LAKESHORE POST ACUTE AND REHABILITATION CENTER
LAKESHORE POST ACUTE AND REHABILITATION CENTER, in PUEBLO, Colorado, holds 106 certified beds and has been certified for Medicare and Medicaid since 1986-04-01, averaging 81.1 residents a day.
Has LAKESHORE POST ACUTE AND REHABILITATION CENTER been cited for violations?
CMS lists 30 health-inspection deficiencies for LAKESHORE POST ACUTE AND REHABILITATION CENTER since 2022-07-07, 26 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-08-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-08-28 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-08-28 | F0628, F0679, F0684, F0688, F0689, F0759, F0760, F0761, F0880 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-02-26 | F0655, F0679 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide activities to meet all resident's needs. | E |
| 2023-10-26 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-10-26 | F0565, F0584, F0758, F0880, F0947 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / 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. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2023-10-26 | F0600, F0604, F0609, F0659, F0685, F0689, F0695, F0744 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide care by qualified persons according to each resident's written plan of care. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| 2022-07-07 | F0558, F0623, F0625, F0759 | Reasonably accommodate the needs and preferences of each resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure medication error rates are not 5 percent or greater. | D |
How is LAKESHORE POST ACUTE AND REHABILITATION CENTER staffed relative to the CO average?
| Measure | This facility | CO average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.37929 | 3.72368 |
| Total nursing staff turnover (%) | 44.1 | 47.1 |
| Average number of residents per day | 81.1 | 74.8 |
Who owns LAKESHORE POST ACUTE AND REHABILITATION CENTER, and what chain is it in?
LAKESHORE POST ACUTE AND REHABILITATION CENTER is registered with CMS as For profit - Corporation, operates under the legal business name STEEL CITY HEALTHCARE, INC. and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | MALONEY, ANN, REDDY, VIKAS | since 09/01/2024 |
| CORPORATE DIRECTOR | JORGENSEN, DAVID | since 05/24/2024 |
| CORPORATE OFFICER | BURNAM, SOON, DUNYON, DAVID, KEETCH, CHAD, SATO, AMI | since 03/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | PRIME TIME HEALTHCARE LLC, MALONEY, ANN, REDDY, VIKAS | since 09/01/2024 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | PORT, BARRY | since 06/21/2025 |
| ADP OF THE SNF | ENSIGN SERVICES INC, SMV PUEBLO LLC, MALONEY, ANN, REDDY, VIKAS | since 06/21/2025 |
Were you or a family member harmed at LAKESHORE POST ACUTE AND REHABILITATION CENTER?