Madison Grove Post Acute
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-08-27 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
4.68
state median 3.94
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.29
registered nurses only
Contract (agency) staff
3%
share of all nursing hours
Nursing staff turnover
32%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $9,110 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-27 | Fine | $9,110 |
| 2025-08-27 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the MADISON CREEK PARTNERS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- PARKWAY HILLS NURSING & REHABILITATION (LA MESA, CA) —
- DINUBA HEALTHCARE (DINUBA, CA) —
- SUNDANCE SKILLED NURSING AND REHABILITATION (COLORADO SPRINGS, CO) —
- Pueblo Heights Nursing and Rehabilitation (PUEBLO, CO) —
- GARDENS, THE (COLORADO SPRINGS, CO) —
- PIONEER HEALTH CARE CENTER (ROCKY FORD, CO) —
- GLENWOOD SPRINGS HEALTHCARE (GLENWOOD SPRINGS, CO) —
- PAONIA CARE AND REHABILITATION CENTER (PAONIA, CO) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-03 | F0925 | Environmental Deficiencies | D | not recorded |
| 2026-02-09 | F0908 | Environmental Deficiencies | E | not recorded |
| 2025-09-17 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-09-17 | F0575 | Resident Rights Deficiencies | E | not recorded |
| 2025-09-17 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-17 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-17 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-17 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-17 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-09-17 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-09-17 | F0921 | Environmental Deficiencies | D | not recorded |
| 2025-08-27 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-03-19 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-28 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-27 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-06-05 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-04-25 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2022-04-25 | F0646 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-04-25 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-04-25 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-04-25 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-04-25 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-04-25 | F0710 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2022-04-25 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2022-04-25 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2021-10-19 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2021-10-19 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2021-10-19 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2021-10-19 | F0640 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2021-10-19 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-10-19 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2021-10-19 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-19 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-19 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-19 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-19 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-10-19 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2021-10-19 | F0814 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2021-10-19 | F0865 | Administration Deficiencies | D | not recorded |
| 2021-10-19 | F0867 | Administration Deficiencies | D | not recorded |
| 2021-10-19 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2021-10-19 | F0921 | Environmental Deficiencies | E | not recorded |