The home failed to provide safe and appropriate breathing care when a resident needed it. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: J
Nursing home report
SOUTH PLATTE REHABILITATION AND NURSING LLC
BRUSH, CO · Medicare-certified · 78 beds
Needs attention
For-profitChain member
1 of 5 overall
SOUTH PLATTE REHABILITATION AND NURSING LLC in Brush, CO has an overall rating of 1 out of 5 stars, with 1-star staffing and 2-star health inspection and quality scores. Reported nurse staffing is 2.93 hours per resident per day versus the federal benchmark of 4.1, and it had $49,843 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.9277 hrs/resident/day
Quality measures
Last inspection: October 15, 2025Penalties, last 24 months: $49,843recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9277.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.60
- Nurse aides
- 1.92
- Weekend nursing
- 2.64
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 86%
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
44.8%39.4%Improving
Residents with a fall causing major injury
4.4%2.3%Improving
Residents with pressure ulcers (bedsores)
5.6%0%Improving
Residents with a urinary tract infection
2.4%2.3%No change
Residents who lost too much weight
10%2.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
36.6%39%Worsening
Residents whose ability to walk got worse
15%4.3%Improving
Long-stay residents on antianxiety or sleep medication
0%14.3%Worsening
Short-stay residents newly given an antipsychotic
—1.9%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.6%31.3%Worsening
Residents with depressive symptoms
17.5%20%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
—95.9%—
Long-stay residents given the pneumonia vaccine
100%95.3%Worsening
Short-stay residents given the seasonal flu vaccine
—77.4%—
Short-stay residents given the pneumonia vaccine
80.6%82.1%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 742 — 42 CFR §483.40 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide care by qualified staff as directed in each resident’s care plan. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 659 — 42 CFR §483.21 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $38,880 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,963 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $49,843 in total fines.
- $38,880
Federal fine
Oct 15, 2025
- $10,963
Federal fine
Jan 7, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS · 18 homes · 1.8 stars avg
- Occupancy
- 49 residents on an average day (63% of 78 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 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.