Nursing homeActive
Grace Manor Care Center
465 5th St, Burlington, CO 80807719346751231 certified beds · 28 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
7
● 0● 7● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-21
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 2
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 |
|---|---|---|---|---|
| 2026-04-21 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-04-11 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-01-11 | Standard | 020 | 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.
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 065284-20260421-F554
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 2026-05-20Record 065284-20260421-F689
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 2026-05-20Record 065284-20260421-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 065284-20240411-F684
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-26Record 065284-20240411-F761
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-16Record 065284-20230111-F758
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 2023-02-10Record 065284-20230111-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.77
Facility
Colorado
National
Colorado 0.82 · National 0.69
Total nurse hours per resident day3.78
Facility
Colorado
National
Colorado 3.72 · National 3.86
Weekend total nurse hours3.20
Facility
Colorado
National
Colorado 3.30 · National 3.42
Total nursing staff turnover42%
Facility
Colorado
National
Colorado 47% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Colorado | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.9% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.9% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 25.9% | 20.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.3% | 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 | 20.5% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.5% | 4.7% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.8% | 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 |
|---|---|---|---|---|
| Madison Reality Equities LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Langendoen, Gary Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Clemmerson, Christina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Conner, Lori Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Daise, Travis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Frontier Management Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hays, Jasalyn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jones-Gregory, Brenda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kirkwood, Chelsey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ong, Edison Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Salas, Cherise Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schlichenmayer, Joshua Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schlichenmayer, Staci Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Scott, Angela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vega Ortega, Alejandra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Weber, Charlotte Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baker, Adam Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clemmerson, Christina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Conner, Lori Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Daise, Travis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Frontier Management Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gtm Us Senior Housing Reit, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gtm Us Senior Housing Reit, LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hays, Jasalyn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Irwin, Janet Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jones-Gregory, Brenda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Key Rehabilitation Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirkwood, Chelsey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Leung, Rene Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| North American Senior Properties, LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ong, Edison Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Remedi Seniorcare Of Colorado, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Salas, Cherise Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schlichenmayer, Joshua Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schlichenmayer, Staci Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Scott, Angela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vega Ortega, Alejandra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Veluscek, Steven Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Weber, Charlotte Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Frontline Management — 9 facilities
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 Kit Carson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Cheyenne Manor Cheyenne Wells | 33.7 mi | 2025-10-29 | 030 |
| Topside Manor Inc Goodland | 29.1 mi | 2025-04-29 | 0203 |
| Cheyenne County Village Inc St Francis | 40.2 mi | 2024-04-03 | 092 |
| Hillcrest Care Center Wray | 51.9 mi | 2024-10-03 | 060 |
| Greeley County Hospital Ltcu Tribune | 62.4 mi | 2025-11-06 | 091 |
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 |