Skilled nursing facility · CMS certification number 065415

PIKES PEAK POST ACUTE

COLORADO SPRINGS, Colorado · Medicare and Medicaid

Certified beds, as filed in Care Compare: 210

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$26,340,323	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,973,859	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$19,366,464	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$22,757,538	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,391,074	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,248	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$3,388,826	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,388,826 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	76,860	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,722	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	31,138	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	28,106	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	60,966	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	36	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	110	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	171	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	317	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	283.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	192.32	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433158, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 September 2023 to 31 December 2023 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 8 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$8,713,863	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,907,778	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,806,085	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,524,592	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$718,507	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$131	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$718,376	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$718,376 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,739	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	112	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	246.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	86.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391512, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$24,006,496	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,101,720	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,904,776	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$17,839,285	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,934,509	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,753	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,929,756	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,929,756 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	58,623	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	427	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	244.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	137.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359020, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 November 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$21,767,242	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,899,332	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,867,910	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,427,063	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$559,153	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,883	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$556,270	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$556,270 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	52,937	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	332	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.15	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	312.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	159.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1367949, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$19,950,932	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,942,546	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,008,386	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,497,761	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$489,375	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,138,948	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$649,573	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $649,573 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	51,788	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	347	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.77	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	634.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	149.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332106, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 December 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$20,536,515	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,226,455	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,310,060	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,627,629	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$682,431	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,942	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$684,373	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $684,373 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	53,376	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	338	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	235.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	157.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1306627, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$17,912,412	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,924,548	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,987,864	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,848,280	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$139,584	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,852	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$143,436	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $143,436 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	46,708	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	254	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	250.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	183.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254301, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$17,351,151	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,132,473	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,218,678	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,949,261	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$269,417	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,068	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$285,485	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $285,485 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	44,126	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	271	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	278.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209032, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 June 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$14,693,378	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,240,931	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,452,447	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,201,008	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$251,439	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$25,625	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$277,064	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $277,064 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,352	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	197	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	468.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	199.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1193427, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 9 September 2015 to 31 December 2015 — a reporting period of 113 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$2,828,817	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$200,275	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,628,542	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,960,489	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$331,947	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,693	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$326,254	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$326,254 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	210	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,497	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	52	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	76.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	227.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	201.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141811, read from the public cost report file SNF10FY2015.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
PANTHER MASTER TENANT, LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 09/01/2023
PROVIDENCE GROUP NH, LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	100%	since 09/01/2023
SHEPHERD, DAVID	CONTRACTED MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/01/2022
APT, FREDERICK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
HANCOCK, MARK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
JERGENSEN, JOSHUA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
MITCHELL, JOHN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
CREASON, JONATHAN	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 09/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PIKES PEAK SNF HEALTHCARE LLC (enrollment ID O20231030001058).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
PANTHER MASTER TENANT, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	9/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
JASON H MURRAY	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	41.8	4/15/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK D HANCOCK	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	41.8	4/15/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PACS GROUP, INC.	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	9/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
PACS HOLDINGS, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	9/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
PROVIDENCE GROUP NH, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	9/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
DAVID C SHEPHERD	Individual	CONTRACTED MANAGING EMPLOYEE	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FREDERICK G APT	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN T MITCHELL	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSHUA O JERGENSEN	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK D HANCOCK	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JONATHAN CREASON	Individual	W-2 MANAGING EMPLOYEE	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JONATHAN CREASON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JONATHAN CREASON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 August 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: DAVID C SHEPHERD appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSHUA O JERGENSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 April 2024: SUNBRIDGE HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MICHAEL T BERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MICHAEL T BERG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: STEVEN E FISHMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: ZAC PROPERTIES XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: GENESIS HEALTHCARE INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PEAK MEDICAL LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: STEPHEN S YOUNG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: SUN HEALTHCARE GROUP, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: GENESIS HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: SUNDANCE REHABILITATION HOLDCO INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: FC-GEN OPERATIONS INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: KEITH A NAUSE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: DIANE LOUISE MORRIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: GEN OPERATIONS II, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: GEN OPERATIONS I, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: HCCF MANAGEMENT GROUP XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: JOSEPH MASON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MARK D HANCOCK appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MARK D HANCOCK appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: FREDERICK G APT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PANTHER MASTER TENANT, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: JOHN T MITCHELL appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: JASON H MURRAY appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: JONATHAN CREASON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
17 July 2023: GENESIS HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: SUNBRIDGE HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: ARNOLD M WHITMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
17 July 2023: SUNBRIDGE HEALTHCARE LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv

