2611 Jones Ave, Pueblo, CO 81004 · Pueblo County · (719) 564-1735
146 certified beds, about 73 residents a day · For profit - Corporation · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 065232 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on October 22, 2024, inspectors cited 1 health deficiency (the Colorado average is 8.7, the national average 9.2).
Of 29 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $39,368 in the last three years; the largest was $39,368, and the latest is dated November 2, 2023.
Nurses and nurse aides worked 3.32 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
64.6% of nursing staff left within the year CMS measured (Colorado average 47.1%).
CMS links it to PACS Group, an affiliated group of 275 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 29 health citations on file.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents had adequate supervision and assistive devices to prevent accidents for one (#2) of four residents reviewed for accidents/hazards out of 29 sample residents. Resident #2, who was admitted on [DATE], required substantial assistance to roll from her back to her right or left side in the bed. On the afternoon of [DATE], certified nurse aide (CNA) #3 elevated Resident #2's bed and then repositioned the resident onto her side to provide incontinence care. Resident #2 rolled off the elevated bed onto the floor during care. Interviews during the survey revealed Resident #2 was communicating with staff prior to the incident, however, Resident #2's responsiveness deteriorated significantly immediately after the fall. Resident #2 said she had head pain after the fall. [...]
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure three (#25, #15 and #18) of seven residents were free from abuse out of 29 sample residents. Specifically, the facility failed to:-Protect Resident #18 from verbal abuse by Resident #17;-Protect Resident #15 from physical abuse by Resident #16; and,-Protect Resident #25 from physical abuse by Resident #24.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide necessary services consistent with professional standards of practice to promote healing of pressure injuries for one (#9) of four residents out of 29 sample residents. Specifically the facility failed to ensure staff consistently provided wound care to Resident #9 in a timely manner, per physician's orders.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide treatment and care in accordance with professional standards of practice for one (#2) of three out of 12 sample residents. Specifically, the facility failed to notify the provider when Resident #2's pain medication was unavailable to be administered.
Inspectors wroteBased on record review and interviews, the facility failed to ensure residents were free from significant medication errors for one (#1) of three residents reviewed for medications errors out of four sample residents. Specifically the facility failed to:-Ensure Resident #1 was administered Midodrine (for low blood pressure) per physician's orders and parameters;-Ensure Resident #1 had a blood pressure taken prior to administration of a hypotension medication; and,-Identify and document medication errors.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide food that accommodated resident preferences for three (#38, #18, #23) of three residents out of 32 sample residents. Specifically, the facility failed to provide food choices according to resident preferences for Resident #38, Resident #18 and Resident #23. I. Facility policy and procedure The Resident Food Preferences policy, revised 2015, was provided by the nursing home administrator (NHA) on 10/22/24 at 4:30 p.m. It read in pertinent part, Individual food preferences will be assessed upon admission and communicated to the interdisciplinary team. Modifications to diet will only be ordered with the resident's or representative's consent. Nursing staff will document the resident's food and eating preferences in the care plan. II. Resident #38 A. [...]
Inspectors wroteBased on observation and interviews, the facility failed to ensure medications and biologicals were stored and labeled properly on two of two medication carts. Specifically, the facility failed to: -Ensure insulin (medication for diabetes) pen injection devices were labeled appropriately with open dates; and, -Ensure inhaler medications were labeled appropriately with open dates.
Inspectors wroteBased upon observations, interviews and record review, the facility failed to ensure one (#32) of three residents reviewed for assistance with activities of daily living (ADL) received fingernail care out of the 31 sample residents. Specifically, the facility failed to ensure Resident #32's fingernails were trimmed and clean.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure one (#27) of five residents reviewed for unnecessary medications out of 31 sample residents received the highest practicable treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. Specifically, the facility failed to ensure a resident with a continuous glucose monitor was monitored effectively to include frequency of the glucose monitor changes, training staff on the continuous glucose monitor, and care planning the use of a continuous glucose monitor.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide necessary respiratory care and services consistent with professional standards of practice and the comprehensive person-centered care plan for one (#20) of three residents reviewed for respiratory care out of 31 sample residents. Specifically, the facility failed to ensure Resident #20 received oxygen therapy in accordance with the physician's order.
