Pueblo Heights Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 1601 Constitution Rd, Pueblo, CO 81001
- CCN
- 065169
- Ownership type
- For-profit, individual
- Certified beds
- 120
- Residents per day
- 90
- CMS flags
- No standard survey in more than 2 years
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Pueblo Heights Nursing and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 18 Jul 2024. The latest survey cycle has 14 health citations. The median for nursing homes in Colorado is 8. CMS lists 2 fines with a total of $30,707 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Pueblo County median | Colorado median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 2.0 | 2.8 |
| Staffing rating | 3 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 210 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Colorado median |
|---|---|---|---|
| Cycle 1 (latest) | 18 Jul 2024 | 14 | 8 |
| Cycle 2 | 16 Feb 2023 | 7 | 8 |
| Cycle 3 | No date | 5 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Apr 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | Complaint investigation | 8 May 2026 |
| 18 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 5 Aug 2024 |
| 18 Jul 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 1 Aug 2024 |
| 18 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 9 Aug 2024 |
| 18 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 1 Aug 2024 |
| 18 Jul 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 6 Aug 2024 |
| 18 Jul 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 5 Aug 2024 |
| 18 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 Aug 2024 |
| 18 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 6 Aug 2024 |
| 18 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 1 Aug 2024 |
| 18 Jul 2024 | 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 | 5 Aug 2024 |
| 18 Jul 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 7 Aug 2024 |
| 18 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Aug 2024 |
| 18 Jul 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 7 Aug 2024 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Feb 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 | 28 Apr 2023 |
| 16 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Apr 2023 |
| 16 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Apr 2023 |
| 16 Feb 2023 | 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. | E | Standard survey | 4 May 2023 |
| 16 Feb 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 | 28 Apr 2023 |
| 16 Feb 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 31 Mar 2023 |
| 16 Feb 2023 | F0886 | Perform COVID19 testing on residents and staff. | E | Standard survey | 31 Mar 2023 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Nov 2021 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 8 Dec 2021 |
| 4 Nov 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Dec 2021 |
| 4 Nov 2021 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 8 Dec 2021 |
| 4 Nov 2021 | 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. | D | Standard survey | 8 Dec 2021 |
| 4 Nov 2021 | 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. | E | Standard survey | 8 Dec 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 14 Apr 2026 | Fine | $23,282 | |
| 14 Apr 2026 | Fine | $7,425 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Colorado median | Colorado average (CMS) |
|---|---|---|---|
| All nurse staff | 2.88 | 3.50 | 3.72 |
| Registered nurses (RN) | 0.60 | 0.70 | 0.82 |
| Licensed practical nurses (LPN) | 0.45 | 0.68 | |
| Nurse aides | 1.82 | 2.22 | |
| All nurse staff, weekends | 2.66 | 3.10 | 3.30 |
- Nurse staff turnover in a year
- 55.6%
- Nurse staff turnover, Colorado median
- 46.7%
- RN turnover in a year
- 46.2%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.6% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 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 | 19.4% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.7% | 18.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
- Chain
- Madison Creek Partners (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Madison Creek Partners LLC | Direct ownership interest | 11 Jul 2025 | |
| Constitution Operations LLC | 5% or greater mortgage interest | 11 Jul 2025 | |
| Constitution Operations LLC | Adp of the snf | 11 Jul 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Pueblo County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Vista Ridge Care and Rehabilitation | Pueblo | 3 of 5 | 6 | $41,772 | 4 Dec 2025 | |
| University Park Care Center | Pueblo | 4 of 5 | 10 | $22,653 | 11 Jun 2024 | |
| High Plains Post Acute LLC | Pueblo | 2 of 5 | 11 | $57,734 | 27 Feb 2025 | |
| Center at Park West LLC, The | Pueblo | 2 of 5 | 13 | $0 | 1 Aug 2024 | |
| Rock Canyon Respiratory and Rehabilitation Center | Pueblo | 1 of 5 | 7 | $67,298 | 5 Jun 2025 | |
| Atlas Post Acute | Pueblo | 3 of 5 | 6 | $39,368 | 22 Oct 2024 | |
| Lakeshore Post Acute and Rehabilitation Center | Pueblo | 4 of 5 | 10 | $0 | 28 Aug 2025 | |
| Life Care Center of Pueblo | Pueblo | 4 of 5 | 5 | $18,685 | 9 May 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Pueblo Heights Nursing and Rehabilitation (CCN 065169). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/pueblo-heights-nursing-and-rehabilitation-pueblo-co-065169/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Pueblo Heights Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 14 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 16 Feb 2023. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Pueblo Heights Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in the chain Madison Creek Partners. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Pueblo Heights Nursing and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists no home in Colorado as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.