LAKESHORE POST ACUTE AND REHABILITATION CENTER
Grade B — 81/100 composite score
CMS Star Ratings
Certified Beds
106
Ownership
For profit - Corporation
Total Fines
$18,769
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
ENDURA HEALTHCARE LLC
100%
THE ENSIGN GROUP INC
100%
PRIME TIME HEALTHCARE LLC
MALONEY, ANN
REDDY, VIKAS
JORGENSEN, DAVID
BURNAM, SOON
DUNYON, DAVID
KEETCH, CHAD
SATO, AMI
Penalties & Fines (1)
| Date | Type | Description | Amount |
|---|---|---|---|
| Mar 9, 2023 | Fine | — | $18,769 |
Health Inspection Deficiencies (34)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
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
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
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
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Resident Assessment and Care Planning Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for LAKESHORE POST ACUTE AND REHABILITATION CENTER?
LAKESHORE POST ACUTE AND REHABILITATION CENTER in PUEBLO, Colorado has a CareGrader grade of B (Good), with a composite score of 80.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for LAKESHORE POST ACUTE AND REHABILITATION CENTER?
LAKESHORE POST ACUTE AND REHABILITATION CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does LAKESHORE POST ACUTE AND REHABILITATION CENTER have?
LAKESHORE POST ACUTE AND REHABILITATION CENTER has 34 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
Has LAKESHORE POST ACUTE AND REHABILITATION CENTER been fined?
Yes. LAKESHORE POST ACUTE AND REHABILITATION CENTER has $18,769 in total fines from CMS enforcement actions across 1 penalty.
How many beds does LAKESHORE POST ACUTE AND REHABILITATION CENTER have?
LAKESHORE POST ACUTE AND REHABILITATION CENTER has 106 certified beds with approximately 84 current residents (79% occupancy). The facility is located at 2701 CALIFORNIA ST, PUEBLO, Colorado 81004. It is a for profit - corporation facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.