01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-02-27 | 11 | 2025-02-27 | 0 |
| Cycle 2 | 2023-08-14 | 13 | 2023-08-14 | 0 |
| Cycle 3 | 2022-05-10 | 9 | 2022-05-10 | 2 |
CMS CCN 0653552026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
High Plains Post Acute Llc
1209 W Abriendo Ave · Pueblo, CO 81004 · Pueblo County
Certified beds59CMS provider file
Recent citation rows35current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
35 rows in the current release
6 rows carry G–L scope/severity codes; 1 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-11 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-08-11 · HEALTHF0679Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-08-11 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-08-11 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-08-11 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-08-11 · HEALTHF0803Severity B · pattern; potential for minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-02-27 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-26 · complaint2025-02-27 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-03-262025-02-27 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service 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.
Correction field: Deficient, Provider has date of correction · 2025-03-262025-02-27 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-03-262025-02-27 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-03-262024-04-01 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-04-26 · complaint2023-08-14 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0688Severity G · isolated actual harm
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.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0760Severity J · isolated immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0867Severity G · isolated actual harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2023-09-072023-08-14 · HEALTHF0921Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2023-09-0703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-08-11 | Fine | $12,438 | 0 |
| 2025-02-27 | Fine | $33,248 | 0 |
| 2024-04-01 | Fine | $12,048 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CONTINUUM AT SHARMAR, INC.Organization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/11/1995
- CONTINUUM HEALTH PARTNERSHIPS INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/11/1995
- BRISCOE, STEPHENIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 10/11/1995
- BRISCOE, STEPHENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/11/1995
- CONTINUUM AT SHARMAR, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/11/1995
- CONTINUUM HEALTH MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/11/1995
- BRISCOE, STEPHENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/11/1995
- HOLT, JESSICAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/25/2022
- BRISCOE, STEPHENIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 06/23/2025
- CONTINUUM AT ABRIENDO INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/13/1998
- CONTINUUM HEALTH MANAGEMENT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/11/1995
- BRISCOE, STEPHENIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/01/2009
- HOLT, JESSICAIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/25/2022
- KINNETT, STEVENIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/11/1995
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.67per resident day
RN hours1.03per resident day
Weekend nurse hours3.35per resident day
Staff turnover65.7%CMS reported field
06 / LOCAL RECORDS
Open the Pueblo ledger →Other published facilities nearby
Atlas Post Acute146 beds · CMS overall 3/552 citation rowsCenter At Park West Llc, The80 beds · CMS overall 2/534 citation rowsLakeshore Post Acute And Rehabilitation Center106 beds · CMS overall 4/570 citation rowsLife Care Center Of Pueblo187 beds · CMS overall 4/554 citation rowsPueblo Heights Nursing And Rehabilitation120 beds · CMS overall 2/539 citation rowsRock Canyon Respiratory And Rehabilitation Center151 beds · CMS overall 1/548 citation rowsUniversity Park Care Center180 beds · CMS overall 4/543 citation rowsVista Ridge Care And Rehabilitation90 beds · CMS overall 3/554 citation rows