Inspectors wroteBased on observations, record review and interviews the facility failed to ensure one (#14) of one residents reviewed for activities of daily living were provided with services or treatments to prevent the reduction in range of motion out of 39 sample residents. Specifically, the facility failed to ensure Resident #14 was provided with preventative measures to help minimize the development of and the worsening of contractures. Resident #14 had a contracture to his left hand and no preventative measures were implemented. When Resident #14 was assessed during the survey on 10/31/23, his left hand finger contractures worsened and he developed a contracture to his right hand.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide effective pain management program for two (#53 and #4) of three residents reviewed for pain management out of 39 sample residents. Resident #53 had pain control during a wound dressing change on 10/31/23 at 4:15 p.m. The resident experienced severe pain during the dressing change. The resident was administered a pain medication at 3:40 p.m., although the resident told the nurse that she was in pain, the dressing change continued. The resident was not offered any other type of pain intervention. In addition, the facility failed to for Resident #4: -Have a pain parameters for as needed (PRN) pain medications; and, -Thoroughly assess the resident's pain.
Inspectors wroteBased on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases and infection for three out of three units at the facility. Specifically, the facility failed to: -Ensure residents' personal toiletry items were labeled appropriately; -Ensure residents were provided with an opportunity to participate in hand hygiene before meals; -Ensure a wound cleanser was placed in an appropriate place; and, -Ensure the staff had knowledge to ensure blood glucose meters were cleaned properly
Inspectors wroteBased on observations, record review and staff interviews the facility failed to provide services for three (#4, #12 and #36) of four reviewed out of 39 sample residents according to professional standards of practice. Specifically, the facility failed to ensure Resident #4, Resident #12 and Resident #36's vital signs were monitored prior to the administration of a blood pressure medication.
Inspectors wroteBased on record review and interviews, the facility failed to ensure licensed nurses were able to demonstrate competencies in skills and techniques necessary to care for residents' needs, as identified through resident assessments and described in the plan of care for three licensed practical nurses (LPNs) and and one registered nurses (RNs). Specifically, the facility failed to: -Complete competencies for LPN #1, #3 and #2; and, -Complete competencies for RN #5 Cross-reference F760 failure to identify skill training and competencies for staff education in mathematics calculations for liquid medications. I. Observation On 11/1/23 at 7:35 a.m. licensed practical nurse (LPN) #1 checked Resident #36 ' s oral morphine order on the medication administration record which read Morphine 20 milligrams (mg)/5 milliliters (ml) give 0.25 ml. [...]
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure that residents were free from significant medication errors for one (#36) of four residents reviewed for medication errors of 39 sample residents. Specifically, the facility failed to ensure that Resident #36 was administered the correct dose of oral morphine by verifying the correct concentration of oral morphine on the medication administration record (MAR) with the correct concentration of the oral morphine provided.
Inspectors wroteBased on record review and staff interviews, the facility failed to implement policies and procedures related to pneumococcal immunizations for five (#64, #34, #26, #21 and #52) of eight residents reviewed for immunizations out of 39 sample residents. Specifically, the facility failed to: -Offer Resident #64 and #21 the pneumococcal vaccine upon admission; -Offer additional doses of the pneumococcal vaccine to Resident #26 and #34; and, -Offer Resident #52 the pneumococcal vaccine after signing a consent to receive.
Inspectors wroteBased on observations, record review and staff interviews the facility failed to ensure the right to self administer medications appropriately in one (#34) out of 39 sample residents. Specifically, the facility failed to -Ensure Resident #34 had an evaluation and a physician's order for Resident #34 to self administer eye drops and nasal spray at the bedside; and, -Ensure Resident #34 had a physician's order to self administer inhalers at the bedside
Inspectors wroteBased on record review and staff interviews, the facility failed to inform residents of the facility's bed hold policy for one (#85) of three residents reviewed for discharge/transfer out of 39 sample residents. Specifically, the facility failed to ensure Resident #85 or their responsible party were informed in writing of the facility's bed hold policy prior to being discharged or transferred from the facility.
Inspectors wroteBased on record review and interviews the facility failed to coordinate assessments with the preadmission screening and resident review (PASRR) program for two (#16 and #32) of nine residents reviewed for PASRR out of 39 sample residents. Specifically, the facility failed to: -Ensure a PASRR level II evaluation was available in the medical record of Resident #16 with a known major mental illness; and, -Ensure a PASRR level II evaluation was completed for Resident #32 after the resident was identified as having a known major mental illness.
Inspectors wroteBased on record review and interviews, the facility failed to submit a preadmission screening and resident review (PASRR) level I for one (#23) of four residents reviewed for PASRR out of 39 sample residents. Specifically, the facility failed to submit a PASRR level I for Resident #23 who was admitted with a known major mental illness.
