Nursing homes › Colorado › Rock Canyon Respiratory and Rehabilitation Center
2515 Pitman Pl, Pueblo, CO 81004 · 7195640550 · 151 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 2.80 (Colorado median: 3.49). RN hours: 0.52. Weekend total: 2.47. Nursing staff turnover: 49%.
All-time on record: 41 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-11 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-12-26 |
| 2025-06-05 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-07-01 |
| 2025-06-05 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2025-07-01 |
| 2025-06-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | complaint | corrected 2025-07-01 |
| 2025-06-05 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-07-01 |
| 2025-06-05 | 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 | complaint | corrected 2025-07-01 |
| 2025-06-05 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-07-01 |
| 2025-04-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-05-02 |
| 2024-07-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-08-09 |
| 2024-07-12 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2024-08-09 |
| 2024-07-12 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | F | complaint | corrected 2024-08-09 |
| 2024-07-12 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | complaint | corrected 2024-08-09 |
| 2024-07-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-08-09 |
| 2024-07-12 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | corrected 2024-08-09 |
| 2024-07-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-08-09 |
| 2024-03-21 | 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. | E | Health | corrected 2024-04-12 |
| 2024-03-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-04-12 |
| 2024-03-21 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2024-04-12 |
| 2024-03-21 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | corrected 2024-04-12 |
| 2024-03-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-04-12 |
| 2024-03-21 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Health | corrected 2024-04-12 |
| 2024-03-21 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Health | corrected 2024-04-12 |
| 2024-03-21 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-04-12 |
| 2024-03-21 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-04-12 |
| 2024-03-21 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-04-12 |
| 2023-09-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2023-10-02 |
| 2023-09-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2023-10-02 |
| 2023-09-11 | Provide safe and appropriate respiratory care for a resident when needed. | G | complaint | corrected 2023-10-02 |
| 2023-09-11 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | complaint | corrected 2023-10-02 |
| 2023-09-11 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2023-10-02 |
| 2023-09-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2023-10-02 |
| 2023-08-10 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | complaint | corrected 2023-09-13 |
| 2023-08-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2023-09-01 |
| 2023-08-10 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2023-09-01 |
| 2023-08-10 | 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. | E | complaint | corrected 2023-09-01 |
| 2023-08-10 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2023-09-01 |
| Date | Type | Amount |
|---|---|---|
| 2025-04-03 | Fine | $36,569 |
| 2024-07-12 | Fine | $30,729 |
| 2023-08-10 | Fine | $22,640 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BURNAM, SOON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/09/2024 |
| GARDNER, MARK | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2023 |
| JORGENSEN, DAVID | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/31/2023 |
| REDDY, VIKAS | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/29/2020 |
| PORT, BARRY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2022 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 09/09/2024 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
| GARDNER, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2023 |
| JORGENSEN, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2015 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065100. Corrections: data@carerecords.org.