Life Care Center of Pueblo

In the surveyor’s words

From the most serious findings on record at Life Care Center of Pueblo, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 26, 2026

  Based on observations, record review and interviews, the facility failed to ensure an environment free from risk of accidents and hazardous situations for one (#1) of three residents reviewed for accident hazards out of 19 sample residents.Resident #1 was admitted to the facility on [DATE]. Resident #1's comprehensive care plan revealed the resident was taking an anticoagulant (blood thinner) medication and goals included preventing abnormal bleeding and bruising as a result.On 12/24/25 at approximately 2:40 p.m. Resident #1 was being assisted to an activity in the dining room by the social services director (SSD) in her wheelchair without the foot pedals in place. Resident #1's left leg was bumped on her wheelchair when her leg dropped. At 5:41 p.m. […]

• Actual harm, isolatedF550Aug 7, 2024

  Based on record review and interviews the facility failed to ensure residents were treated with dignity and respect for three (#1, #12 and #9) of four residents out of 13 sample residents. Resident #1, who was non-weight bearing on his right leg due to a broken ankle required staff assistance to transfer from his wheelchair to and from the toilet. According to Resident #1, certified nurse aide (CNA) #1 was rude to him when he requested assistance with transferring to the toilet and told him he could use the bathroom himself. CNA #1 did assist the resident onto the toilet, however when Resident #1 requested assistance to transfer back to his wheelchair after using the bathroom, CNA #1 entered the resident's room and refused to assist him. […]

• Actual harm, isolatedF600Aug 7, 2024

  Based on record review and interviews, the facility failed to ensure residents had the right to be free from physical abuse for one (#3) of three residents reviewed for abuse out of 13 sample residents. Resident #3 was admitted to the facility on [DATE] with a diagnosis of constipation. On [DATE], in the early morning hours, Resident #3 called for assistance. The resident told the staff that she was constipated and needed assistance or she wanted to go to the hospital. Registered nurse (RN) #1 came to her room. Certified nurse aide (CNA) #5 assisted Resident #3 to roll over. RN #1 began to insert a suppository and felt a hard stool in the resident's rectum. As RN #1 removed the stool from Resident #3's rectum, the resident was crying and yelling in pain and asking RN #1 to stop. […]

• No harm, potential for more than minimal, patternF730May 9, 2024

  Based on record review and interviews, the facility failed to complete a performance review of every nurse aide at least once every 12 months and provide regular in-service education based on the outcome of these reviews for five of five staff reviewed. Specifically, the facility had not completed annual performance reviews and/or provided regular in-service education based on the outcome of the reviews for certified nurse aide (CNA) #1, CNA #2, CNA #3, CNA #4 and CNA #5. Findings include: I. Record review CNA #1 (hired on 9/5/15), CNA #2 (hired on 2/20/2020), CNA #3 (hired on 8/25/2020), CNA #4 (hired on 5/24/2020) and CNA #5 (hired on 9/20/22) did not have an annual performance review completed. The CNAs did not have an in-service education plan based on the outcome of the review. II. […]

• No harm, potential for more than minimal, patternF563Nov 24, 2021

  Based on record review and interviews, the facility failed to ensure residents have the right to receive visitors of their choosing at the time of their choosing, subject to the resident's right to deny visitation when applicable, and in a manner that does not impose on the rights of another resident. Specifically, the facility the failed to allow visitation except in cases of Hospice care and compassion care visits for all residents. I. Facility policy The facility policy, Resident visitation during a respiratory pandemic revised 11/11/21, was provided by the nursing home administrator (NHA) on 11/24/21 at 12:58 p.m. […]