Nursing home report
Registered name: LAKESHORE POST ACUTE AND REHABILITATION CENTER
PUEBLO, CO · Medicare-certified · 106 beds
Desert Willow Health and Rehabilitation Center has an overall rating of 4 out of 5 stars. Its strongest area is quality measures at 5 stars, while health inspections and staffing are both 3 stars; reported nurse staffing is 3.38 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Health inspections
Staffing
3.3793 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3793.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 10 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 14 health deficiencies.
Now operated by Lakeshore Post Acute and Rehabilitation Center, previously Desert Willow Health and Rehabilitation Center.
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.
