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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Rock Canyon Respiratory and Rehabilitation Center is a 141-bed skilled nursing facility in Pueblo, Colorado, providing short-term rehabilitation and long-term care, in-house therapy, and respite care, with a particular focus on respiratory therapy and post-acute recovery. The facility is operated by Rock Canyon Healthcare LLC. It accepts Medicare, Medicaid, and private pay.
CMS rates the facility at 2 stars overall, with staffing as the primary driver. Adjusted nurse staffing averages 2 hours and 25 minutes per resident per day, compared with the Colorado average of 3 hours and 51 minutes — placing the facility 174th out of 177 Colorado SNFs on that measure. Four of six staffing metrics fall below state averages. Quality measures are a counterpoint: the facility scores 21.4% above the Colorado average on clinical performance indicators, reflecting outcomes that outpace its staffing levels.
Across its inspection record, the facility has accumulated 42 total citations, ranking 159th of 182 Colorado SNFs for cumulative citations. CMS has issued three federal fines totaling $90,000 — roughly double the Colorado average of $40,000 and 35% more fines than the typical in-state facility. Citation severity over the past four years includes one critical finding, six serious, and 35 moderate, with noted moderate citations in abuse/neglect and infection control. The facility’s citations-per-inspection rate ranks near the middle of the state pool at 101st of 182.
The facility’s occupancy rate is above the Colorado state average, ranking 42nd of 185 Colorado nursing homes — a sign of consistent local demand for its post-acute and respiratory services.
Rock Canyon is best suited for patients requiring short-term respiratory rehabilitation or post-acute skilled nursing care in Pueblo County, particularly those whose placement decisions hinge on clinical quality-of-care outcomes rather than staffing depth. However, families should review the facility’s staffing levels, inspection history, and enforcement record before making a placement decision.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 174th out of 177 homes in Colorado for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 33m per day | ▼ 34% State avg: 50m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▲ 10% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 45m per day | ▼ 20% State avg: 2h 12m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 35m per day | ▼ 21% State avg: 3h 16m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 23m per day | ▼ 36% State avg: 36m per day · National avg: 28m per day |
Lower than the Colorado average: 76.5%Rock Canyon Respiratory and Rehabilitation Center is administrated by Mark Gardner.
In Colorado, the Department of Public Health and Environment, Health Facilities Division is the regulatory body that performs unannounced surveys and publishes facility inspection findings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Colorado state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | CO Average | vs. CO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 50 | 30 | This facility has 67% more total deficiencies than a typical Colorado nursing home (50 vs. CO avg 30).↑ 67% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 12.5 | 7.5 | This facility has 67% more deficiencies per year than a typical Colorado nursing home (12.5 vs. CO avg 7.5).↑ 67% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.6 | 5 | This facility has 12% more deficiencies per inspection than a typical Colorado nursing home (5.6 vs. CO avg 5).↑ 12% worse |
Inspections
| This Facility | CO Average | vs. CO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 9 | 6 | This facility has 50% more total inspections than a typical Colorado nursing home (9 vs. CO avg 6).↑ 50% worse |
Colorado average 4.8
Last Health inspection on Jun 2025
Colorado average 24.8
Colorado average 5.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 42 citations resulted from standard inspections; 21 of 42 resulted from complaint investigations; and 8 of 42 came from combined inspections (standard and complaint).
150% worse than Colorado averageColorado average: 0.4
186% worse than Colorado averageColorado average: 2.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
31% fewer staff per resident than Colorado average
6% better than Colorado average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursAssists with medical care and medications.
All 20 LPN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursHelps with daily care and mobility.
