Lakeshore Post Acute and Rehabilitation Center
2701 California St · Pueblo, CO · 81004 · 7195611300
106 certified beds For profit - Corporation Chain: The Ensign Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 78 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · D August 28, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 24, 2025 · Resident Rights
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Potential for harm · D August 28, 2025
Provide activities to meet all resident's needs.
Corrected September 24, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 24, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
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.
Corrected September 24, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 24, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 24, 2025 · Pharmacy Service
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Potential for harm · D August 28, 2025
Ensure that residents are free from significant medication errors.
Corrected September 24, 2025 · Pharmacy Service
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Potential for harm · D August 28, 2025
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.
Corrected September 24, 2025 · Pharmacy Service
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Potential for harm · D August 28, 2025
Provide and implement an infection prevention and control program.
Corrected September 24, 2025 · Infection Control
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Potential for harm · E August 28, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 24, 2025 · Environmental
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Potential for harm · E February 26, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 26, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · E October 26, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 24, 2023 · Resident Rights
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Potential for harm · E October 26, 2023
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.
Corrected November 24, 2023 · Resident Rights
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Potential for harm · D October 26, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 26, 2023
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected November 24, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 26, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 24, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 26, 2023
Provide care by qualified persons according to each resident's written plan of care.
Corrected November 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 26, 2023
Assist a resident in gaining access to vision and hearing services.
Corrected December 19, 2023 · Quality of Life and Care
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Potential for harm · D October 26, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 24, 2023 · Quality of Life and Care
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Potential for harm · D October 26, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 6, 2023 · Quality of Life and Care
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Potential for harm · D October 26, 2023
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected November 24, 2023 · Quality of Life and Care
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Potential for harm · E October 26, 2023
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.
Corrected November 24, 2023 · Pharmacy Service
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Potential for harm · F October 26, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 24, 2023 · Nutrition and Dietary
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Potential for harm · E October 26, 2023
Provide and implement an infection prevention and control program.
Corrected December 13, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065229 · certified since April 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.