GoodStanding

Nursing home report

LAKESHORE POST ACUTE AND REHABILITATION CENTER

PUEBLO, CO · Medicare-certified · 106 beds

In good standing
For-profitChain member
4 of 5 overall

4 out of 5 stars overall. Strong quality measures and staffing ratings, with a 3-star health inspection score; reported nurse staffing is 3.31 hours per resident per day versus the 4.1 federal benchmark, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.3057 hrs/resident/day

Quality measures

Last inspection: August 28, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3057.

Staffing detail

Registered nurses
0.81
Licensed practical nurses
0.48
Nurse aides
2.01
Weekend nursing
2.96

Hours per resident per day.

Total staff turnover: 42%
Registered nurse turnover: 37%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

25.6%15.6%Improving

Residents with a fall causing major injury

1.5%5.7%Worsening

Residents with pressure ulcers (bedsores)

3.8%2%Improving

Residents with a urinary tract infection

0%1.5%Worsening

Residents who lost too much weight

4.6%9.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15.3%14.5%Improving

Residents whose ability to walk got worse

8%13.5%Worsening

Long-stay residents on antianxiety or sleep medication

6.2%8.8%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

23.1%34.1%Worsening

Residents with depressive symptoms

4.9%3%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

98.5%94.3%Worsening

Short-stay residents given the seasonal flu vaccine

85.5%

Short-stay residents given the pneumonia vaccine

72.1%73.4%Improving

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 921 — 42 CFR §483.90 — S/S: E

The home failed to provide activities that met all residents’ needs. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 679 — 42 CFR §483.24 — S/S: E

The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 655 — 42 CFR §483.21 — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
79.1 residents on an average day (75% of 106 beds)
Resident voice
Resident council
Medicare history
Certified for 40 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.