Lakeshore Post Acute And Rehabilitation Center is an average performer in CMS ratings, earning a C grade with a score of 65/100. Located in Pueblo, Colorado, the facility meets baseline standards across most quality metrics.
Staffing levels are a potential concern at Lakeshore Post Acute And Rehabilitation Center, with 3.17 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 34 deficiencies at Lakeshore Post Acute And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.17 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.87 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.36 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.94 | 2.4 | Below Average |
| Weekend Total Nursing | 2.79 | 3.8 | Below Average |
| Weekend RN Hours | 0.62 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0921 Severity EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Aug 27, 2025 · Environmental Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Aug 27, 2025 · Resident Rights Deficiencies
- Tag 0679 Severity DProvide activities to meet all resident's needs.Aug 27, 2025 · Quality of Life and Care Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Aug 27, 2025 · Quality of Life and Care Deficiencies
- Tag 0688 Severity DProvide 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 medicAug 27, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.6% | 4.5% | Better |
| Falls with major injury | 2.4% | 3.0% | Better |
| On antipsychotic medication | 24.4% | 14.5% | Worse |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 7.9% | 14.0% | Better |
| Excessive weight loss | 9.4% | 7.5% | Worse |
| New/worsened incontinence | 24.2% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 65 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Colorado
- F
- F
- FMOUNTAIN VISTA HEALTH CENTERWHEAT RIDGE
- DAMBERWOOD POST ACUTEDENVER
- DBOULDER POST ACUTEBOULDER