The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
Nursing home report
Pueblo Heights Nursing and Rehabilitation
PUEBLO, CO · Medicare-certified · 120 beds
In good standing
For-profitChain member
4 of 5 overall
Pueblo Heights Nursing and Rehabilitation has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) but only average health inspection and staffing ratings (3 stars each). It reported 3.00 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included safety/cleanliness, food handling, and medication error issues.
Facility ratings
Health inspections
Staffing
3.0003 hrs/resident/day
Quality measures
Last inspection: July 18, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0003.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.57
- Nurse aides
- 1.84
- Weekend nursing
- 2.76
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 30%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.7%Improving
Residents with a fall causing major injury
2.4%Worsening
Residents with pressure ulcers (bedsores)
2.3%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.5%Steady
Residents whose ability to walk got worse
15.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
11.4%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.4%Improving
Residents with new or worsening incontinence
15.5%Worsening
Residents with depressive symptoms
10.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
92.4%Worsening
Short-stay residents given the seasonal flu vaccine
82.5%Steady
Short-stay residents given the pneumonia vaccine
41.6%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 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 medication mistakes below the allowed level. Cited July 2024 — limited pattern, potential for harm.
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F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — 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 July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of MADISON CREEK PARTNERS · 13 homes · 3.5 stars avg
- Occupancy
- 84.4 residents on an average day (70% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 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.