Home / Colorado / Colorado Springs
Bear Creek Senior Living
1685 S 21st St., Colorado Springs, CO 80904 · El Paso County · (719) 329-1774
45 certified beds, about 36 residents a day · For profit - Limited Liability company · Medicare since 1999
Ownership changed in the last 12 months Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065373 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 11, 2026, inspectors cited 1 health deficiency (the Colorado average is 8.7, the national average 9.2).
Of 11 health citations since January 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $6,614 in the last three years; the largest was $6,614, and the latest is dated January 30, 2025.
Nurses and nurse aides worked 3.26 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 1.22 of those hours.
33.3% of nursing staff left within the year CMS measured (Colorado average 47.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
401/23
405/24
201/25
102/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
3E
2F
Potential for minimal harm
0A
0B
0C
February 11, 2026Standard inspection · 1 citation
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases and infections in two of two units. Specifically, the facility failed to:-Ensure hand hygiene was performed appropriately when providing care;-Ensure staff donned (put on) appropriate personal protective equipment (PPE) when providing direct care to residents who should be on enhanced barrier precautions (EBP), including Resident #7 and Resident #33;-Ensure resident rooms were cleaned in a hygienic manner; and,-Ensure chemical dwell times were followed.
January 30, 2025Complaint inspection · 2 citations
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interviews, the facility failed to provide a written discharge notice to to the resident or their representative and the State Long-Term Care Ombudsman at least 30 days before the resident's discharge for one (#1) of three residents reviewed for transfer/discharge out of three sample residents. Specifically, the facility failed to: -Provide Resident #1 and her representative an appropriate written notice of discharge from the facility that included: -The reason for transfer or discharge; -The effective date of transfer or discharge; -The location to which the resident was transferred or discharged ; -A statement of the resident's appeal rights, including the name, address (mailing and email), and telephone number of the entity which receives such requests; [...]
- D Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on record review and interviews, the facility failed to allow resident to return to the facility after transfer to a hospital for one (#1) of three residents reviewed for facility-initiated transfers out of three sample residents. Specifically the facility failed to permit Resident #1 to return after a hospitalization on 1/10/25.
May 6, 2024Standard inspection · 4 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases. Specifically, the facility failed to: -Ensure the facility monitored the water for the growth of Legionella; and, -Ensure Resident #12 was offered the COVID-19 vaccine.
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interviews and record review, the facility failed to ensure residents were free from significant medication errors for three (#18, #6, #188) of 11 residents reviewed for medication errors out of 23 sample residents. Specifically, the facility failed to: -Ensure physician's hospital discharge orders for antibiotics to treat a urinary tract infection (UTI) from the hospital were initiated when Resident #18 admitted to the facility; -Ensure Resident #18's antibiotic medication and an inhaler were available timely for administration per physician's order; -Ensure Resident #6's nasal spray was available for administration per physician's orders; and, -Ensure Resident #188's pain medication was available for administration per physician's orders.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure a resident who received respiratory care and services that is in accordance with professional standards of practice for one (#17) of one resident reviewed for oxygen therapy out of 23 sample residents. Specifically, the facility failed to ensure the physician's order for oxygen use was clarified to include when Resident #17 was to use her supplemental oxygen.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and staff interviews, the facility failed to develop and implement policies and procedures related to pneumococcal vaccines for one (#12) of five residents reviewed for vaccinations of 23 sample residents. Specifically, the facility failed to ensure Resident #12 was offered the pneumococcal vaccine.
January 26, 2023Standard inspection · 4 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interviews and record review, the facility failed to provide adequate supervision and assistance devices to prevent accidents for one (#82) of two residents reviewed for falls out of 14 sample residents. The facility failed to timely and appropriately implement interventions including assistance with all activities of daily living as documented in her 1/10/23 minimum data set (MDS) assessment. The facility failed to provide staff education and increase resident's supervision to prevent falls when she could not initiate staff assistance by using her call light due to severely impaired cognition. Furthermore, the facility failed to ensure adequate supervision and effective interventions were in place to prevent falls for Resident #82, with a fall that resulted in injuries that required transfer to a hospital. [...]
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interviews, the facility the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for one resident (#27) out of 14 sample residents. Specifically, the facility failed to: -Intervene when the resident had high blood pressure measurements; -Notify the physician when the prescribed blood pressure medication was not available and did and when the resident had elevated blood pressures.
- E 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.
Inspectors wroteBased on record review, observations and interviews, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with accepted professional standards, for one of one medication and supply storage rooms. Specifically, the facility failed to discard expired medical supplies.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observations, record review and interviews, the facility failed to safely monitor and administer enteral nutrition, the resident's sole source of nutrition to prevent possible complications of enteral feeding including aspiration pneumonia for one (#12) of one out of 14 sample residents. Specifically, staff failed to label enteral feeding formula and supplies, and failed to ensure the resident was properly positioned with her head elevated above the level of feeding. Resident with a diminished level of consciousness, improper positioning of the resident during administration of the feeding.
Fire safety inspections
15 fire safety citations on file: 3 on February 11, 2026, 6 on May 6, 2024, 6 on January 26, 2023.
