The nursing home failed to protect residents from abuse and neglect by others. Cited December 2022 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
ROCK CANYON RESPIRATORY AND REHABILITATION CENTER
PUEBLO, CO · Medicare-certified · 151 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
ROCK CANYON RESPIRATORY AND REHABILITATION CENTER in Pueblo, CO has a 2-star overall rating, with a 2-star health inspection rating and 1-star staffing rating, though its quality measures are 5 stars. It reports 2.99 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has $67,298 in fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.9859 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $67,298recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9859.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.78
- Nurse aides
- 1.68
- Weekend nursing
- 2.66
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 48%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
22.3%Improving
Residents with a fall causing major injury
3.5%Worsening
Residents with pressure ulcers (bedsores)
5.9%Worsening
Residents with a urinary tract infection
0.2%Worsening
Residents who lost too much weight
5.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.8%Worsening
Residents whose ability to walk got worse
8.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
17.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1%Steady
Residents with new or worsening incontinence
27.2%Improving
Residents with depressive symptoms
9.4%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
97.8%Steady
Short-stay residents given the pneumonia vaccine
96.4%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2024 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2023 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $36,569 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $30,729 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $89,938 in total fines.
- $36,569
Federal fine
Apr 3, 2025
- $30,729
Federal fine
Jul 12, 2024
- $22,640
Federal fine
Aug 10, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 134.4 residents on an average day (89% of 151 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 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.