Pueblo Heights Nursing and Rehabilitation
1601 Constitution Rd, Pueblo, CO 81001 · Pueblo County · 120 certified beds · avg 90 residents/day · certified since Jul 1, 1982
Part of chain: MADISON CREEK PARTNERS (13 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 14, 2026 · F-0740 · triggered by a complaint
The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 8, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (26)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 14, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Jul 18, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jul 18, 2024 | E · Potential for harm, repeated | 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. |
| Jul 18, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 18, 2024 | E · Potential for harm, repeated | 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jul 18, 2024 | D · Potential for harm, one-off | 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 18, 2024 | D · Potential for harm, one-off | 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | 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. |
| Feb 16, 2023 | F · Potential for harm, facility-wide | 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. |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 16, 2023 | E · Potential for harm, repeated | 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. |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not perform required COVID-19 testing on residents and staff. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 4, 2021 | E · Potential for harm, repeated | 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. |
| Nov 4, 2021 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Nov 4, 2021 | D · Potential for harm, one-off | 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. |
| Nov 4, 2021 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Nov 4, 2021 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | E |
| 2023 | 7 | 0 | F |
| 2024 | 13 | 0 | F |
| 2026 | 1 | 1 | J ▲ |
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)
2 fines totaling $30,707.
| Date | Type | Amount / length |
|---|---|---|
| Apr 14, 2026 | Fine | $7,425 |
| Apr 14, 2026 | Fine | $23,282 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Colorado avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.40 | 3.89 | 3.95 | bottom 29% in Colorado; bottom 32% in the U.S. |
| Registered Nurse hours | 0.71 | 0.86 | 0.69 | bottom 40% in Colorado; top 35% in the U.S. |
| Weekend total nurse staffing | 3.14 | 3.44 | 3.50 | bottom 41% in Colorado; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.61 | 0.48 | bottom 31% in Colorado; top 42% in the U.S. |
| Total nursing staff turnover (%) | 55.6 | 47.1 | 45.8 | bottom 24% in Colorado; bottom 24% in the U.S. |
| RN turnover (%) | 46.2 | 44.6 | 42.9 | bottom 47% in Colorado; bottom 42% in the U.S. |
Hours are per resident per day, 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 2.88, RN 0.60, weekend 2.66. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Christensen, Covey | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/11/2025 |
| Madison Creek Partners LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/11/2025 |
| Christensen, Covey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/11/2025 |
| Christensen, Covey | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2025 |
| Christensen, Covey | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Clegg, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2025 |
| Clegg, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Constitution Operations LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/11/2025 |
| Constitution Operations LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Hopkins, Amber | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2025 |
| Hopkins, Amber | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Sanders, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2025 |
| Sanders, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Shepherd, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2025 |
| Shepherd, David | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What mental health services do you provide on-site, and who delivers them?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Vista Ridge Care and Rehabilitation | 1.1 mi | Pueblo, CO | ★★★☆☆ | 3/5 | |
| University Park Care Center | 1.5 mi | Pueblo, CO | ★★★★☆ | 3/5 | |
| High Plains Post Acute LLC | 3.5 mi | Pueblo, CO | ★★☆☆☆ | 2/5 | |
| Center at Park West LLC, the | 4.6 mi | Pueblo, CO | ★★☆☆☆ | 2/5 | |
| Rock Canyon Respiratory and Rehabilitation Center | 4.7 mi | Pueblo, CO | ★☆☆☆☆ | 2/5 | abuse |
| Atlas Post Acute | 4.8 mi | Pueblo, CO | ★★★☆☆ | 4/5 | |
| Lakeshore Post Acute and Rehabilitation Center | 5.2 mi | Pueblo, CO | ★★★★☆ | 3/5 | |
| Life Care Center of Pueblo | 6.4 mi | Pueblo, CO | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 065169.