| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D24 | E6 | F17 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 14, 2026 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Feb 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 22, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 22, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Apr 30, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 30, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Nov 2, 2023 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Nov 2, 2023 | Health | Health Standard | 17 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 14, 2026 | Civil money penalty (fine) | $14,380 | — | 065232|Fine|139007 |
| Nov 2, 2023 | Denial of payment for new admissions | — | Dec 2, 2023 · 47 days | 065232|Payment Denial|2023-12-02 |
| Nov 2, 2023 | Civil money penalty (fine) | $39,368 | — | 065232|Fine|115621 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D24 | E6 | F17 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 14, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 6, 2026 | Complaint |
| May 14, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 6, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Panther Master Tenant, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2023 |
| Providence Group Nh, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Panther Master Tenant, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2023 |
| Providence Group Nh, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2023 |
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Mark Hancock | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Joshua Jergensen |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Amberwood Post Acute 4686 E Asbury Cir, Denver, CO 80222 CCN 065034 | 88 | Apr 23, 2026 | 391 harm | $9,636 | |
| Boulder Post Acute 2121 Mesa Dr, Boulder, CO 80304 CCN 065052 | 162 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Rock Canyon Respiratory and Rehabilitation Center 2515 Pitman Pl, Pueblo, CO 81004 CCN 065100Abuse icon | 0.3 km | 151 | Aug 6, 2026 | 381 IJ3 harm1 open | $67k | |
| Lakeshore Post Acute and Rehabilitation Center 2701 California St, Pueblo, CO 81004 CCN 065229 | 1.7 km | 106 | Aug 28, 2025 | 70 | — | |
| Life Care Center of Pueblo 2118 Chatalet Ln, Pueblo, CO 81005 CCN 065269 | 2.8 km | 187 | Feb 26, 2026 | 545 harm | $19k | |
| High Plains Post Acute LLC 1209 W Abriendo Ave, Pueblo, CO 81004 CCN 065355 | 3.6 km | 59 | Aug 11, 2025 | 351 IJ5 harm | $58k | |
| Vista Ridge Care and Rehabilitation 855 Hunter Dr, Pueblo, CO 81001 CCN 065121 | 6.7 km | 90 | Dec 4, 2025 | 511 IJ3 harm4 open | $42k | |
| Pueblo Heights Nursing and Rehabilitation 1601 Constitution Rd, Pueblo, CO 81001 CCN 065169 | 7.8 km | 120 | Apr 14, 2026 | 391 IJ | $20k | |
| The Center at Park West LLC 3727 Parker Blvd, Pueblo, CO 81008 CCN 065427 | 8.5 km | 80 | Jun 25, 2026 | 322 harm | — | |
| University Park Care Center 945 Desert Flower Blvd, Pueblo, CO 81001 CCN 065231 | 9.1 km | 180 | Aug 27, 2026 | 462 harm3 open | $23k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065232 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065232 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| May 14, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2026 | Complaint |
| Feb 4, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2026 | Complaint |
| Dec 5, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 23, 2025 | Complaint |
| Oct 22, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2024 |
| Oct 22, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 4, 2024 |
| Oct 22, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 4, 2024 |
| Oct 22, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 4, 2024 |
| Oct 22, 2024 | K-0927 | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Oct 22, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Apr 30, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 31, 2024 |
| Apr 30, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 14, 2024 |
| Apr 30, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 14, 2024 |
| Apr 30, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 26, 2024 |
| Apr 30, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 14, 2024 |
| Apr 30, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2024 |
| Apr 30, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2024 |
| Apr 30, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2024 |
| Apr 30, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2024 |
| Apr 30, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 31, 2024 |
| Nov 2, 2023 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | K-0222 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Feb 27, 2024 |
| Nov 2, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2023 |
| Nov 2, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2023 |
| Nov 2, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2023 |
| Nov 2, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jul 26, 2024 |
| Nov 2, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Feb 27, 2024 |
| Nov 2, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Feb 27, 2024 |
| Nov 2, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2023 |
| Nov 2, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2023 |
| Nov 2, 2023 | K-0907 | Ensure medical gas and vacuum systems have documented maintenance programs. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2023 |
| Nov 2, 2023 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 18, 2023 |
| Nov 2, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Feb 27, 2024 |
| Nov 2, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0625 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 18, 2024 |
| Nov 2, 2023 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 18, 2024 |
| Nov 2, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Dec 6, 2023 |
| Nov 2, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 6, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.50 (case-mix index 1.26).
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Vikas Reddy | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jul 21, 2023 |
| Elizabeth Collazo | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 29, 2024 |
| Feb 19, 2026 |
531 IJ2 harm3 open |
| $9,113 |
| Red Cliffs Post Acute 2901 N 12th St, Grand Junction, CO 81506 CCN 065110Abuse icon | 89 | Jul 22, 2026 | 441 harm1 open | — |
| Mountain View Post Acute 835 Tenderfoot Hill Rd, Colorado Springs, CO 80906 CCN 065147Abuse icon | 180 | Apr 1, 2026 | 882 harm4 open | $29k |
| Heights Care & Rehabilitation LLC 3131 S Federal Blvd, Denver, CO 80236 CCN 065191 | 110 | Apr 6, 2026 | 521 IJ2 harm | $68k |
| Skylake Post Acute 12080 Bellaire Wy, Thornton, CO 80241 CCN 065238 | 242 | May 11, 2026 | 543 IJ | $56k |
| Hilltop Park Post Acute 290 S Monaco Pkwy, Denver, CO 80224 CCN 065241 | 162 | Jun 25, 2026 | 531 IJ1 harm7 open | $66k |
| Brookshire Post Acute 4660 E Asbury Cir, Denver, CO 80222 CCN 065242Abuse icon | 67 | Aug 12, 2026 | 472 IJ3 harm1 open | $47k |