Every fire safety citation15 citations
- F Use approved construction type or materials.
- F Meet other general requirements that are deficient.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Meet requirements for the installation and maintenance of electrical systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 30, 2025 | Fine | $6,614 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Colorado | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.26 | 3.72 | 3.86 |
| Registered nurses | 1.22 | 0.82 | 0.69 |
| All nursing staff on weekends | 2.83 | 3.29 | 3.42 |
| Nurse aides | 1.72 | ||
| Licensed practical nurses | 0.33 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 47.1% | 45.8% |
| Registered nurse turnover | 23.1% | 44.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.44 on weekdays and 2.83 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.01 in April to June 2025 to 3.26 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.26 | 1.22 | 3.44 | 2.83 | 5.4% | 0 of 90 | 36 |
| Oct to Dec 2025 | 3.36 | 1.23 | 3.51 | 2.98 | 2.0% | 0 of 92 | 37 |
| Jul to Sep 2025 | 3.37 | 1.21 | 3.53 | 2.96 | 1.1% | 0 of 92 | 38 |
| Apr to Jun 2025 | 3.01 | 1.18 | 3.21 | 2.52 | 0.6% | 0 of 91 | 41 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Colorado, Jan to Mar 2026 | 3.59 | 0.76 | 3.75 | 3.18 | 5.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Colorado | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.9 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 13.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.2 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.9 | 20.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.2 | 20.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.4 | 12.1 | 12.0 |
Owners and operators
Legal business name: STELLAR BEAR CREEK LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Stellar X, LLC | 5% or greater direct ownership interest | Organization | 100% | 11/14/2025 |
| Forbright Bank | 5% or greater mortgage interest | Organization | 11/14/2025 | |
| Colorado Springs Management, LLC | Operational/managerial control | Organization | 11/14/2025 | |
| Forbright Bank | Operational/managerial control | Organization | 11/14/2025 | |
| Stellar X, LLC | Operational/managerial control | Organization | 11/14/2025 | |
| Benton, Adam | Operational/managerial control | Individual | 11/14/2025 | |
| Benton, Evrett | Operational/managerial control | Individual | 11/14/2025 | |
| Henderson, Ray | Operational/managerial control | Individual | 11/14/2025 | |
| Schultz, Kari | Operational/managerial control | Individual | 11/14/2025 | |
| Swanson, Christine | Operational/managerial control | Individual | 11/14/2025 | |
| York, Heather | Operational/managerial control | Individual | 11/14/2025 | |
| Colorado Springs Management, LLC | Adp of the SNF | Organization | 11/18/2025 | |
| Forbright Bank | Adp of the SNF | Organization | 11/18/2025 | |
| Stellar X, LLC | Adp of the SNF | Organization | 12/03/2025 | |
| Benton, Adam | Adp of the SNF | Individual | 11/14/2025 | |
| Benton, Evrett | Adp of the SNF | Individual | 11/14/2025 | |
| Henderson, Ray | Adp of the SNF | Individual | 11/14/2025 | |
| Schultz, Kari | Adp of the SNF | Individual | 11/14/2025 | |
| Swanson, Christine | Adp of the SNF | Individual | 11/14/2025 | |
| York, Heather | Adp of the SNF | Individual | 11/14/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 6, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on February 11, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 30, 2025: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 6, 2024: "Ensure that residents are free from significant medication errors."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.83 hours per resident per day, below the Colorado average of 3.29.
Other nursing homes nearby
- Brookdale Skyline Colorado Springs, 0.7 mi · 5 of 5 stars · 17 citations
- Sundance Skilled Nursing and Rehabilitation Colorado Springs, 0.9 mi · 2 of 5 stars · 27 citations
- Kiowa Hills Rehabilitation and Nursing, LLC Colorado Springs, 1.1 mi · 1 of 5 stars · 66 citations
- Gardens, the Colorado Springs, 1.8 mi · 5 of 5 stars · 3 citations
- The Healthcare Resort of Colorado Springs Colorado Springs, 2.5 mi · 3 of 5 stars · 21 citations
- Springs Village Care Center Colorado Springs, 2.6 mi · 2 of 5 stars · 35 citations
- Medallion Post Acute Rehabilitation Colorado Springs, 3.2 mi · 1 of 5 stars · 28 citations
- Center at Centennial, the Colorado Springs, 3.2 mi · 5 of 5 stars · 20 citations
Colorado contacts for a concern about a nursing home
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Colorado State Long-Term Care Ombudsman Program, 303-862-3524. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Find and compare facilities, where Colorado publishes its own records on licensed homes.
Common questions
- What is Bear Creek Senior Living's Medicare star rating?
- CMS rates Bear Creek Senior Living 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bear Creek Senior Living get at its last inspection?
- 1 health deficiency at the standard inspection on February 11, 2026. The Colorado average is 8.7.
- Has Bear Creek Senior Living been fined?
- Yes. CMS lists 1 fine totaling $6,614 in the last three years.
- Does Bear Creek Senior Living accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Bear Creek Senior Living?
- CMS lists 20 owners and managers. Legal business name: STELLAR BEAR CREEK LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.