Federal inspection record · CMS data as of October 1, 2026
University Park Care Center
945 Desert Flower Blvd, Pueblo, CO · (719) 545-5321
- Certified beds
- 180
- Residents per day
- 112
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 20, 1986
1
How this home got 3 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.
-
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Colorado homes
University Park Care Center carries 81 inspection points. That is fewer than 34% of Colorado's 208 rated homes.
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
27 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (2)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation6D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care6D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide activities to meet all resident's needs.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Infection Control4F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Resident Rights3E
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- 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.
Pharmacy Service3D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- 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.
Environmental2F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Assessment and Care Planning1E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
2024-06-11
13 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2023-02-02
2 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2019-08-15
12 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
3 h 16 min
Colorado average
3 h 42 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 62% 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
$22,653 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-11 | Fine | $22,653 |
| 2024-01-08 | Payment Denial · 15 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 98.0% | 93.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 98.1% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 2.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.1 pts worse | 15.9% | 8.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts better | 3.6% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.4 pts better | 11.2% | 11.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.9 pts better | 17.0% | 19.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.6 pts better | 8.1% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better | 9.7% | 12.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.8% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better | 19.6% | 20.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 2.7% | 3.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18 pts better | 95.0% | 77.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.5 pts worse | 18.5% | 12.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.7 pts better | 92.3% | 73.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts worse | 27.0% | 20.5% | 23.4% |
·
Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Developers Investment Company Inc | Direct Ownership Interest · Organization | 0% | 71 facilities |
| Developers Investment Company Inc | Operational/Managerial Control · Organization | 0% | 71 facilities |
| Fletcher, Todd | Operational/Managerial Control · Individual | 0% | 165 facilities |
| Fransua, Brittnee | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Fransua, Brittnee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fransua, Brittnee | Adp Of The SNF · Individual | 0% | 1 facilities |
| Henry, Terry | Corporate Officer · Individual | 0% | 159 facilities |
| Kinnett, Steven | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Kinnett, Steven | Adp Of The SNF · Individual | 0% | 3 facilities |
| Laroche, Melanie | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Laroche, Melanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lay, Lisa | Corporate Officer · Individual | 0% | 166 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Life Care Centers Of America, Inc. | Adp Of The SNF · Organization | 0% | 194 facilities |
| Preston, Aubrey | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Preston, Forrest | Indirect Ownership Interest · Individual | 0% | 170 facilities |
| Pueblo Medical Investors, LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Pueblo Medical Investors, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Schmidt, Derek | Managing Control - Governing Body · Individual | 0% | 22 facilities |
| Schmidt, Derek | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Swanker, Richard | Corporate Officer · Individual | 0% | 168 facilities |
| Thurmond, Joan | Corporate Officer · Individual | 0% | 191 facilities |
| Ziegler, James | Operational/Managerial Control · Individual | 0% | 165 facilities |
·
Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Egress3F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services2F
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness1F
- F
List the names and contact information of those in the facility.
·
Other homes nearby
-
Vista Ridge Care And Rehabilitation
Pueblo, CO · Frontline Management
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 6 min
- Fines
- $41,772
-
Pueblo Heights Nursing and Rehabilitation
Pueblo, CO · Madison Creek Partners
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 11 min
- Fines
- $19,959
-
Center At Park West LLC, The
Pueblo, CO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 41 min
- Fines
- $0