Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Center At Centennial, The during CMS and state inspections, most recent first.
The facility failed to implement an effective antibiotic stewardship program, leading to inappropriate antibiotic use for two residents. One resident received an ineffective antibiotic due to premature administration before sensitivity results, while another was prescribed multiple antibiotics without meeting criteria. Staff interviews confirmed non-adherence to established protocols.
A resident with a history of traumatic brain injury and other medical conditions fell from a hoyer lift during a transfer, resulting in a head injury and ankle trauma. The facility failed to identify the root cause of the fall, conduct staff re-education, or review transfer techniques, despite the serious nature of the incident. The CNAs involved had completed skills competency checklists, but no further training was provided following the event.
Two residents in an LTC facility experienced significant medication administration delays, with one resident's anti-anxiety medication and another's pain medication not given within the allowed time frame. The facility's policy allowed a one-hour window for administration, but delays ranged from 7 minutes to over an hour. Staff interviews revealed that unforeseen circumstances and staffing issues contributed to these delays.
Failure to Implement Antibiotic Stewardship Program
Penalty
Summary
The facility failed to implement an effective antibiotic stewardship program, as evidenced by the inappropriate administration of antibiotics to two residents. For Resident #25, the facility did not wait for the urinalysis sensitivity report before starting an antibiotic treatment. The initial antibiotic prescribed, Keflex, was ineffective against one of the microorganisms present in the resident's urine, necessitating a second antibiotic, Bactrim, to effectively treat the infection. This oversight occurred because the facility did not adhere to its policy of waiting for culture and sensitivity results before administering antibiotics. Resident #31 was similarly affected by the facility's failure to follow established protocols. The resident was prescribed Amoxicillin for a suspected urinary tract infection without meeting the McGeer criteria for antibiotic use. Despite the absence of symptoms that met the criteria, the resident was started on antibiotics, and subsequently, two additional antibiotics were prescribed before the sensitivity results were obtained. This resulted in the resident receiving three different antibiotics unnecessarily. Interviews with staff, including the infection preventionist and the director of nursing, revealed that the facility's protocol was not followed. The infection preventionist acknowledged that the McGeer criteria were not adhered to in the cases of both residents, leading to inappropriate antibiotic use. The director of nursing confirmed that starting antibiotics before receiving culture and sensitivity results was against the facility's antibiotic stewardship program.
Inadequate Supervision and Transfer Procedures Lead to Resident Injury
Penalty
Summary
The facility failed to ensure adequate supervision and services to prevent an accident involving a resident who was dependent on staff for transfers. The resident, who had a history of traumatic subdural hemorrhage, muscle weakness, aphasia, hemiplegia, Parkinson's disease, and a history of falling, was being transferred using a hoyer lift by two CNAs. During the transfer, the resident fell from the lift, striking his head, which resulted in a large posterior scalp hematoma and left ankle trauma. The incident occurred despite the facility's policy and procedures for mechanical lifts, which were not adequately followed or reviewed with the staff involved. The facility's investigation into the fall revealed that the CNAs involved had completed skills competency checklists for mechanical lifts earlier in the year, but no re-education or review of transfer techniques was conducted following the incident. The CNAs reported that the sling appeared to be properly placed, yet the resident slipped through the middle of the sling during the transfer. The facility did not identify the root cause of the fall or provide additional training to the CNAs involved, despite the serious nature of the incident. Interviews with the DON and the CNAs indicated that the facility considered the fall to be an isolated event and did not see the need for further training or corrective action. The DON stated that the hoyer lift sling was placed correctly according to staff, and no further re-education was provided as the CNAs were deemed competent. However, the lack of a thorough investigation and failure to address potential procedural errors contributed to the deficiency in providing a safe environment for the resident.
Medication Administration Delays in LTC Facility
Penalty
Summary
The facility failed to ensure that residents were kept free from significant medication errors, specifically for two residents who did not receive their medications as scheduled according to physician's orders. The facility's policy allowed for a one-hour window for medication administration, but this was not adhered to in several instances. Resident #2, who was moderately cognitively impaired and dependent for all activities of daily living, had multiple instances where his anti-anxiety medication, Alprazolam, was administered beyond the allowed time frame. This occurred on several dates in July 2024, with delays ranging from 7 minutes to over an hour past the acceptable window. Resident #3, who was cognitively intact and required pain management for conditions including lung cancer, experienced delays in receiving her morphine sulfate medication. These delays were documented in June 2024, with administration times exceeding the one-hour window on multiple occasions. The resident reported experiencing significant pain due to these delays, which interfered with her daily activities. The facility's records corroborated her account, showing high pain ratings at times when her medication was administered late. Interviews with facility staff, including an LPN and the DON, revealed that medication administration was divided among nurses, with a system in place to alert them one hour before medications were due. Despite this, unforeseen circumstances and staffing issues were cited as reasons for the delays. The DON acknowledged that medications, especially pain medications, needed to be administered as scheduled, and noted that a nurse responsible for one of the delays had been overwhelmed during the shift.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 105 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Colorado Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Healthcare Resort Of Colorado Springs | 0.8 mi | ★★★★★ | 0 | 0 |
| Springs Village Care Center | 1.5 mi | ★★★★★ | 1 | 0 |
| Gardens, The | 2.4 mi | ★★★★★ | 12 | 0 |
| Sundance Skilled Nursing And Rehabilitation | 2.7 mi | ★★★★★ | 22 | 1 |
| Colonial Rehabilitation And Nursing, Llc | 2.8 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.