How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Lakeshore Post Acute and Rehabilitation Center
2701 California St, Pueblo, CO 81004 (opens Google Maps) · Pueblo County · (719) 561-1300· 106 certified beds · avg 81 residents/day · certified since Apr 1, 1986 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
3/5
Health inspection rating (on-site)
inspected Aug 28, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.38
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 30 inspection findings. Open the full record below to read every finding.
The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. F-0921
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). F-0628
The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. F-0679
View all 30 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 28, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Aug 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Feb 26, 2025 | E · Potential for more than minimal harm, pattern | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint · F-0655 |
| Feb 26, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint · F-0679 |
| Oct 26, 2023 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive. · F-0659 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Oct 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · F-0744 |
| Jul 7, 2022 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Jul 7, 2022 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Jul 7, 2022 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Jul 7, 2022 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 10).
All citationsSerious citations (G–L)
2022
All citations: 4
Serious citations (G–L): 0
2023
All citations: 14
Serious citations (G–L): 0
2025
All citations: 12
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | D |
| 2023 | 14 | 0 | F |
| 2025 | 12 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityColorado averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.38
Colorado average: 3.89
U.S. average: 3.95
Registered Nurse hours
This facility: 0.73
Colorado average: 0.86
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.99
Colorado average: 3.44
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Colorado avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.38 | 3.89 | 3.95 | bottom 28% in Colorado; bottom 30% in the U.S. |
| Registered Nurse hours | 0.73 | 0.86 | 0.69 | bottom 42% in Colorado; top 33% in the U.S. |
| Weekend total nurse staffing | 2.99 | 3.44 | 3.50 | bottom 29% in Colorado; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.61 | 0.48 | bottom 42% in Colorado; top 33% in the U.S. |
| Total nursing staff turnover (%) | 44.1 | 47.1 | 45.8 | top 41% in Colorado; top 48% in the U.S. |
| RN turnover (%) | 37.5 | 44.6 | 42.9 | top 34% in Colorado; top 42% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.38, RN 0.73, weekend 2.99.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.38 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lakeshore Post Acute and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 05/24/2024 |
| Dunyon, David | Individual | Corporate Officer | NOT APPLICABLE | 05/24/2024 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Jorgensen, David | Individual | Corporate Director | NOT APPLICABLE | 05/24/2024 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Maloney, Ann | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2024 |
| Maloney, Ann | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Maloney, Ann | Individual | ADP of the SNF | NOT APPLICABLE | 06/21/2025 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/21/2025 |
| Prime Time Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Reddy, Vikas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2024 |
| Reddy, Vikas | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Reddy, Vikas | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| SMV Pueblo LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
All 15 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain The Ensign Group — 342 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Littleton Care and Rehabilitation Center — Littleton, CO · overall 5/5
- Malley Transitional Care Center — Northglenn, CO · overall 2/5
- Mapleton Post Acute — Lakewood, CO · overall 4/5
- McIntosh Care and Rehabilitation Center — Longmont, CO · overall 3/5
- Medallion Post Acute Rehabilitation — Colorado Springs, CO · overall 1/5
- Oakwood Care and Rehabilitation — Lakewood, CO · overall 1/5abuse
- Parker Post Acute — Parker, CO · overall 2/5
- Pelican Pointe Health and Rehabilitation Center — Windsor, CO · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 341 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Colorado midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Atlas Post Acute | 1.1 mi | Pueblo, CO | ★★★☆☆ | 4/5 | |
| Rock Canyon Respiratory and Rehabilitation Center | 1.3 mi | Pueblo, CO | ★☆☆☆☆ | 2/5 | abuse |
| Life Care Center of Pueblo | 2.2 mi | Pueblo, CO | ★★★★☆ | 3/5 | |
| High Plains Post Acute LLC | 3.2 mi | Pueblo, CO | ★★☆☆☆ | 2/5 | |
| Vista Ridge Care and Rehabilitation | 4.8 mi | Pueblo, CO | ★★★☆☆ | 3/5 | |
| Pueblo Heights Nursing and Rehabilitation | 5.2 mi | Pueblo, CO | ★★☆☆☆ | 2/5 | |
| University Park Care Center | 6.3 mi | Pueblo, CO | ★★★★☆ | 3/5 | |
| Center at Park West LLC, the | 6.3 mi | Pueblo, CO | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 065229.