ROCK CANYON RESPIRATORY AND REHABILITATION CENTER
2515 PITMAN PL, PUEBLO, CO 81004 · CCN 065100
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 151
- Avg residents/day
- 134.0
- Phone
- 7195640550
Inspection history vs Colorado & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-05 | 8 | 8.7 | 9.5 | -0.7 better |
| 2 | 2024-03-21 | 17 | 8.7 | 9.8 | +8.3 worse |
| 3 | 2022-12-15 | 18 | 7.5 | 9.3 | +10.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.05 | 52.6% |
| RN staffing (reported) | 0.56 | 47.4% |
| Total nurse staffing (adjusted) | 2.55 | — |
Fines & penalties
- Total fines
- $89,938
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (43)1 immediate jeopardy6 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-11 · Health · corrected 2025-12-26
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-06-05 · Health · corrected 2025-07-01
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-05 · Health · corrected 2025-07-01
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-05 · Health · corrected 2025-07-01
Potential for more than minimal harm
- DF0688Provide 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.2025-06-05 · Health · corrected 2025-07-01
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-06-05 · Health · corrected 2025-07-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-06-05 · Health · corrected 2025-07-01
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-03 · Health · corrected 2025-05-02
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-12 · Health · corrected 2024-08-09
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-12 · Health · corrected 2024-08-09
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-12 · Health · corrected 2024-08-09
Actual harm
- GF0692Provide enough food/fluids to maintain a resident's health.2024-07-12 · Health · corrected 2024-08-09
Actual harm
- FF0693Ensure 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.2024-07-12 · Health · corrected 2024-08-09
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-07-12 · Health · corrected 2024-08-09
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-07-12 · Health · corrected 2024-08-09
Potential for more than minimal harm
- EF0584Honor 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.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0585Honor 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.2023-09-11 · Health · corrected 2023-10-02
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-11 · Health · corrected 2023-10-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-11 · Health · corrected 2023-10-02
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-11 · Health · corrected 2023-10-02
Actual harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-11 · Health · corrected 2023-10-02
Actual harm
- GF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-11 · Health · corrected 2023-10-02
Actual harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-10 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-08-10 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0761Ensure 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.2023-08-10 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-08-10 · Health · corrected 2023-09-01
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-08-10 · Health · corrected 2023-09-13
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-04-06 · Health · corrected 2023-05-05
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-04-06 · Health · corrected 2023-05-05
Potential for more than minimal harm
- EF0584Honor 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.2022-12-15 · Health · corrected 2023-01-14
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-12-15 · Health · corrected 2023-01-14
Immediate jeopardy
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-15 · Health · corrected 2023-01-14
Potential for more than minimal harm
- DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2022-12-15 · Health · corrected 2023-01-14
Potential for more than minimal harm
- EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-12-15 · Health · corrected 2023-01-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ENDURA HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-01-01 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2015-01-02 |
| GARDNER, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| JORGENSEN, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-01-01 |
| PORT, BARRY | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2024-09-09 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2022-01-01 |
Other facilities in PUEBLO
| Name | Overall | Beds |
|---|---|---|
| CENTER AT PARK WEST LLC, THE | ★★★★☆ | 80 |
| Pueblo Heights Nursing and Rehabilitation | ★★★★☆ | 120 |
| ATLAS POST ACUTE | ★★★★☆ | 146 |
| University Park Care Center | ★★★★☆ | 180 |
| LIFE CARE CENTER OF PUEBLO | ★★★★☆ | 187 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.