Inspectors wroteBased on record review and interviews, the facility failed to ensure a discharge summary was in place for one (#86) resident out of three sample residents reviewed for discharge out of 39 sample residents. Specifically, the facility failed to ensure discharge summaries included a recapitulation of the resident's stay, a final summary of the resident's status and recapitulation of the resident's stay at the facility for Resident #86.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents who were unable to carry out activities of daily living, received the necessary services to maintain good grooming and personal hygiene for two (#14 and #53) of three residents reviewed out of 39 sample residents. Specifically, the facility failed to ensure Residents #14 and #53 received assistance with showers as scheduled.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure that the resident ' s environment was free from accident hazards for one (#4) of three resident reviewed for falls out of 39 sample residents. Specifically, the facility failed to: -Ensure that fall risk assessments were in place, before and after a fall, for Resident #4 with a history of falls; -Document neurological assessments after Resident #4 fell; and, -Document an interdisciplinary team (IDT) review to establish causative factors of the fall and failed to implement and care plan new interventions.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure that a consent and a safety bed rail evaluation was in place for one (#12) of one resident with bed rails out of 39 sample residents. Specifically, the facility failed to: -Failed to obtain a consent for Resident #12 with safety risks versus benefit and alternatives prior to the use of half bed rails; and, -Failed to obtain a safety evaluation for Resident #12 prior to the use of half bed rails.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure the mediation error rate was not greater than five percent. Specifically the facility's medication error rate was 7.14% with two errors out of 28 opportunities.
Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure medical records were kept in a secure and confidential manner and the medical record was complete and accurate in keeping with accepted standards of practice for three (#85, #23 and #53) out of 39 sample residents reviewed. Specifically, the facility failed to ensure: -Resident #85's discharge to the hospital was accurately documented; -For Resident #23 hours of sleep were not recorded; and, -Resident #53's treatment administration record (TAR) was accurately documented.
Inspectors wroteBased on interviews and record review, the facility failed to prevent resident to resident altercations involving three (#1, #2 and #3) of three residents reviewed out of eight sample residents. Specifically, the facility failed to protect Residents #1 and #3 from physical abuse by Resident #2. Cross-reference F610, failure to investigate abuse incidents.
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to investigate an allegation of abuse for one (#1) of three residents reviewed for abuse out of eight sample residents. Specifically, the facility failed to thoroughly investigate an allegation of resident to resident altercation on 4/21/23 and an altercation on 8/29/23 between Resident #1 and Resident #2 in a timely manner. Cross-reference F600 resident to resident altercation.
23 fire safety citations on file: 5 on October 22, 2024, 6 on April 30, 2024, 12 on November 2, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| November 2, 2023 | Fine | $39,368 |
| November 2, 2023 | Payment Denial | 47 days from December 2, 2023 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Colorado | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.32 | 3.72 | 3.86 |
| Registered nurses | 0.51 | 0.82 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.29 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 64.6% | 47.1% | 45.8% |
| Registered nurse turnover | 80.0% | 44.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.13 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.44 on weekdays and 3.02 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 28.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.65 in April to June 2025 to 3.32 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.32 | 0.51 | 3.44 | 3.02 | 28.2% | 3 of 90 | 73 |
| Oct to Dec 2025 | 2.37 | 0.39 | 2.55 | 1.90 | 5.5% | 6 of 92 | 67 |
| Jul to Sep 2025 | 3.55 | 0.56 | 3.67 | 3.25 | 27.6% | 0 of 92 | 60 |
| Apr to Jun 2025 | 2.65 | 0.50 | 2.82 | 2.24 | 0.0% | 0 of 91 | 60 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Colorado, Jan to Mar 2026 | 3.59 | 0.76 | 3.75 | 3.18 | 5.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Colorado, all employers | |||
| CNAs (nursing assistants) | $22.78 | $21.42 to $24.00 | 22,240 |
| LPNs and LVNs | $35.52 | $29.76 to $38.37 | 4,920 |
| Registered nurses | $48.20 | $40.67 to $52.37 | 54,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Colorado | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.0 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.8 | 13.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.2 | 20.0 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.4 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Atlas Post Acute's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Colorado: 39 better, 8 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 19 eligible stays.
10.7% this home
No different from the national rate
US median of homes 10.7% · Colorado: 3 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 43 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Colorado: 4 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 11 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Colorado65.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 6 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Colorado0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 9 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Colorado0.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 9 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Colorado99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: PUEBLO SNF HEALTHCARE LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Panther Master Tenant, LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2023 |
| Providence Group Nh, LLC | 5% or greater indirect ownership interest | Organization | 100% | 09/01/2023 |
| Reddy, Vikas | Contracted managing employee | Individual | 07/21/2023 | |
| Collazo, Elizabeth | W-2 managing employee | Individual | 01/29/2024 | |
| Apt, Frederick | Corporate officer | Individual | 01/01/2024 | |
| Hancock, Mark | Corporate officer | Individual | 01/01/2024 | |
| Jergensen, Joshua | Corporate officer | Individual | 01/01/2024 | |
| Mitchell, John | Corporate officer | Individual | 01/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.