3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Pueblo, CO
4-star overall rating with 3-star inspections with $9,575 in total fines with 3 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
2118 Chatalet Ln, Pueblo, CO
(719) 564-2000
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
187
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1989-11-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.09
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
0.50
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 3.70 · national 3.89
Licensed hours
1.59
RN + LPN hours · state 1.51 · national 1.54
Weekend hours
3.15
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.77
Weekend registered nurse coverage · state 0.60 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.10
CMS adjusted RN staffing hours
Adjusted total hours
3.75
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
1,474
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.46
Composite VBP score used to determine payment impact.
Payment multiplier
1.0116
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.93
Baseline 18.95% · Performance 17.29% · Measure score 8.93 · Achievement 8.93 · Improvement 8.12
Healthcare-associated infections
4.08
Baseline 5.97% · Performance 6.61% · Measure score 4.08 · Achievement 4.08 · Improvement 0
Total nurse turnover
7.25
Baseline 48.57% · Performance 34.07% · Measure score 7.25 · Achievement 7.25 · Improvement 5.62
Adjusted total nurse staffing
2.33
Baseline 3.25 hours · Performance 3.74 hours · Measure score 2.33 · Achievement 2.33 · Improvement 1.44
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.34% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 6.25% · Lower 95% interval 6.16% |
| Discharge to community | 65.54% |
50.57%
15 pts better
|
Better than the National Rate · Eligible stays 93 · Observed rate 60.22% · Lower 95% interval 55.75% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 51 · Denominator 51 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 51 |
| Discharge self-care score | 75% |
53.69%
21.3 pts better
|
Numerator 27 · Denominator 36 |
| Discharge mobility score | 55.56% |
50.94%
4.6 pts better
|
Numerator 20 · Denominator 36 |
| Pressure ulcers or injuries, new or worsened | 1.96% |
2.29%
0.3 pts better
|
Numerator 1 · Denominator 51 · Adjusted rate 2.1% |
| Healthcare-associated infections requiring hospitalization | 6.61% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 5.17% · Lower 95% interval 3.48% |
| Staff COVID-19 vaccination coverage | 9.89% |
8.2%
1.7 pts better
|
Numerator 18 · Denominator 182 |
| Staff flu vaccination coverage | 59.61% |
42%
17.6 pts better
|
Numerator 152 · Denominator 255 |
| Discharge function score | 69.44% |
56.45%
13 pts better
|
Numerator 25 · Denominator 36 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 4.17% |
25.2%
21 pts worse
|
Numerator 1 · Denominator 24 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.3
0.1 pts worse
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.7
1.2 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
93.5%
3.4 pts better
|
93.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 96.8% · Q3 96.0% · Q4 97.0% · 4Q avg 96.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.2% |
94.7%
2.5 pts worse
|
95.5%
3.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.4%
1.6 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.2% · Q3 1.0% · Q4 2.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.9% |
7.4%
0.5 pts worse
|
11.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 11.2% · Q3 7.1% · Q4 6.0% · 4Q avg 7.9% |
| Percentage of long-stay residents who lose too much weight | 4.4% |
5.0%
0.6 pts better
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.9% · Q3 5.7% · Q4 3.5% · 4Q avg 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.9% |
11.2%
0.3 pts better
|
19.6%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 11.5% · Q3 11.4% · Q4 10.2% · 4Q avg 10.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.3% |
20.6%
6.3 pts better
|
16.7%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 14.3% · Q3 12.5% · Q4 13.7% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 28.8% |
15.2%
13.6 pts worse
|
16.3%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.9% · Q2 35.1% · Q3 17.0% · Q4 25.3% · 4Q avg 28.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.2% |
14.6%
1.6 pts worse
|
14.9%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 18.3% · Q3 14.3% · Q4 13.3% · 4Q avg 16.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.8%
0.6 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.5%
0.1 pts worse
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 2.0% · Q4 2.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.0% |
22.4%
7.6 pts worse
|
19.8%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 32.5% · Q3 21.6% · Q4 29.5% · 4Q avg 30.0% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
3.7%
2.8 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 9.6% · Q3 4.8% · Q4 4.1% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.8% |
76.4%
15.4 pts better
|
81.7%
10.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.6% · Q2 91.5% · Q3 91.8% · Q4 97.1% · 4Q avg 91.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.0% |
12.8%
0.2 pts worse
|
12.0%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 12.8% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.5%
0.1 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 2.8% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.8% |
75.6%
15.2 pts better
|
79.7%
11.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% |
20.3%
1.7 pts worse
|
23.9%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 23.1% · Expected 25.0% · Used in QM five-star |
Survey summary
Top issue: Nursing and Physician Services (1 deficiency)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (5 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-05-31
Fire Safety
Meet other general requirements.
Corrected 2024-07-04
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-07-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-06-09
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-07-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-04
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-06-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-02-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-02-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-02-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-02-24
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2020-02-21
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-02-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-02-22
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-02-25
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-02-13
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-03-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-03-08
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-28
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-27
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-08-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-27
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-06-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-31
Health
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.
Corrected 2024-05-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-02-24
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2020-02-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-02-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-02-24
Health
Keep residents' personal and medical records private and confidential.
Corrected 2020-02-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-02-24
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2020-02-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-02-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-02-24
Health
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.
Corrected 2020-02-24
Health
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.
Corrected 2020-02-24
Health
Provide and implement an infection prevention and control program.
Corrected 2019-02-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-02-08
Health
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.
Corrected 2019-02-08
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2019-02-14
Health
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.
Corrected 2019-02-08
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-02-08
Health
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.
Corrected 2019-02-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-02-08
Health
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.
Corrected 2019-02-08
Penalties and ownership
Fine · fine $9,575
Fine
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
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3-star overall rating with 2-star inspections with 10 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
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