PlainNursing
CMS Nursing Home Compare · August 2026

Lakeshore Post Acute and Rehabilitation Center

2701 California St, Pueblo, CO 81004

Lakeshore Post Acute and Rehabilitation Center, a 106-bed for profit - corporation nursing facility in Pueblo, CO, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #68 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7195611300

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4 / 5
Above average · CMS overall · nat'l 3.0
#68 of 209
In-state rank among rated CO homes
3.38
Below average · nurse hrs/day · nat'l 3.86
30
Inspection findings

The verdict

Lakeshore Post Acute and Rehabilitation Center, a 106-bed for profit - corporation nursing facility in Pueblo, CO, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #68 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#68 of 209
In-state rank among rated CO homes
3.38
Nurse hrs/resident-day · national 3.86
30
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 210 CO nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
065229
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
106
Residents
81
In Hospital
No
County
Pueblo
Last Inspection
Aug 28, 2025

Staffing Data

How the 3.38 total nursing hours per resident-day are staffed:

RN Hours
0.73 (nat'l avg: 0.69)
LPN Hours
0.58
CNA Hours
2.07
Total Nursing Hours
3.38 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
44.1%
RN Turnover
37.5%

What the CMS Record Reveals About Lakeshore Post Acute and Rehabilitation Center

According to CMS Nursing Home Compare, Lakeshore Post Acute and Rehabilitation Center ranks #68 of 209 rated nursing homes in CO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Lakeshore Post Acute and Rehabilitation Center operates 106 certified beds in Pueblo, CO with approximately 81 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 3★ · quality 5★).

The inspection file contains 30 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 3.38 total hours per resident day (national average 3.86); RN hours specifically are 0.73 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Lakeshore Post Acute and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 44.1% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (30 most recent)

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 24, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 24, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Sep 24, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 24, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Sep 24, 2025

E - Pattern - Minimal harm Aug 28, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Sep 24, 2025

E - Pattern - Minimal harm Feb 26, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 1, 2025

E - Pattern - Minimal harm Feb 26, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 1, 2025

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 6, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 19, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0659

Provide care by qualified persons according to each resident's written plan of care.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 24, 2023

D - Isolated - Minimal harm Oct 26, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 23, 2024

E - Pattern - Minimal harm Oct 26, 2023 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 24, 2023

E - Pattern - Minimal harm Oct 26, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 13, 2023

E - Pattern - Minimal harm Oct 26, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 24, 2023

E - Pattern - Minimal harm Oct 26, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Nov 24, 2023

E - Pattern - Minimal harm Oct 26, 2023 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Nov 24, 2023

F - Widespread - Minimal harm Oct 26, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 24, 2023

D - Isolated - Minimal harm Jul 7, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 30, 2022

D - Isolated - Minimal harm Jul 7, 2022 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Jul 30, 2022

D - Isolated - Minimal harm Jul 7, 2022 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jul 30, 2022

D - Isolated - Minimal harm Jul 7, 2022 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jul 30, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 11.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 69.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 85.5% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Lakeshore Post Acute and Rehabilitation Center, both outside CO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Lakeshore Post Acute and Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The CO registry aggregates state averages and the highest-rated homes in this cohort. View CO registry
  • Peer homes near 106 beds show how CMS stars vary at a similar scale in CO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Lakeshore Post Acute and Rehabilitation Center?
Lakeshore Post Acute and Rehabilitation Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (5★).
Where does Lakeshore Post Acute and Rehabilitation Center rank among nursing homes in CO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Lakeshore Post Acute and Rehabilitation Center ranks 68th among 209 rated nursing homes in CO (#68 of 209). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Lakeshore Post Acute and Rehabilitation Center?
Lakeshore Post Acute and Rehabilitation Center reports 3.38 total nursing hours per resident day (national average: 3.86). RN hours are 0.73 per resident day (national average: 0.69). Nursing staff turnover is 44.1%.
How many beds does Lakeshore Post Acute and Rehabilitation Center have?
Lakeshore Post Acute and Rehabilitation Center has 106 certified beds with approximately 81 residents. The facility is located at 2701 California St, Pueblo, CO 81004.
Does Lakeshore Post Acute and Rehabilitation Center have any deficiencies on record?
Yes, Lakeshore Post Acute and Rehabilitation Center has 30 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Lakeshore Post Acute and Rehabilitation Center received any fines or penalties?
No, Lakeshore Post Acute and Rehabilitation Center has no fines or penalties on record.
Who owns Lakeshore Post Acute and Rehabilitation Center?
Lakeshore Post Acute and Rehabilitation Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Lakeshore Post Acute and Rehabilitation Center last inspected?
The most recent health inspection for Lakeshore Post Acute and Rehabilitation Center was on Aug 28, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Lakeshore Post Acute and Rehabilitation Center?
Lakeshore Post Acute and Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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