Brookdale Bear Creek
1685 South 21st Street, Colorado Springs, CO 80904


Brookdale Bear Creek is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 065373. The address is 1685 South 21st Street, Colorado Springs, CO 80904. The zip code is 80904. The phone number is 7193291774.


Brookdale Bear Creek · 1685 South 21st Street, Colorado Springs, CO 80904

Federal Provider Number 065373
Provider Name BROOKDALE BEAR CREEK
Address 1685 SOUTH 21ST STREET
COLORADO SPRINGS, CO 80904
Phone Number 7193291774
SSA County Code 200
County Name El Paso
Ownership Type For profit - Corporation
Certified Beds 45
Certified Beds Residents 37
Provider Type Medicare
Resides in Hospital false
Legal Business Name S-H OPCO BEAR CREEK, LLC
Date First Approved to Provide Medicare Medicaid Services 12/02/1999
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 3
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.08514
Reported LPN Staffing Hours per Resident per Day 0.33378
Reported RN Staffing Hours per Resident per Day 1.55946
Reported Licensed Staffing Hours per Resident per Day 1.89324
Reported Total Nurse Staffing Hours per Resident per Day 3.97838
Reported Physical Therapist Staffing Hours per Resident Per Day 0.1973
Expected CNA Staffing Hours per Resident per Day 2.60614
Expected LPN Staffing Hours per Resident per Day 0.66042
Expected RN Staffing Hours per Resident per Day 1.25161
Expected Total Nurse Staffing Hours per Resident per Day 4.51817
Adjusted CNA Staffing Hours per Resident per Day 1.96317
Adjusted LPN Staffing Hours per Resident per Day 0.41949
Adjusted RN Staffing Hours per Resident per Day 0.93099
Adjusted Total Nurse Staffing Hours per Resident per Day 3.54932
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 05/05/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 40
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 56
Cycle 2 Standard Health Survey Date 02/26/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 56
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Health Deficiency Score 56
Cycle 3 Standard Health Survey Date 03/05/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 56
Total Weighted Health Survey Score 48
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Brookdale Bear Creek

Owner Name Role Association Date
BKD RIDEA OPCO HOLDCO MEMBER LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/29/2014
BROOKDALE SENIOR LIVING INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/29/2014
COLUMBIA PACIFIC 2016 ACQUISITION II LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/18/2017
CPA RIDEA 49 OPCO LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/18/2017
EMERITUS CORPORATION (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/29/2014
EVERLY, KELLY (Individual) MANAGING EMPLOYEE since 05/21/2013
HCP INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/29/2014
HCP OPCO VENTURES VI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/18/2017
HCP S-H 2014 MEMBER, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/29/2014
HSIAO, KAI (Individual) OFFICER since 08/01/2016
HUTCHENS, JAMES (Individual) OFFICER since 04/08/2016
KRUPP GORDON, GERALDINE (Individual) OFFICER since 04/08/2016
S-H 2014 OPCO TRS, INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/29/2014
S-H FORTY-NINE OPCO VENTURES LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 08/29/2014
SHP REIT I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/18/2017
SHP REIT I TRS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/18/2017
YOUNG, KENDALL (Individual) OFFICER since 08/29/2014

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