Nursing homeActive
Eben Ezer Lutheran Care Center
122 Hospital Rd, Brush, CO 807239708422861125 certified beds · 82 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2021
Deficiencies
13
● 0● 9● 4
Penalties · 3 yrs
—
none on file
Last survey
2025-12-03
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Colorado Department of Public Health & Environment · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-15 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-03-02 | Standard | 012 | CMS-2567 (Care Compare) | — |
| 2021-11-18 | Standard | 012 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Colorado Department of Public Health & Environment publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-30Record 065163-20251203-F600
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 065163-20240815-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-07Record 065163-20240815-F689
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 065163-20240815-F700
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 065163-20240815-F730
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 065163-20240815-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-05Record 065163-20240815-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-01-14Record 065163-20230302-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-03-30Record 065163-20230302-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-30Record 065163-20230302-F761
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2021-12-17Record 065163-20211118-F689
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2021-12-17Record 065163-20211118-F758
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-17Record 065163-20211118-F744
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.56
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day4.22
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours3.83
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover40%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover44%
Facility
Colorado
National
Colorado 45% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Colorado | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.6% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.2% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.2% | 20.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.1% | 1.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.9% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 11.2% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 6.5% | 11.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Eben Ezer Lutheran Care Center Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bass, Sonyou Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Bass, Sonyou Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Chapin, Robert Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Chapin, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Frasier, Mark Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Frasier, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hergenreter, Shelly Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Hergenreter, Shelly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lee, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lee, Michael Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Lefever, Travis Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lefever, Travis Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Mason, Leslie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mason, Leslie Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Schaefer, Roger Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schaefer, Roger Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Tekroney, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tekroney, Michael Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Thistle, Jennifer Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Thistle, Jennifer Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Vannoy, Douglas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vannoy, Douglas Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Colorado.
No county cost figures on file for Morgan.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| South Platte Rehabilitation And Nursing LLC Brush | 0.5 mi | 2025-10-15 | 073 |
| Valley View Villa Fort Morgan | 7.9 mi | 2025-12-01 | 020 |
| Sterling Rehabilitation And Nursing, LLC Sterling | 33.5 mi | 2025-08-20 | 1244 |
| Devonshire Care Center Sterling | 35.4 mi | 2026-03-26 | 2183 |
| Washington County Nursing Home Akron | 41.0 mi | 2026-02-10 | 060 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |