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EBEN EZER LUTHERAN CARE CENTER

122 HOSPITAL RD
BRUSH, CO 80723 · 9708422861 · Morgan County
⚠ Abuse citation on record. This facility has been cited for abuse or neglect in the CMS data — see the citation list below.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds125
OwnershipNon profit - Corporation
State rank#144

By the numbers

13
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
4
Actual-harm (G/H/I)
$0
Federal fines (CMPs)
The trend: Citations are rising — 7 in the most recent cycle versus 3 two cycles ago.

Recent Health Citations

Dec 3, 2025 · Health survey · F-tag 0600
E — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Aug 15, 2024 · Health survey · F-tag 0730
D — No actual harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Aug 15, 2024 · Health survey · F-tag 0700
D — No actual harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Aug 15, 2024 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 15, 2024 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Aug 15, 2024 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 15, 2024 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 2, 2023 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Mar 2, 2023 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Mar 30, 2023 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Standard survey
Mar 2, 2023 · Health survey · F-tag 0600
G — Actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Details
Correction status: Corrected Jan 14, 2023 — Past Non-Compliance
Inspection cycle: 2
Survey origin: Standard survey
Nov 18, 2021 · Health survey · F-tag 0744
D — No actual harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Nov 18, 2021 · Health survey · F-tag 0758
G — Actual harm
Pharmacy Service Deficiencies
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.
Details
Correction status: Corrected Dec 17, 2021 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Standard survey
Nov 18, 2021 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Dec 17, 2021 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Standard survey

Showing the 13 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Colorado →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.