Rock Canyon Respiratory and Rehabilitation Center, Pueblo, Colorado
- 36
- Citations from health inspectionsColorado average: 25 a home
- 7
- Residents harmed or put in dangerColorado average: 2.3 a home
- $67,298
- Fines from the federal governmentColorado average: $22,802 a home
- 1 out of 5
- Overall rating in starsColorado average: 3.2
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Seven inspection visits produced 36 citations. Residents were in immediate danger in one finding. Residents were found hurt in six cases. Federal fines came to $67,298 (two fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 2.80 hours each dayThe Colorado average is 3.72 hours
- Time from registered nurses
- 0.52 hours each dayThe Colorado average is 0.82 hours
- Nursing staff who left during one year
- 49.1%against the Colorado average of 47.1%
- Beds that are certified
- 151
- Ownership
- Limited Liability company (for profit)
- Chain
- The Ensign Group, with 344 homes
- Street address
- 2515 Pitman Pl, Pueblo, Colorado 81004
- County
- Pueblo
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated Dec. 11, 2025
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Six citations dated June 5, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated April 3, 2025
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Seven citations dated July 12, 2024
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F693 Feeding Tube Care: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F692 Enough Food and Fluids: residents were harmed, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
10 citations dated March 21, 2024
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, one or a few residents.
- F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
Six citations dated Sept. 11, 2023
- F695 Breathing and Oxygen Care: residents were harmed, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Dec. 15, 2022
- F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, a pattern, several residents.
- F742 Mental Health and Trauma Treatment: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| April 3, 2025 | Fine | $36,569 |
| July 12, 2024 | Fine | $30,729 |
Ownership and Management of the Home
The CMS ownership file names no owner or operator for this home.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 065100. Other homes in Colorado.