Lakeshore Post Acute and Rehabilitation Center

Nursing Home · Pueblo, CO

CMS overall rating 4/5 For profit - Corporation

CMS certification number065229

Contact & location

2701 California ST
Pueblo, CO 81004
Pueblo County
Phone
(719) 561-1300
ZIP code
81004 – all care providers

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Facility details

Certified beds
106
Residents per day
81.1 (77% occupied)
Ownership
For profit - Corporation
Legal name
Steel City Healthcare, INC.
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
April 1, 1986
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.1
Health inspections★★★★★ 3/5
State avg 2.7
Staffing★★★★★ 3/5
State avg 3.1
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.38 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.73 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.58 (state 0.68 · U.S. 0.86)
Nurse aides
2.07 (state 2.22 · U.S. 2.32)
Weekend total
2.99 (state 3.30 · U.S. 3.42)
Nursing staff turnover
44.1 (state 47.1 · U.S. 45.8)%
RN turnover
37.5 (state 44.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
August 28, 2025
Health deficiencies (last cycle)
10.0 (state 8.6 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
30 health · 40 fire safety
DateCitationSeverityStatus
2025-08-28 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-24
2025-08-28 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-24
2025-08-28 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-24
2025-08-28 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-24
2025-08-28 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-24
2025-08-28 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-24
2025-08-28 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 2025-09-24
2025-08-28 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-24
2025-08-28 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-24
2025-08-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-24
2025-02-26 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-01
2025-02-26 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-01
2023-10-26 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		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-24
2023-10-26 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-24
2023-10-26 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 2023-11-24
2023-10-26 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.
F0758 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-24
2023-10-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-13
2023-10-26 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-24
2023-10-26 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-23
2023-10-26 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-24
2023-10-26 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-24
2023-10-26 Provide care by qualified persons according to each resident's written plan of care.
F0659 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-24
2023-10-26 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-19
2023-10-26 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-24
2023-10-26 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-06
2023-10-26 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 2023-11-24
2022-07-07 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-30
2022-07-07 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-30
2022-07-07 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-30
2022-07-07 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 2022-07-30

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Maloney, Ann (individual)Administrator · NOT APPLICABLE
Reddy, Vikas (individual)Administrator · NOT APPLICABLE
SMV Pueblo LLC (organization)Administrator · NOT APPLICABLE
Jorgensen, David (individual)Corporate Director · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Dunyon, David (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Sato, Ami (individual)Corporate Officer · NOT APPLICABLE
Port, Barry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Maloney, Ann (individual)Managing Control - Governing Body · NOT APPLICABLE
Reddy, Vikas (individual)Managing Control - Governing Body · NOT APPLICABLE
Maloney, Ann (individual)Operational/managerial Control · NOT APPLICABLE
Prime Time Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Reddy, Vikas (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Lakeshore Post Acute and Rehabilitation Center?

Lakeshore Post Acute and Rehabilitation Center has a 4-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 Lakeshore Post Acute and Rehabilitation Center have?

It has 106 certified beds and cares for about 81 residents per day.

Has Lakeshore Post Acute and Rehabilitation Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Lakeshore Post Acute and Rehabilitation Center?

It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Lakeshore Post Acute and Rehabilitation Center?

(719) 561-1300. The facility is located at 2701 California ST, Pueblo, CO 81004.

Other nursing homes in Pueblo

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.