The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
BEAR CREEK SENIOR LIVING
COLORADO SPRINGS, CO · Medicare-certified · 45 beds
Needs attention
For-profit
4 of 5 overall
4 out of 5 stars overall, with 4-star health inspection and staffing ratings and 3-star quality measures. It reports 3.36 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has a recent federal penalty with $6,614 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.362 hrs/resident/day
Quality measures
Last inspection: February 11, 2026Penalties, last 24 months: $6,614recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.362.
Staffing detail
- Registered nurses
- 1.23
- Licensed practical nurses
- 0.31
- Nurse aides
- 1.82
- Weekend nursing
- 2.98
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 39%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.1%Steady
Residents with a fall causing major injury
9.4%Worsening
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
1.1%Improving
Residents who lost too much weight
6.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
25%Improving
Residents whose ability to walk got worse
9.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
14.5%Improving
Short-stay residents newly given an antipsychotic
2.2%Improving
Residents with a long-term catheter
2%Improving
Residents with new or worsening incontinence
26.3%Improving
Residents with depressive symptoms
3.5%Worsening
Long-stay residents given the seasonal flu vaccine
88.9%Steady
Long-stay residents given the pneumonia vaccine
74%Improving
Short-stay residents given the seasonal flu vaccine
25.6%Steady
Short-stay residents given the pneumonia vaccine
41.8%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to ensure residents were free from significant medication errors. Cited May 2024 — limited pattern, potential for harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2023 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $6,614 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $6,614 in total fines.
- $6,614
Federal fine
Jan 30, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 36.5 residents on an average day (81% of 45 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.