Deficiency Index

Sunny Vista Living Center

Colorado Springs, Colorado · CCN 065254

23 surveys since 2011. The first finding at harm level was recorded in 2019.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
90
Surveys
23
Harm or worse
5
Immediate jeopardy
1
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/23

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
116
Ownership
Non profit - Corporation
Chain
Independent
County
El Paso
Medicare-certified since
1989

CMS ratings

Overall
3
Health inspection
3
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Jul 24, 2025

473 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.873.98
Registered-nurse hours per resident day0.60—
Annual nurse turnover26.5%42.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1062.5%E318.8%F318.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 90 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7422×

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

  • F7612×

    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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

In the surveyor’s words

From the most serious findings on record at Sunny Vista Living Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 24, 2025

    Based on observations, interviews and record review, the facility failed to store, distribute and serve food in a sanitary manner in the main kitchen. Specifically, the facility failed to:-Ensure kitchen equipment was stored in a clean and sanitary manner; and, -Ensure perishable foods were discarded after the date of expiration. Findings include: I. Failure to ensure stored kitchen equipment were clean and sanitary A. Professional referenceThe Colorado Department of Public Health and Environment (2021) The Colorado Retail Food Establishment Rules and Regulations, retrieved 7/30/25 revealed in pertinent part, Surfaces such as cutting blocks and boards that are subject to scratching and scoring shall be resurfaced if they can no longer be effectively cleaned and sanitized, or discarded if… […]

  • No harm, potential for more than minimal, widespreadF812Nov 30, 2023

    Based on observations, interviews and record review, the facility failed to store, prepare, distribute and serve food in a sanitary manner in the main kitchen, one of four serving areas, two of six dish machines in four serving areas and two of two resident snack refrigerators. Specifically, the facility failed to: -Ensure staff washed hands and changed single use gloves appropriately while plating and serving resident meals in one of four serving areas; -Ensure the high temperature dish washing machines maintained sanitizing rinse temperatures for two of six dish machines in four serving areas; and, -Maintain the kitchen in a sanitary condition. Findings include: I. Hand hygiene A. […]

  • No harm, potential for more than minimal, widespreadF908Nov 30, 2023

    Based on observations and interviews, the facility failed to maintain emergency response carts and equipment in safe operating condition, and failed to display required precautionary signs where oxygen was stored for four of four carts reviewed out of a sample of four emergency (crash) carts. Specifically, the facility failed to: -Ensure staff were trained on how to use the emergency oxygen cylinders, how handle and when to replace empty cylinders; -Ensure staff completed daily the equipment checks; -Ensure expired items were removed from the crash cart; -Ensure missing items were replaced on the crash cart; -Ensure staff were trained on where the crash carts were located; and, -Ensure signs were displayed on store rooms where oxygen was stored. Findings include: I. […]

  • No harm, potential for more than minimal, patternF605Jul 24, 2025

    Based on record review and interviews, the facility failed to ensure five (#63, #46, #73, #112 and #50) of nine residents were free from chemical restraints and were receiving the least restrictive approach for their needs out of 52 sample residents. Specifically, the facility failed to:-Ensure prescribed as needed (PRN) antipsychotic medication for Resident #63 had corresponding documentation of identified behaviors and use of non-pharmological interventions; -Ensure resident specific care approaches, to include medication specific target behaviors and person-centered interventions were documented and monitored for Resident #63, #46, #73, and #112's psychotropic medications; and,-Identify specific resident behaviors, conduct behavior monitoring and ensure the least restrictive… […]

  • No harm, potential for more than minimal, patternF761Jul 24, 2025

    Based on observations, record review and interviews, the facility failed to ensure proper storage of medications in two of four medication storage rooms and three of five medication carts.Specifically, the facility failed to:-Ensure medications were labeled with the date they were opened;-Ensure expired medications were removed and discarded from medication carts and storage refrigerators; and,-Ensure the temperature in a medication storage refrigerator was maintained within an acceptable temperature range.Findings include:I. Facility policy and procedureThe Medication Storage policy, dated January 2025, was received by the nursing home administrator (NHA) on 7/24/25 at 11:00 a.m. […]

Read 25 findings in full →The most serious and the most recent: 25 of 90 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 24, 2025Standard6 findings
  • Sep 4, 2024Complaint2 findings
  • Nov 30, 2023Standard3 findings
  • Feb 2, 2023Complaint1 finding
  • Aug 11, 2022Standard and complaint5 findings
  • May 3, 2022Complaint1 finding
  • Oct 27, 2021Complaint1 finding
  • Apr 15, 2020Infection control1 finding
Show the 15 earlier surveys
  • Jan 17, 2020Complaint7 findings · 3 harm
  • Sep 25, 2019Complaint1 finding · 1 harm
  • Jul 25, 2019Standard10 findings · 1 harm
  • May 14, 2019Complaint1 finding
  • Jun 14, 2018Standard and complaint11 findings
  • Dec 8, 2017Complaint1 finding
  • Sep 15, 2017Complaint1 finding
  • Dec 21, 2016Standard4 findings
  • Dec 17, 2015Standard4 findings
  • Nov 6, 2014Standard6 findings
  • Oct 21, 2013—7 findings
  • Oct 26, 2012—2 findings
  • Sep 22, 2011—1 finding
  • Sep 7, 2011—13 findings
  • Jan 12, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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