Rock Canyon Respiratory and Rehabilitation Center
Nursing Home · Pueblo, CO
CMS certification number065100
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
2515 Pitman PLPueblo, CO 81004
Pueblo County
- Phone
- (719) 564-0550
- ZIP code
- 81004 – all care providers
Facility details
- Certified beds
- 151
- Residents per day
- 135.3 (90% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Rock Canyon Healthcare LLC
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- March 24, 1968
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.80 (state 3.72 · U.S. 3.86)
- Registered nurses (RN)
- 0.52 (state 0.82 · U.S. 0.69)
- Licensed practical nurses
- 0.70 (state 0.68 · U.S. 0.86)
- Nurse aides
- 1.58 (state 2.22 · U.S. 2.32)
- Weekend total
- 2.47 (state 3.30 · U.S. 3.42)
- Nursing staff turnover
- 49.1 (state 47.1 · U.S. 45.8)%
- RN turnover
- 47.4 (state 44.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- June 5, 2025
- Health deficiencies (last cycle)
- 7.0 (state 8.6 · U.S. 9.3)
- From complaints
- 7
- Citations on record (3 years)
- 41 health · 7 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-11 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-26 |
| 2025-06-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-01 |
| 2025-06-05 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-01 |
| 2025-06-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-01 |
| 2025-06-05 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-01 |
| 2025-06-05 | 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. F0688 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-01 |
| 2025-06-05 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-01 |
| 2025-04-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-05-02 |
| 2024-07-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-08-09 |
| 2024-07-12 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-08-09 |
| 2024-07-12 | Ensure 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. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-07-12 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-07-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-07-12 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-07-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-03-21 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-21 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-21 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-21 | 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. F0622 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-21 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-21 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-21 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2024-03-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-12 |
| 2023-09-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-10-02 |
| 2023-09-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-10-02 |
| 2023-09-11 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-10-02 |
| 2023-09-11 | Honor 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. F0585 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-02 |
| 2023-09-11 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-02 |
| 2023-09-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-02 |
| 2023-08-10 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2023-09-13 |
| 2023-08-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-01 |
| 2023-08-10 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-01 |
| 2023-08-10 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-01 |
| 2023-08-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-01 |
| 2022-12-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2023-01-14 |
| 2022-12-15 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-01-14 |
| 2022-12-15 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-01-14 |
| 2022-12-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-01-14 |
| 2022-12-15 | 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. F0742 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-01-14 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $67,298 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-03 | Fine | $36,569 |
| 2024-07-12 | Fine | $30,729 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Gardner, Mark (individual) | Administrator · NOT APPLICABLE | |
| Kettle Creek Health Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Reddy, Vikas (individual) | Administrator · NOT APPLICABLE | |
| Standard Bearer Healthcare Op LP (organization) | Administrator · NOT APPLICABLE | |
| The Ensign Group INC (organization) | Administrator · NOT APPLICABLE | |
| Port, Barry (individual) | Corporate Director · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Keetch, Chad (individual) | Corporate Officer · NOT APPLICABLE | |
| Burnam, Soon (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gardner, Mark (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Jorgensen, David (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Reddy, Vikas (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gardner, Mark (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jorgensen, David (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Rock Canyon Respiratory and Rehabilitation Center?
Rock Canyon Respiratory and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Colorado.
How many beds does Rock Canyon Respiratory and Rehabilitation Center have?
It has 151 certified beds and cares for about 135 residents per day.
Has Rock Canyon Respiratory and Rehabilitation Center been fined?
Yes. CMS lists 2 penalties totaling $67,298 in the last three years.
Who owns Rock Canyon Respiratory and Rehabilitation Center?
It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Rock Canyon Respiratory and Rehabilitation Center?
(719) 564-0550. The facility is located at 2515 Pitman PL, Pueblo, CO 81004.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.