All 61 CNA Staff are full-time employees. No contractors work on this role.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
67 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 61 | 0 | 61 | 20,483 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 20 | 0 | 20 | 9,616 | 92 | 100% | 9.9 |
| Qualified Activities Professional | 24 | 0 | 24 | 6,598 | 92 | 100% | 9 |
| Registered Nurse | 10 | 0 | 10 | 5,202 | 92 | 100% | 10.1 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,542 | 92 | 100% | 7.4 |
| Dental Services Staff | 6 | 0 | 6 | 2,396 | 66 | 72% | 7.8 |
| Speech Language Pathologist | 7 | 0 | 7 | 1,843 | 84 | 91% | 6.2 |
| Physical Therapy Aide | 7 | 0 | 7 | 1,248 | 82 | 89% | 6.3 |
| Physical Therapy Assistant | 6 | 0 | 6 | 1,154 | 67 | 73% | 8.9 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 978 | 78 | 85% | 6.4 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 807 | 62 | 67% | 8.6 |
| Qualified Social Worker | 3 | 0 | 3 | 603 | 65 | 71% | 5 |
| Nurse Practitioner | 1 | 0 | 1 | 576 | 64 | 70% | 9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 460 | 58 | 63% | 7.9 |
| Dietitian | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 233 | 31 | 34% | 7.5 |
| Medical Director | 0 | 2 | 2 | 67 | 28 | 30% | 2.3 |
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
127% higher than Colorado averageColorado average: $40K
35% more fines than Colorado averageColorado average: 2.2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Colorado averageColorado average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 3, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 10, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.1
43% better than Colorado averageColorado average: 9.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.4
23% better than Colorado averageColorado average: 18.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.4%
66% better than Colorado averageColorado average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
8.0%
53% better than Colorado averageColorado average: 17.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.0%
29% worse than Colorado averageColorado average: 23.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
36% better than Colorado averageColorado average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
3.8%
In line with Colorado averageColorado average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.2%
85% better than Colorado averageColorado average: 1.4%
Percent of long-stay residents who lose too much weight
6.3%
21% worse than Colorado averageColorado average: 5.2%
Percent of long-stay residents who have depressive symptoms
8.0%
11% worse than Colorado averageColorado average: 7.2%
Percent of long-stay residents who received an antipsychotic medication
22.2%
18% worse than Colorado averageColorado average: 18.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Colorado averageColorado average: 93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Colorado averageColorado average: 94.7%
Number of hospitalizations per 1,000 long-stay resident days.
2.10
62% worse than Colorado averageColorado average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.37
18% better than Colorado averageColorado average: 1.67
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
28% better than Colorado averageColorado average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Colorado averageColorado average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.9%
29% better than Colorado averageColorado average: 75.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.8%
In line with Colorado averageColorado average: 20.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.6%
64% better than Colorado averageColorado average: 12.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Colorado averageColorado average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.6%
7% better than Colorado averageColorado average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.3%
26% worse than Colorado averageColorado average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
20% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
131Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Rock Canyon Respiratory and Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #21 / 182Payroll — State benchmarkedThis home is ranked 21st out of 182 homes in Colorado for payroll. Shows total annual staff payroll benchmarked to the Colorado average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
16.4 miles from city center
Estimated distance in miles from Pueblo's city center to Rock Canyon Respiratory and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Rock Canyon Respiratory and Rehabilitation Center is located in PUEBLO, Colorado.
Here are the financial assistance programs available to residents in Colorado.
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
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80
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CO AVG
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Rank
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AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Colorado Springs (Northgate) | 60
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CO AVG
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
166
CO AVG
77
Rank
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41
Facility
41
CO AVG
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Rank
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| Life Care Center of Littleton |
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Facility
120
CO AVG
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Rank
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54
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CO AVG
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Rank
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| Rock Canyon Respiratory and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
141
CO AVG
77
Rank
#55 / 535 | 30.5% | -60% | 2.42 | -58% | -37% | $108.7k | 42 | 5.3 | 7 | 43 | A+ |
0
Facility
0
CO AVG
51
Rank
#858 / 874 | - | $23.8M | $10.4M | 43.6% | 65100 |
The legal owner and operator of Rock Canyon Respiratory and Rehabilitation Center is Rock Canyon Healthcare Llc.
Rock Canyon Respiratory and Rehabilitation Center's occupancy is 30%.
Mark Gardner is the administrator of Rock Canyon Respiratory and Rehabilitation Center.
Rock Canyon Respiratory and Rehabilitation Center has 141 beds.
Yes — there are 3 photos of Rock Canyon Respiratory and Rehabilitation Center in the photo gallery on this page.
Rock Canyon Respiratory and Rehabilitation Center is located at 2515 PITMAN PL.
(719) 564-0550 will put you in contact with the team at Rock Canyon Respiratory and Rehabilitation Center.
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