GRACE MANOR CARE CENTER – Nursing Home, BURLINGTON, Colorado
Medicare and Medicaid
Nursing homes in BURLINGTON, CO → · Recently updated in CO →
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 11 April 2024 · 29 health and 27 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Explore nursing home GRACE MANOR CARE CENTER performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in BURLINGTON. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.
Main info
Name
GRACE MANOR CARE CENTER
Address
465 5TH ST, BURLINGTON, CO 80807
Federal Provider Number
065284
Phone
(719) 346-7512
Ownership Type
For profit - Limited Liability company
Certified Beds
31
Residents in Certified Beds
26.6
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
MADISON SENIOR LIVING MANAGEMENT LLC
Date of First Medicare/Medicaid Approval
1990-12-01
Continuing Care Retirement Community
Data current as of
31 May 2026
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Location
465 5TH ST
BURLINGTON, CO 80807
Phone: (719) 346-7512
Compare to CO average
See how this facility compares to the CO state average among rated nursing homes (225 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | CO average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 4 | 3.19 | 5 |
| Health inspection | 5 | 2.72 | 5 |
| Staffing | 2 | 3.22 | 4 |
| Quality measures | 1 | 4.21 | 5 |
| Certified beds | 31 | 91.8 | — |
| Citations on file (health + fire) | 56 | ~8.3 health* | — |
- ACCEL AT GOLDEN RIDGE — 3★ overall
- ACCEL AT LONGMONT HEALTH AND REHAB, LLC — 1★ overall
- ADARA LIVING — 2★ overall
- ADVANCED HEALTH CARE OF AURORA — 5★ overall
- ADVANCED HEALTH CARE OF COLORADO SPRINGS — 5★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| DAISE, TRAVIS M | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/01/2022 |
| DAISE, TRAVIS M | ADP OF THE SNF | Individual | - | 03/01/2022 |
| KIRKWOOD, CHELSEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 10/20/2014 |
| KIRKWOOD, CHELSEY | ADP OF THE SNF | Individual | - | 10/20/2014 |
| CONNER, LORI | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/28/2014 |
| CONNER, LORI | ADP OF THE SNF | Individual | - | 03/28/2014 |
| FRONTIER MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 07/01/2013 |
| FRONTIER MANAGEMENT INC | ADP OF THE SNF | Organization | - | 07/11/2025 |
| WEBER, CHARLOTTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/01/1995 |
| WEBER, CHARLOTTE | ADP OF THE SNF | Individual | - | 11/01/1995 |
| HAYS, JASALYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/01/2008 |
| HAYS, JASALYN | ADP OF THE SNF | Individual | - | 03/01/2022 |
| VEGA ORTEGA, ALEJANDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/16/2019 |
| VEGA ORTEGA, ALEJANDRA | ADP OF THE SNF | Individual | - | 01/16/2019 |
| SCHLICHENMAYER, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/12/2014 |
| SCHLICHENMAYER, JOSHUA | ADP OF THE SNF | Individual | - | 11/12/2014 |
| JONES-GREGORY, BRENDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/13/2020 |
| JONES-GREGORY, BRENDA | ADP OF THE SNF | Individual | - | 01/13/2020 |
| WIPFLI LLP | ADP OF THE SNF | Organization | - | 01/01/2024 |
| SCHLICHENMAYER, STACI | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 12/01/2014 |
| SCHLICHENMAYER, STACI | ADP OF THE SNF | Individual | - | 12/01/2014 |
| GTM US SENIOR HOUSING REIT, LP | ADP OF THE SNF | Organization | - | 01/01/2018 |
| CLEMMERSON, CHRISTINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/16/2015 |
| CLEMMERSON, CHRISTINA | ADP OF THE SNF | Individual | - | 03/16/2025 |
| REMEDI SENIORCARE OF COLORADO, LLC | ADP OF THE SNF | Organization | - | 05/31/2019 |
| BAKER, ADAM | ADP OF THE SNF | Individual | - | 06/05/2025 |
| ONG, EDISON | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 04/04/2025 |
| ONG, EDISON | ADP OF THE SNF | Individual | - | 04/04/2025 |
| NORTH AMERICAN SENIOR PROPERTIES, LP | ADP OF THE SNF | Organization | - | 07/21/2025 |
| LANGENDOEN, GARY L | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 100.00 | 07/01/2022 |
| SCOTT, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 04/01/2020 |
| SCOTT, ANGELA | ADP OF THE SNF | Individual | - | 04/01/2020 |
| MADISON REALITY EQUITIES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/12/2012 |
| GTM US SENIOR HOUSING REIT, INC | ADP OF THE SNF | Organization | - | 07/11/2025 |
| SALAS, CHERISE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 04/04/2025 |
| SALAS, CHERISE | ADP OF THE SNF | Individual | - | 07/01/2013 |
| KEY REHABILITATION INC | ADP OF THE SNF | Organization | - | 02/01/2024 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
56 citations on file · Latest survey: 11 April 2024 · 29 health · 27 fire safety
D: 21
E: 15
F: 15
G: 5
All
Health
Fire safety
Last 24 months
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-04-11 | F761 | E — Minimal harm, pattern | Health | 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. |
| 2024-04-11 | F761 | E — Minimal harm, pattern | Health | 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. |
| 2024-04-11 | F761 | E — Minimal harm, pattern | Health | 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. |
