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2023 |
| Fry, Brian | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2023 |
| Minuhin, Tammy | Individual | Contracted Managing Employee | NOT APPLICABLE | 12/14/2015 |
| SL Liberty Heights LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2014 |
| Smith, Michael | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2023 |
| Wood, Brian | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 |
|---|---|---|---|---|---|
| The Center at Cordera | 4.5 mi | Colorado Springs, CO | ★★★★☆ | 3/5 | |
| Mount St Francis Nursing Center | 6.4 mi | Colorado Springs, CO | ★★☆☆☆ | 2/5 | abuse |
| Center at Centennial, the | 9.1 mi | Colorado Springs, CO | ★★★★★ | 4/5 | |
| Colonial Rehabilitation and Nursing, LLC | 9.3 mi | Colorado Springs, CO | ★☆☆☆☆ | 2/5 | abuse |
| Pikes Peak Post Acute | 9.5 mi | Colorado Springs, CO | ★☆☆☆☆ | 1/5 | abuse |
| Springs Village Care Center | 9.9 mi | Colorado Springs, CO | ★★☆☆☆ | 2/5 | |
| The Healthcare Resort of Colorado Springs | 9.9 mi | Colorado Springs, CO | ★★★☆☆ | 2/5 | |
| Sunny Vista Living Center | 11.3 mi | Colorado Springs, CO | ★★★☆☆ | 3/5 | |
| Gardens, the | 11.3 mi | Colorado Springs, CO | ★★★★★ | 5/5 | |
| Sundance Skilled Nursing and Rehabilitation | 11.8 mi | Colorado Springs, CO | ★★☆☆☆ | 2/5 | |
| Medallion Post Acute Rehabilitation | 11.9 mi | Colorado Springs, CO | ★☆☆☆☆ | 1/5 | |
| Kiowa Hills Rehabilitation and Nursing, LLC | 12.1 mi | Colorado Springs, CO | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
All facilities in Colorado Springs →
Facility data as of CMS processing date 2026-08-01. CCN 065305.