Nursing homeActive

Gardens, The

104 Lois Ln, Colorado Springs, CO 80904719635256945 certified beds · 43 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
3
030
Penalties · 3 yrs
none on file
Last survey
2025-12-11
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 5
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
DateKindDeficienciesOfficial recordArchived PDF
2025-12-11Standard010CMS-2567 (Care Compare)
2023-11-30Standard010CMS-2567 (Care Compare)
2022-08-17Standard010CMS-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.

2025-12-11Standard survey · 1 deficiencyOfficial report
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 2025-12-28Record 065198-20251211-F812
2023-11-30Standard survey · 1 deficiencyOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-26Record 065198-20231130-F686
2022-08-17Standard survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-09Record 065198-20220817-F600

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.81
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day3.04
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours2.65
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover56%
Facility
Colorado
National
Colorado 47% · National 46%
Registered nurse turnover58%
Facility
Colorado
National
Colorado 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityColoradoNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.2%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.9%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
10.7%20.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.3%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
8.5%13.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.5%4.7%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
8.3%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)
EntityRoleInterestSinceRegistry
Chief Joseph Trail, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Clegg, Michael
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Tippet, LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
White Canyon, LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Christensen, Covey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Clegg, Michael
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hopkins, Amber
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ikerd, John
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Madison Creek Partners LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Shepherd, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
West, Dillon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Christensen, Covey
Individual
ADP OF THE SNFNOT APPLICABLE
Clegg, Michael
Individual
ADP OF THE SNFNOT APPLICABLE
Clegg, Michael
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Hopkins, Amber
Individual
ADP OF THE SNFNOT APPLICABLE
Ikerd, John
Individual
ADP OF THE SNFNOT APPLICABLE
Ikerd, John
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Madison Creek Partners LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Shepherd, David
Individual
ADP OF THE SNFNOT APPLICABLE
West, Dillon
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Madison Creek Partners13 facilities
View chain record

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 El Paso.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Sundance Skilled Nursing And Rehabilitation
Colorado Springs
0.9 mi2026-02-260221
Brookdale Skyline
Colorado Springs
2.0 mi2025-12-10061
Bear Creek Senior Living
Colorado Springs
1.8 mi2026-02-11070
The Healthcare Resort Of Colorado Springs
Colorado Springs
1.9 mi2025-06-261161
Center At Centennial, The
Colorado Springs
2.4 mi2024-10-23021
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01