| 2024-04-11 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-04-11 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2024-04-11 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2023-04-19 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2023-04-19 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2023-01-11 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2023-01-11 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2023-01-11 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2023-01-11 | F758 | D — Minimal harm, isolated | Health | Implement 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. |
| 2023-01-11 | F758 | D — Minimal harm, isolated | Health | Implement 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. |
| 2023-01-11 | F758 | D — Minimal harm, isolated | Health | Implement 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. |
| 2021-09-16 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2021-09-16 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2021-09-16 | F880 | E — Minimal harm, pattern | Health | Provide and implement an infection prevention and control program. |
| 2021-09-16 | F813 | E — Minimal harm, pattern | Health | Have a policy regarding use and storage of foods brought to residents by family and other visitors. |
| 2021-09-16 | F813 | E — Minimal harm, pattern | Health | Have a policy regarding use and storage of foods brought to residents by family and other visitors. |
| 2021-09-16 | F813 | E — Minimal harm, pattern | Health | Have a policy regarding use and storage of foods brought to residents by family and other visitors. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2023-01-11 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2023-01-11 | K223 | F — Minimal harm, widespread | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2023-01-11 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2023-01-11 | K363 | F — Minimal harm, widespread | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2023-01-11 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2023-01-11 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2023-01-11 | K223 | F — Minimal harm, widespread | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2023-01-11 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2023-01-11 | K363 | F — Minimal harm, widespread | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2023-01-11 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2023-01-11 | K211 | F — Minimal harm, widespread | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2023-01-11 | K223 | F — Minimal harm, widespread | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2023-01-11 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2023-01-11 | K363 | F — Minimal harm, widespread | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2023-01-11 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2021-09-16 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2021-09-16 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2021-09-16 | K222 | D — Minimal harm, isolated | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2021-09-16 | K353 | D — Minimal harm, isolated | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2021-09-16 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
Additional information
Get more details on GRACE MANOR CARE CENTER, including health inspection results, staffing levels, and facility amenities.
Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 4 |
| Health Inspection Rating | 5 |
| Quality of Resident Care Rating | 1 |
| Quality of Resident Care Rating (Long Stay) | 2 |
| Quality of Resident Care Rating (Short Stay) | 4 |
| Staffing Rating | 2 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.44726 |
| Reported LPN Staffing Hours per Resident per Day | 0.41765 |
| Reported RN Staffing Hours per Resident per Day | 0.82499 |
| Reported Licensed Staffing Hours per Resident per Day | 1.24264 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.39804 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.03111 |
| Casemix CNA Staffing Hours per Resident per Day | 2.11771 |
| Casemix LPN Staffing Hours per Resident per Day | 0.82466 |
| Casemix RN Staffing Hours per Resident per Day | 0.51922 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.46158 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.38569 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.3417 |
| Adjusted RN Staffing Hours per Resident per Day | 0.67495 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 2.78004 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-07-03 |
Date of Standard Health Survey (Cycle 2) | 2018-05-31 |
Total Number of Health Deficiencies (Cycle 1) | 1 |
Number of Standard Health Deficiencies (Cycle 1) | 1 |
Health Deficiency Score (Cycle 1) | 4 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 4 |
Total Number of Health Deficiencies (Cycle 2) | 2 |
Number of Standard Health Deficiencies (Cycle 2) | 2 |
Health Deficiency Score (Cycle 2) | 8 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 8 |
Date of Standard Health Survey (Cycle 3) | 2016-12-15 |
Total Number of Health Deficiencies (Cycle 3) | 8 |
Number of Standard Health Deficiencies (Cycle 3) | 4 |
Number of Complaint Health Deficiencies (Cycle 3) | 4 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 48 |
Total Health Score (Cycle 3) | 48 |
Total Weighted Health Survey Score | 12 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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