SNF
CASTLE PEAK SENIOR LIFE AND REHABILITATION
CCN: 065420 · EAGLE, CO 81631 · Eagle County
Overview
- Address
- 195 FREESTONE RD, EAGLE, CO 81631
- Phone
- 9709892500
- Certified beds
- 44
- Avg daily residents
- 39 (88% of beds filled)
- Ownership
- Non-profit (other)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2016-12-01
- Setting
- Rural
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 5.17 | 3.22 | 6.20 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.64 | 0.56 | 1.96 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.43 | 0.71 | 0.51 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.10 | 1.94 | 3.72 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.06 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.12 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.70
hrs / resident / day
RN (weekend)
1.56
hrs / resident / day
Total nurse (adjusted, weekend)
5.65
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
47.3%
annual
RN turnover
28.6%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.14
near national average
Case-Mix Index Ratio
0.83
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-09-19 | 7 | 5 | 2 | 44 | 1 | 44 |
| Cycle 2/3 (prior) | 2023-03-16 | 2 | 2 | 0 | 8 | 1 | 8 |
Total weighted health score
35.0
lower is better
Deficiencies (18)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
14 D/E/F Actual harm — potential for minor
4 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-08-20 | 2025-09-16 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-06-18 | 2025-07-17 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-09-19 | 2024-10-17 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-19 | 2024-10-17 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-09-19 | 2024-10-17 |
| 0758 | 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. | D | 2024-09-19 | 2024-10-17 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-19 | 2024-10-17 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-03-16 | 2023-04-17 |
| 0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2023-03-16 | 2023-04-17 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2021-12-02 | 2022-01-19 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2021-12-02 | 2022-01-19 |
| 0610 | Respond appropriately to all alleged violations. | D | 2021-12-02 | 2022-01-19 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2021-12-02 | 2022-01-19 |
| 0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2021-12-02 | 2022-01-19 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-12-02 | 2022-01-19 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | G | 2021-12-02 | 2022-01-19 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2021-12-02 | 2022-01-19 |
| 0742 | 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. | G | 2021-12-02 | 2022-01-19 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$9,565
| Date | Type | Fine amount |
|---|---|---|
| 2025-08-20 | Fine | $9,565 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 8.9% Medicaid 59.0% Other 32.2%
Operating performance
Operating Margin
-21.2%
Total Margin
-6.4%
Occupancy Rate
87.3%
Cost per Resident Day
$47
Revenue & costs
Net Patient Revenue
$6.4M
Total Costs
$658K
Net Income
-$464K
Balance sheet
Total Assets
$18.1M
Total Liabilities
$22.0M
Fund Balance
-$4.0M
Current Ratio
0.35
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CASSIA
- Chain ID
120- Facilities in chain
- 16
- Legal business name
- CASTLE PEAK SENIOR CARE LLC
Chain-average star ratings (for peer context)
Overall
4.6
Health
3.7
Staffing
4.8
QM
4.3
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| AUGUSTANA CARE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2016 |
| CASTLE PEAK SENIOR CARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2016 |
| CASSIA | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2018 |
Owner / manager individuals (12)
| Name | Role | Association |
|---|---|---|
| ELLINGSON, ERIK | CORPORATE DIRECTOR | since 01/01/2018 |
| MACKAY, MARSHALL | CORPORATE DIRECTOR | since 01/01/2018 |
| NYE, GERALD | CORPORATE DIRECTOR | since 01/01/2018 |
| PARKS, CHARLES | CORPORATE DIRECTOR | since 01/01/2018 |
| RAMSDALE, SCOTT | CORPORATE DIRECTOR | since 01/01/2018 |
| WILKERSON, GARY | CORPORATE DIRECTOR | since 01/01/2018 |
| DAHL, ROBERT | CORPORATE OFFICER | since 01/01/2018 |
| ELLINGSON, ERIK | CORPORATE OFFICER | since 09/01/2016 |
| KERN, MATTHEW | CORPORATE OFFICER | since 01/01/2018 |
| STADTHERR, SEELOCHANI | CORPORATE OFFICER | since 01/01/2018 |
| YOUNGQUIST, KATHRYN | CORPORATE OFFICER | since 01/01/2018 |
| CORNISH, SHELLY | W-2 MANAGING EMPLOYEE | since 01/01/2022 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $47 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.35 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 59.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 8.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-464,443 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,364,846 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 87.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -21.2% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $18,083,566 | metrics.total_assets |
| Cost Report | Total Costs ($) | $658,265 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-3,952,468 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $22,036,034 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -6.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.51382 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.72440 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.96280 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 6.20102 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 5.64672 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 38.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.71394 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.94032 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.56274 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.21700 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.83544 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.7 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.8 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 120 | Chain ID |
| Provider Information | Chain Name | CASSIA | Chain Name |
| Provider Information | City/Town | EAGLE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 065420 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Eagle | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2016-12-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 39.64 | Latitude |
| Provider Information | Legal Business Name | CASTLE PEAK SENIOR CARE LLC | Legal Business Name |
| Provider Information | Location | 195 FREESTONE RD,EAGLE,CO,81631 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -106.83 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 44 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 16 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.13964 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.82723 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Other | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 195 FREESTONE RD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | CASTLE PEAK SENIOR LIFE AND REHABILITATION | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 180 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 44 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-09-19 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 44 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 7 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-03-16 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 8 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 8 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 2 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.56485 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 28.6 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.06357 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.42812 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.10324 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.11547 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.63544 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 5.16681 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CO | State |
| Provider Information | Telephone Number | 9709892500 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 9565.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.70495 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 47.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 35.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | N | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 81631 | ZIP Code |