Recent changes on this record

1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JONATHAN CREASON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN T MITCHELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JASON H MURRAY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JONATHAN CREASON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
8 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 August 2024: JASON H MURRAY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: DAVID C SHEPHERD appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSHUA O JERGENSEN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
12 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 April 2024: SUNBRIDGE HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: WELLTOWER INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MICHAEL T BERG no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MICHAEL T BERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MICHAEL T BERG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: STEVEN E FISHMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: ZAC PROPERTIES XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: GENESIS HEALTHCARE INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PEAK MEDICAL LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: STEPHEN S YOUNG no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: SUN HEALTHCARE GROUP, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: GENESIS HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: SUNDANCE REHABILITATION HOLDCO INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: FC-GEN OPERATIONS INVESTMENT LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: KEITH A NAUSE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: DIANE LOUISE MORRIS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: GEN OPERATIONS II, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: GEN OPERATIONS I, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: HCCF MANAGEMENT GROUP XI LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: JOSEPH MASON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MARK D HANCOCK appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: MARK D HANCOCK appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PACS GROUP, INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PACS HOLDINGS, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PROVIDENCE GROUP NH, LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: FREDERICK G APT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: PANTHER MASTER TENANT, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: JOHN T MITCHELL appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	30 January 2025	30 January 2025	12	1
2	5 September 2023	5 September 2023	25	0
3	10 June 2022	10 June 2022	10	0

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

47 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
20 November 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	19 December 2025
20 November 2025	Health	F 0744	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	D	Yes	Deficient, Provider has date of correction	19 December 2025
30 January 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	18 February 2025
30 January 2025	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	18 February 2025
30 January 2025	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E	No	Deficient, Provider has date of correction	18 February 2025
30 January 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	No	Deficient, Provider has date of correction	18 February 2025
30 January 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	18 February 2025
30 January 2025	Health	F 0685	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D	No	Deficient, Provider has date of correction	18 February 2025
30 January 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	18 February 2025
30 January 2025	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E	No	Deficient, Provider has date of correction	18 February 2025
30 January 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	18 February 2025
30 January 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	18 February 2025
17 September 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	18 September 2024
17 September 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E	Yes	Deficient, Provider has date of correction	13 November 2024
17 September 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	13 November 2024
14 March 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	Yes	Deficient, Provider has date of correction	12 April 2024
29 November 2023	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	Yes	Deficient, Provider has date of correction	30 November 2023
29 November 2023	Health	F 0559	Resident Rights Deficiencies	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.	D	Yes	Deficient, Provider has date of correction	30 November 2023
29 November 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	G	Yes	Deficient, Provider has date of correction	30 November 2023
5 September 2023	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	15 November 2023
5 September 2023	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	E	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	No	Deficient, Provider has date of correction	5 November 2023
5 September 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	15 November 2023
5 September 2023	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	6 November 2023
5 September 2023	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	30 October 2023
5 September 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	H	Yes	Deficient, Provider has date of correction	7 November 2023
5 September 2023	Health	F 0712	Nursing and Physician Services Deficiencies	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	D	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0744	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	E	No	Deficient, Provider has date of correction	5 November 2023
5 September 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	4 December 2023
5 September 2023	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	F	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	27 September 2023
5 September 2023	Health	F 0838	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	F	No	Deficient, Provider has date of correction	15 November 2023
5 September 2023	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	F	No	Deficient, Provider has date of correction	15 November 2023
5 September 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	15 November 2023
5 September 2023	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	E	No	Deficient, Provider has date of correction	27 September 2023
10 June 2022	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	15 July 2022
10 June 2022	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	15 July 2022
10 June 2022	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	15 July 2022
10 June 2022	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	No	Deficient, Provider has date of correction	15 July 2022
10 June 2022	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	15 July 2022
10 June 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	12 July 2022

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
17 September 2024	Fine	$39,917			115904
17 September 2024	Payment Denial		16 October 2024	28
5 September 2023	Fine	$49,401			115552
5 September 2023	Payment Denial		28 September 2023	63

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	PIKES PEAK SNF HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services	2015-09-09
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	El Paso
Telephone Number	7196361676
Chain Name	PACS GROUP
Chain ID	690
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	210
Average Number of Residents per Day	168.4
Overall Rating	1
Health Inspection Rating	1
QM Rating	3
Long-Stay QM Rating	4
Short-Stay QM Rating	2
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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One email a day naming what moved on PIKES PEAK POST ACUTE: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 July 2026: JOHN T MITCHELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for PIKES PEAK POST ACUTE

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Colorado at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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