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Lakeshore Post Acute And Rehabilitation Center

2701 California St, Pueblo, CO 81004
7195611300
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Overall CMS Rating

3.0/5

vs State Average: 3.1 stars

2.0/5

Health Inspections

vs State Average: 2.7/5

4.0/5

Staffing Level

vs State Average: 3.1/5

5.0/5

Quality Measures

vs State Average: 4.2/5

1 penalties in last 3 years
Penalties
vs State Average: 1.5 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.7
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Aug 28, 2025 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
Aug 28, 2025 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D
Aug 28, 2025 Provide activities to meet all resident's needs. D
Aug 28, 2025 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Aug 28, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D
Score
4.0
State Average
3.1
National Average
2.9
0.9 RN Hours / Resident / Day
3.2 Total Nurse Hours / Resident / Day
25.0% RN Turnover Rate
Score
5.0
State Average
4.2
National Average
3.6
5.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
84.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST ENDURA HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST THE ENSIGN GROUP INC
OPERATIONAL/MANAGERIAL CONTROL PRIME TIME HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL MALONEY, ANN
OPERATIONAL/MANAGERIAL CONTROL REDDY, VIKAS
CORPORATE DIRECTOR JORGENSEN, DAVID
CORPORATE OFFICER BURNAM, SOON
CORPORATE OFFICER DUNYON, DAVID
CORPORATE OFFICER KEETCH, CHAD
CORPORATE OFFICER SATO, AMI
Recent Penalties
Date Type Fine
Mar 9, 2023 Fine $18,769

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