ROCK CANYON RESPIRATORY AND REHABILITATION CENTER

CMS abuse icon · Continuing care retirement community · CCN 065100 · ROCK CANYON HEALTHCARE LLC · For profit - Limited Liability company · THE ENSIGN GROUP chain · 151 certified beds · Pueblo · CO


ROCK CANYON RESPIRATORY AND REHABILITATION CENTER is a 151-bed nursing home in PUEBLO, Colorado. CMS has certified it for Medicare and Medicaid since 1968-03-24. It averages 135.3 residents a day.

What harm was found in the violations cited at ROCK CANYON RESPIRATORY AND REHABILITATION CENTER?

CMS lists 41 health-inspection deficiencies for ROCK CANYON RESPIRATORY AND REHABILITATION CENTER since 2022-12-15, 36 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-11.

Survey dateTagDeficiencySeverity
2025-12-11F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-06-05F0880Provide and implement an infection prevention and control program.E
2025-06-05F0558, F0605, F0658, F0688, F0760Reasonably accommodate the needs and preferences of each resident. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure services provided by the nursing facility meet professional standards of quality. / 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 residents are free from significant medication errors.D
2025-04-03F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-07-12F0689, F0692Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.G
2024-07-12F0693, F0865Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Have a plan that describes the process for conducting QAPI and QAA activities.F
2024-07-12F0677, F0919Provide care and assistance to perform activities of daily living for any resident who is unable. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2024-07-12F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-03-21F0584, F0812, F0842, F0919Honor 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2024-03-21F0600, F0622, F0744, F0759, F0760, F0880Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program.D
2023-09-11F0684, F0686, F0695Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed.G
2023-09-11F0585, F0658, F0677Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-08-10F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2023-08-10F0677, F0725, F0761, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.E
2022-12-15F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2022-12-15F0584, F0744Honor 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. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.E
2022-12-15F0677, F0742Provide care and assistance to perform activities of daily living for any resident who is unable. / 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

Why was ROCK CANYON RESPIRATORY AND REHABILITATION CENTER fined 2 times?

DateTypeAmount
2025-04-03Fine$36,569
2024-07-12Fine$30,729

How is ROCK CANYON RESPIRATORY AND REHABILITATION CENTER staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day2.800463.72368
Total nursing staff turnover (%)49.147.1
Average number of residents per day135.374.8

Who owns ROCK CANYON RESPIRATORY AND REHABILITATION CENTER, and what chain is it in?

ROCK CANYON RESPIRATORY AND REHABILITATION CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name ROCK CANYON HEALTHCARE LLC and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYBURNAM, SOON, GARDNER, MARK, JORGENSEN, DAVID, REDDY, VIKASsince 05/31/2023
CORPORATE DIRECTORPORT, BARRYsince 01/01/2022
CORPORATE OFFICERBURNAM, SOON, KEETCH, CHADsince 01/01/2022
OPERATIONAL/MANAGERIAL CONTROLGARDNER, MARK, JORGENSEN, DAVIDsince 01/01/2015
ADP OF THE SNFENSIGN SERVICES INC, KETTLE CREEK HEALTH HOLDINGS LLC, STANDARD BEARER HEALTHCARE OP LP, THE ENSIGN GROUP INC, GARDNER, MARK, REDDY, VIKASsince 01/01/2022

Were you or a family member harmed at ROCK CANYON RESPIRATORY AND REHABILITATION CENTER?