The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
MOUNTAIN VIEW POST ACUTE
COLORADO SPRINGS, CO · Medicare-certified · 180 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
MOUNTAIN VIEW POST ACUTE (Colorado Springs, CO) has an overall rating of 2 out of 5 stars. It has a 1-star health inspection rating, 3-star staffing, and 5-star quality measures, with reported nurse staffing of 3.33 hours per resident per day versus the federal benchmark of 4.1; there were no fines in the last 24 months, but there is a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.3304 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3304.
Staffing detail
- Registered nurses
- 0.69
- Licensed practical nurses
- 0.61
- Nurse aides
- 2.03
- Weekend nursing
- 2.98
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 46%
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
19.1%18.3%Improving
Residents with a fall causing major injury
1.5%0.7%Improving
Residents with pressure ulcers (bedsores)
2.5%3.1%Worsening
Residents with a urinary tract infection
0.8%3.4%Worsening
Residents who lost too much weight
2.7%1.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.4%8.9%Worsening
Residents whose ability to walk got worse
25%24%Improving
Long-stay residents on antianxiety or sleep medication
9.5%5.5%Improving
Short-stay residents newly given an antipsychotic
2.9%0%Improving
Residents with a long-term catheter
3.1%0%Improving
Residents with new or worsening incontinence
22.3%25.7%Worsening
Residents with depressive symptoms
0.8%6.7%Worsening
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
—97.2%—
Long-stay residents given the pneumonia vaccine
95.4%98.7%Improving
Short-stay residents given the seasonal flu vaccine
—61.2%—
Short-stay residents given the pneumonia vaccine
45.8%95.4%Improving
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure there was enough outside ventilation in the area, through windows, mechanical systems, or both. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 923 — 42 CFR §483.90 — S/S: F
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 November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $29,224 in total fines.
- $29,224
Federal fine
Nov 16, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 153.6 residents on an average day (85% of 180 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 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.