Pueblo Heights Nursing and Rehabilitation
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-04-14 — IMMEDIATE JEOPARDY (tag F0740, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Staffing, from payroll records
Nursing hours / resident / day
2.81
state median 3.24
Weekend staffing gap
−8%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.54
registered nurses only
Contract (agency) staff
7%
share of all nursing hours
Nursing staff turnover
56%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $30,707 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-04-14 | Fine | $7,425 |
| 2026-04-14 | Fine | $23,282 |
Ownership
Ownership type: For profit - Individual. Part of the MADISON CREEK PARTNERS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- PARKWAY HILLS NURSING & REHABILITATION (LA MESA, CA) —
- DINUBA HEALTHCARE (DINUBA, CA) —
- SUNDANCE SKILLED NURSING AND REHABILITATION (COLORADO SPRINGS, CO) —
- GARDENS, THE (COLORADO SPRINGS, CO) —
- PIONEER HEALTH CARE CENTER (ROCKY FORD, CO) —
- GLENWOOD SPRINGS HEALTHCARE (GLENWOOD SPRINGS, CO) —
- PAONIA CARE AND REHABILITATION CENTER (PAONIA, CO) —
- SILVER HEIGHTS SKILLED NURSING AND REHABILITATION (CASTLE ROCK, CO) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-14 | F0740 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-07-18 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-18 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-18 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-18 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-18 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-18 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-18 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-18 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-18 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-18 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-18 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-07-18 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-07-18 | F0921 | Environmental Deficiencies | F | not recorded |
| 2023-02-16 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2023-02-16 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-02-16 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-02-16 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-02-16 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-02-16 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2023-02-16 | F0886 | Infection Control Deficiencies | E | not recorded |
| 2021-11-04 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2021-11-04 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-11-04 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-11-04 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-11-04 | F0761 | Pharmacy Service Deficiencies | E | not recorded |