All citations for Pueblo Heights Nursing and Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Pueblo Heights Nursing and Rehabilitation

Last standard health inspection on record

July 18, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 39 citations

Immediate jeopardy to resident health or safety
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Isolated (one or a few residents). CMS level J.
Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of April 14, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 8, 2026).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2024).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 12, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 2, 2024).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 2, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 29, 2023).
No harm, with potential for more than minimal harm
Install properly constructed windows in hallway walls or doors.
Widespread (many residents). CMS level F.
Fire safety citation K-0364, Smoke Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 4, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2021).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 4, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 15, 2021).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of November 4, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2021).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 4, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 13, 2021).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pattern (more than a few residents). CMS level E.
Health citation F-0759, Pharmacy Service Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 6, 2024).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pattern (more than a few residents). CMS level E.
Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 7, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2023).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2023).
No harm, with potential for more than minimal harm
Perform COVID19 testing on residents and staff.
Pattern (more than a few residents). CMS level E.
Health citation F-0886, Infection Control Deficiencies. Inspection of February 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2023).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 4, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 8, 2021).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of November 4, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (November 30, 2021).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0223, Egress Deficiencies. Inspection of November 4, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 7, 2021).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 4, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 21, 2021).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Isolated (one or a few residents). CMS level D.
Health citation F-0550, Resident Rights Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2024).
No harm, with potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Isolated (one or a few residents). CMS level D.
Health citation F-0554, Resident Rights Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 1, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.