01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-06-11 | 10 | 2024-06-11 | 6 |
| Cycle 2 | 2023-02-02 | 2 | 2023-02-02 | 7 |
| Cycle 3 | 2019-08-15 | 12 | 2019-08-15 | 6 |
CMS CCN 0652312026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
University Park Care Center
945 Desert Flower Blvd · Pueblo, CO 81001 · Pueblo County
Certified beds180CMS provider file
Recent citation rows43current CMS citation release
Penalty rows2current 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
43 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-20 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-12-17 · complaint2024-06-11 · HEALTHF0561Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2024-07-09 · complaint2024-06-11 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-07-092024-06-11 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-07-092024-06-11 · HEALTHF0688Severity D · isolated; potential for more than minimal 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 · 2024-07-092024-06-11 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-07-092024-06-11 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-07-092024-06-11 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-07-092024-06-11 · HEALTHF0880Severity F · widespread; 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 · 2024-07-092024-06-11 · HEALTHF0881Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2024-07-092024-06-11 · FIREK0211Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-07-182024-06-11 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-07-182024-06-11 · FIREK0293Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-07-222024-06-11 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-07-172024-06-11 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-07-292024-06-11 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-07-262024-02-21 · HEALTHF0557Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2024-03-14 · complaint2024-02-21 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-03-14 · complaint2024-01-08 · 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 · 2024-02-21 · complaint2023-02-02 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2023-03-042023-02-02 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2023-03-042023-02-02 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-04-062023-02-02 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-04-062023-02-02 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-04-0603 / 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 |
|---|---|---|---|
| 2024-06-11 | Fine | $22,653 | 0 |
| 2024-01-08 | Payment Denial | $0 | 15 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DEVELOPERS INVESTMENT COMPANY INCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/25/1984
- PRESTON, FORRESTIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/25/1984
- FRANSUA, BRITTNEEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/24/2023
- LAROCHE, MELANIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/18/2024
- SCHMIDT, DEREKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/01/2023
- CROSS, CINDYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/21/1994
- HENRY, TERRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/16/1999
- LAY, LISAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/09/2018
- SWANKER, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2011
- THURMOND, JOANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/22/2000
- DEVELOPERS INVESTMENT COMPANY INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2006
- LIFE CARE CENTERS OF AMERICA, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/07/1985
- PUEBLO MEDICAL INVESTORS, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/07/1985
- FLETCHER, TODDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/13/2024
- FRANSUA, BRITTNEEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/24/2023
- KINNETT, STEVENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/11/2016
- LAROCHE, MELANIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/18/2024
- PRESTON, AUBREYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/13/2024
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 hours3.15per resident day
RN hours0.75per resident day
Weekend nurse hours2.85per resident day
Staff turnover50.5%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 rowsHigh Plains Post Acute Llc59 beds · CMS overall 2/535 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 rowsVista Ridge Care And Rehabilitation90 beds · CMS overall 3/554 citation rows