Federal inspection record · CMS data as of October 1, 2026

High Plains Post Acute LLC

1209 W Abriendo Ave, Pueblo, CO · (719) 544-1173

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
59
Residents per day
54
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 18, 1996

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Colorado homes

High Plains Post Acute LLC carries 93.75 inspection points. That is fewer than 28% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 93.75 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–22 pts
  • 4★ 22–44 pts
  • 3★ 44–70.75 pts
  • 2★ 70.75–104 pts
  • 1★ over 104 pts

Bars show every rated home in Colorado by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

33 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 5 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 6 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (6)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 11, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected September 8, 2025

  2. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 27, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 26, 2025

  3. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 1, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 26, 2024

  4. J

    Ensure that residents are free from significant medication errors.

    August 14, 2023 · Standard inspection · Pharmacy Service · F760 · Corrected September 7, 2023

  5. G

    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.

    August 14, 2023 · Standard inspection · Quality of Life and Care · F688 · Corrected September 7, 2023

  6. G

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    August 14, 2023 · Standard inspection · Administration · F867 · Corrected September 7, 2023

Everything else, by area of care

Quality of Life and Care10E
  1. E

    Provide activities to meet all resident's needs.

    August 11, 2025 · Complaint · F679 · Corrected September 8, 2025

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 11, 2025 · Complaint · F684 · Corrected September 8, 2025

  3. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 11, 2025 · Complaint · F695 · Corrected September 8, 2025

  4. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    February 27, 2025 · Standard · F690 · Corrected March 26, 2025

  5. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 14, 2023 · Standard · F689 · Corrected September 7, 2023

  6. D

    Provide activities to meet all resident's needs.

    August 14, 2023 · Standard · F679 · Corrected September 7, 2023

  7. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 14, 2023 · Standard · F695 · Corrected September 7, 2023

  8. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    May 10, 2022 · Standard · F686 · Corrected June 20, 2022

  9. D

    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.

    May 10, 2022 · Standard · F688 · Corrected June 20, 2022

  10. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    May 10, 2022 · Standard · F744 · Corrected June 20, 2022

Resident Rights4E
  1. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    August 11, 2025 · Complaint · F565 · Corrected September 8, 2025

  2. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    August 14, 2023 · Standard · F550 · Corrected September 7, 2023

  3. E

    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.

    August 14, 2023 · Standard · F584 · Corrected September 7, 2023

  4. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 14, 2023 · Standard · F554 · Corrected September 7, 2023

Nutrition and Dietary3F
  1. B

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    August 11, 2025 · Complaint · F803 · Corrected September 8, 2025

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 14, 2023 · Standard · F812 · Corrected September 7, 2023

  3. D

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    May 10, 2022 · Standard · F807 · Corrected June 20, 2022

Pharmacy Service2D
  1. D

    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.

    February 27, 2025 · Standard · F758 · Corrected March 26, 2025

  2. D

    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.

    May 10, 2022 · Standard · F761 · Corrected June 20, 2022

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    February 27, 2025 · Standard · F880 · Corrected March 26, 2025

  2. D

    Implement a program that monitors antibiotic use.

    February 27, 2025 · Standard · F881 · Corrected March 26, 2025

Environmental2F
  1. F

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    August 14, 2023 · Standard · F921 · Corrected September 7, 2023

  2. F

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    August 14, 2023 · Standard · F925 · Corrected September 7, 2023

Resident Assessment and Care Planning2E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 14, 2023 · Standard · F656 · Corrected September 7, 2023

  2. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    May 10, 2022 · Standard · F658 · Corrected June 20, 2022

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    May 10, 2022 · Standard · F600 · Corrected June 20, 2022

Administration1D
  1. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    May 10, 2022 · Standard · F849 · Corrected June 20, 2022

Inspection history

  1. 2025-02-27

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

  2. 2023-08-14

    19 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

  3. 2022-05-10

    9 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 23 min of nursing staff time a day, 1 h 1 min of it from a registered nurse.

This home

3 h 23 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 59% of nursing staff and 57% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$57,734 in federal fines on record over the past three years.

DatePenaltyAmount
2025-08-11Fine$12,438
2025-02-27Fine$33,248
2024-04-01Fine$12,048

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better1.21.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse2.61.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.1 pts better93.5%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts worse93.6%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts worse5.9%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms1.5 pts worse10.3%8.8%13.5%
Percentage of long-stay residents who lose too much weight3.7 pts worse8.5%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.8 pts better10.8%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication3 pts worse22.9%19.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.3 pts better11.4%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8 pts better4.8%12.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better0.4%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.6%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts worse25.6%20.6%18.3%
Percentage of long-stay residents with pressure ulcers1.9 pts better1.5%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better82.5%77.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.9 pts better4.1%12.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse2.4%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.7 pts better87.3%73.6%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.3 pts better20.2%20.5%23.4%

·

Who owns and runs it

14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Briscoe, Stephen5% Or Greater Indirect Ownership Interest · Individual100%2 facilities
Briscoe, StephenCorporate Officer · Individual0%2 facilities
Briscoe, StephenOperational/Managerial Control · Individual0%2 facilities
Briscoe, StephenIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%2 facilities
Briscoe, StephenAdp Of The SNF · Individual0%2 facilities
Continuum At Abriendo IncAdp Of The SNF · Organization0%1 facilities
Continuum At Sharmar, Inc.5% Or Greater Direct Ownership Interest · Organization0%1 facilities
Continuum At Sharmar, Inc.Operational/Managerial Control · Organization0%1 facilities
Continuum Health Management LLCOperational/Managerial Control · Organization0%2 facilities
Continuum Health Management LLCAdp Of The SNF · Organization0%2 facilities
Continuum Health Partnerships Inc5% Or Greater Direct Ownership Interest · Organization0%1 facilities
Holt, JessicaOperational/Managerial Control · Individual0%2 facilities
Holt, JessicaAdp Of The SNF · Individual0%2 facilities
Kinnett, StevenAdp Of The SNF · Individual0%3 facilities

·

Fire safety

2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness2F
  1. F

    List the names and contact information of those in the facility.

    May 10, 2022 · E30 · Corrected June 20, 2022

  2. F

    Provide emergency officials' contact information.

    May 10, 2022 · E31 · Corrected June 20, 2022

·

Other homes nearby

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