Colorado › Pueblo County › Pueblo
Lakeshore Post Acute and Rehabilitation Center
2701 California St, Pueblo, CO 81004
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Lakeshore Post Acute and Rehabilitation Center, in Pueblo, Colorado, is certified for 106 beds under for-profit, corporation ownership and belongs to the The Ensign Group chain.
CMS gives it 4 of 5 stars overall, above the Colorado median of 3; the health inspection rating is 3, staffing 3 and quality measures 5.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (10, 16, 4 by cycle, most recent first), none at the actual-harm level. That is 28.3 per 100 beds, about the same as the state median of 25.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Colorado median of 3.5; nursing staff turnover is 44.1%.
Compared with county, state and nation
| Measure | This facility | Pueblo Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 30 | 22 | 28.7 |
| Citations per 100 beds | 28.3 | 26.3 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.5 | 3.9 |
| RN hours per resident day | 0.7 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 44.1% | 55.6% | 46.7% | 45.8% |
| Fines listed | $0 | $30,707 | $10,033 | — |
County and state figures are medians across facilities (9 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Aug 2025, 26 Oct 2023.
Severity mix: D ×21 E ×8 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 Aug 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 24 Sep 2025 |
| 28 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 24 Sep 2025 |
| 28 Aug 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 24 Sep 2025 |
| 28 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Sep 2025 |
| 28 Aug 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 24 Sep 2025 |
| 28 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Sep 2025 |
| 28 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Sep 2025 |
| 28 Aug 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 24 Sep 2025 |
| 28 Aug 2025 | F0761 | 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. | D | Standard survey | 24 Sep 2025 |
| 28 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Sep 2025 |
| 26 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 1 Apr 2025 |
| 26 Feb 2025 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 1 Apr 2025 |
| 26 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Nov 2023 |
| 26 Oct 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 24 Nov 2023 |
| 26 Oct 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 24 Nov 2023 |
| 26 Oct 2023 | F0758 | 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. | E | Standard survey | 24 Nov 2023 |
| 26 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 24 Nov 2023 |
| 26 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 23 Jan 2024 |
| 26 Oct 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 24 Nov 2023 |
| 26 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 24 Nov 2023 |
| 26 Oct 2023 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 24 Nov 2023 |
| 26 Oct 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 19 Dec 2023 |
| 26 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Nov 2023 |
| 26 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Dec 2023 |
| 26 Oct 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 24 Nov 2023 |
| 7 Jul 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 30 Jul 2022 |
| 7 Jul 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 30 Jul 2022 |
| 7 Jul 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 30 Jul 2022 |
| 7 Jul 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 Jul 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 44.1%, RNs 37.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.5% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.6% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.9% | 18.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Steel City Healthcare, Inc.. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Prime Time Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
| Smv Pueblo LLC | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pueblo County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Life Care Center of Pueblo | Pueblo | 187 | 4 | 3 | 4 | 31 | 16.6 | $19K | 26 Feb 2026 |
| University Park Care Center | Pueblo | 180 | 4 | 3 | 2 | 24 | 13.3 | $23K | 20 Nov 2025 |
| Atlas Post Acute | Pueblo | 146 | 3 | 4 | 1 | 29 | 19.9 | $39K | 14 May 2026 |
| Vista Ridge Care and Rehabilitation | Pueblo | 90 | 3 | 3 | 2 | 31 | 34.4 | $42K | 4 Dec 2025 |
| Center At Park West LLC, The | Pueblo | 80 | 2 | 2 | 3 | 21 | 26.3 | — | 25 Jun 2026 |
| High Plains Post Acute LLC | Pueblo | 59 | 2 | 2 | 2 | 33 | 55.9 | $58K | 11 Aug 2025 |
| Pueblo Heights Nursing and Rehabilitation | Pueblo | 120 | 2 | 2 | 3 | 26 | 21.7 | $31K | 14 Apr 2026 |
| Rock Canyon Respiratory and Rehabilitation Centerabuse icon | Pueblo | 151 | 1 | 2 | 1 | 41 | 27.2 | $67K | 11 Dec 2025 |
All 9 facilities in Pueblo County
Questions and answers
How many deficiencies has Lakeshore Post Acute and Rehabilitation Center been cited for?
30 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.
Has Lakeshore Post Acute and Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Lakeshore Post Acute and Rehabilitation Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Lakeshore Post Acute and Rehabilitation Center?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Prime Time Healthcare LLC. Individual owners and managers are not listed on this site.
When was Lakeshore Post Acute and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 28 Aug 2025; the most recent standard health survey was 28 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.