The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
Nursing home report
GRACE MANOR CARE CENTER
BURLINGTON, CO · Medicare-certified · 31 beds
In good standing
For-profitChain member
4 of 5 overall
Grace Manor Care Center in Burlington, CO has an overall rating of 4 out of 5 stars. Its health inspection rating is 5 stars, but staffing is lower than the federal benchmark (3.40 vs. 4.1 hours per resident per day) and quality measures are low at 1 star; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.398 hrs/resident/day
Quality measures
Last inspection: April 11, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.398.
Staffing detail
- Registered nurses
- 0.82
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.16
- Weekend nursing
- 2.67
Hours per resident per day.
Total staff turnover: 48%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
30%28.6%Improving
Residents with a fall causing major injury
3.7%7.7%Worsening
Residents with pressure ulcers (bedsores)
8.6%8.2%No change
Residents with a urinary tract infection
0%4.3%Worsening
Residents who lost too much weight
8%8.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
39.1%23.8%Improving
Residents whose ability to walk got worse
—18.8%—
Long-stay residents on antianxiety or sleep medication
11.1%19.2%Worsening
Short-stay residents newly given an antipsychotic
—7.4%—
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
63.6%19.5%Improving
Residents with depressive symptoms
9.1%4.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—96.6%—
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
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 January 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to have and follow a policy for how food brought in by family and visitors should be used and stored safely. Cited September 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 813 — 42 CFR §483.60 — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of FRONTLINE MANAGEMENT · 9 homes · 3.3 stars avg
- Occupancy
- 26.6 residents on an average day (86% of 31 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
The most recent standard health inspection was more than two years ago.
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.