Pueblo, CO

Sharmar Village Senior Care Community

3-star overall rating with 2-star inspections with $72,840 in total fines with 11 recent health deficiencies

1209 W Abriendo Ave, Pueblo, CO

(719) 544-1173

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-12-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.17

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

0.07

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.30

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

3.00

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.94

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.06

CMS adjusted RN staffing hours

Adjusted total hours

2.98

CMS adjusted total nurse staffing hours

Case-mix index

1.51

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

67%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,011

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

9.01

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0.99

Baseline 69.77% · Performance 63.08% · Measure score 0.99 · Achievement 0 · Improvement 0.99

Adjusted total nurse staffing

0.81

Baseline 3.65 hours · Performance 3.31 hours · Measure score 0.81 · Achievement 0.81 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.22%	10.72% 1.5 pts better	No Different than the National Rate · Eligible stays 37 · Observed rate 0% · Lower 95% interval 5.82%
Discharge to community	46.6%	50.57% 4 pts worse	No Different than the National Rate · Eligible stays 35 · Observed rate 40% · Lower 95% interval 32.58%
Medicare spending per beneficiary	0.72	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 31 · Denominator 31
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 31
Discharge self-care score	72%	53.69% 18.3 pts better	Numerator 18 · Denominator 25
Discharge mobility score	68%	50.94% 17.1 pts better	Numerator 17 · Denominator 25
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 31 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 69
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	72%	56.45% 15.5 pts better	Numerator 18 · Denominator 25
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.3 About the same	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.8 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.7 0.2 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.4 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	88.5%	93.5% 5 pts worse	93.4% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 87.8% · Q3 85.4% · Q4 93.0% · 4Q avg 88.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.9%	94.7% 5.8 pts worse	95.5% 6.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 88.9%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.4% 0.4 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.4% · Q3 2.4% · Q4 4.7% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.4%	7.4% 1 pts better	11.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 2.5% · Q3 7.9% · Q4 5.3% · 4Q avg 6.4%
Percentage of long-stay residents who lose too much weight	7.4%	5.0% 2.4 pts worse	5.4% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 9.7% · Q3 5.9% · Q4 8.1% · 4Q avg 7.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.2%	11.2% 1 pts better	19.6% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.5% · Q3 11.8% · Q4 13.5% · 4Q avg 10.2%
Percentage of long-stay residents who received an antipsychotic medication	24.2%	20.6% 3.6 pts worse	16.7% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 22.6% · Q3 25.0% · Q4 25.0% · 4Q avg 24.2% · 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	15.8%	15.2% 0.6 pts worse	16.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.4%	14.6% 5.2 pts better	14.9% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 13.8% · Q3 6.2% · Q4 5.7% · 4Q avg 9.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.8% 0.8 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.5% 1.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.5%	22.4% 3.1 pts worse	19.8% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.5% · Q2 21.3% · Q3 21.0% · Q4 26.3% · 4Q avg 25.5%
Percentage of long-stay residents with pressure ulcers	3.4%	3.7% 0.3 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.9% · Q3 4.4% · Q4 1.9% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	45.2%	76.4% 31.2 pts worse	81.7% 36.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 33.3% · Q3 42.6% · Q4 65.5% · 4Q avg 45.2%
Percentage of short-stay residents who had an outpatient emergency department visit	9.8%	12.8% 3 pts better	12.0% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 8.7% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	68.2%	75.6% 7.4 pts worse	79.7% 11.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 68.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.0%	20.3% 2.7 pts worse	23.9% 0.9 pts better	Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 21.7% · Expected 22.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-27 · Fire 2025-02-27

11 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-08-14 · Fire 2023-08-14

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-05-10 · Fire 2022-05-10

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-05-10

E30 · Emergency Preparedness Deficiencies

Fire Safety

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

Corrected 2022-06-20

F · Potential for more than minimal harm 2022-05-10

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2022-06-20

Inspection history

Recent health citations

G · Actual harm 2025-08-11

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-08

E · Potential for more than minimal harm 2025-08-11

F565 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-08

E · Potential for more than minimal harm 2025-08-11

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-09-08

D · Potential for more than minimal harm 2025-08-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-08

D · Potential for more than minimal harm 2025-08-11

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-08

B · Minimal harm 2025-08-11

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-09-08

G · Actual harm 2025-02-27

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-27

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-27

F758 · Pharmacy Service Deficiencies

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 2025-03-26

D · Potential for more than minimal harm 2025-02-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-27

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-03-26

G · Actual harm 2024-04-01

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-26

J · Immediate jeopardy 2023-08-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-09-07

G · Actual harm 2023-08-14

F688 · Quality of Life and Care Deficiencies

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 2023-09-07

G · Actual harm 2023-08-14

F867 · Administration Deficiencies

Health

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

Corrected 2023-09-07

F · Potential for more than minimal harm 2023-08-14

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-09-07

F · Potential for more than minimal harm 2023-08-14

F921 · Environmental Deficiencies

Health

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

Corrected 2023-09-07

F · Potential for more than minimal harm 2023-08-14

F925 · Environmental Deficiencies

Health

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

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-14

F550 · Resident Rights Deficiencies

Health

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

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-14

F584 · Resident Rights Deficiencies

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 2023-09-07

E · Potential for more than minimal harm 2023-08-14

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-14

F554 · Resident Rights Deficiencies

Health

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

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-14

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-14

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-07

E · Potential for more than minimal harm 2022-05-10