Pueblo Heights Nursing and Rehabilitation — nursing home in Pueblo, CO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 82.1 CMS, MDS-derived
CMS Certification Number: 065169
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1982
Ownership type: For profit - Individual
Operator (legal business name): Constitution Operations LLC
CMS chain: Madison Creek Partners 13 facilities
Phone: (719) 562-7200
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Apr 14, 2026

Citations

39

26 health · 13 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D16	E10	F12
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$19,959

Payment denials

0

Latest

Apr 14, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 065169
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jul 1, 1982
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Colorado.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 14, 2026	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Jul 18, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jul 18, 2024	Health	Health Standard	13	Potential harm	—	Open →
Feb 16, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 16, 2023	Health	Health Standard	7	Potential harm	—	Open →
Nov 4, 2021	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Nov 4, 2021	Health	Health Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Apr 14, 2026	Civil money penalty (fine)	$15,133	—	065169\|Fine\|138416
Apr 14, 2026	Civil money penalty (fine)	$4,826	—	065169\|Fine\|139503

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D16	E10	F12
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 14, 2026	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected May 8, 2026	Complaint
Jul 18, 2024	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 31, 2024
Jul 18, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2024
Jul 18, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 2, 2024
Jul 18, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 2, 2024
Jul 18, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 5, 2024
Jul 18, 2024	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 1, 2024
Jul 18, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 9, 2024
Jul 18, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 1, 2024
Jul 18, 2024	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 6, 2024
Jul 18, 2024	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 5, 2024
Jul 18, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 6, 2024
Jul 18, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Aug 6, 2024
Jul 18, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 1, 2024
Jul 18, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 5, 2024
Jul 18, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 7, 2024
Jul 18, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 5, 2024
Jul 18, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 7, 2024
Feb 16, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 29, 2023
Feb 16, 2023	K-0364	Install properly constructed windows in hallway walls or doors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 22, 2023
Feb 16, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 28, 2023
Feb 16, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 28, 2023
Feb 16, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 28, 2023
Feb 16, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 4, 2023
Feb 16, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 28, 2023
Feb 16, 2023	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 31, 2023
Feb 16, 2023	F-0886	Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 31, 2023
Nov 4, 2021	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 30, 2021
Nov 4, 2021	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 7, 2021
Nov 4, 2021	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 21, 2021
Nov 4, 2021	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 6, 2021
Nov 4, 2021	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 15, 2021
Nov 4, 2021	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 6, 2021
Nov 4, 2021	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 13, 2021
Nov 4, 2021	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 8, 2021
Nov 4, 2021	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 8, 2021
Nov 4, 2021	F-0742	Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 8, 2021
Nov 4, 2021	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 8, 2021
Nov 4, 2021	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Dec 8, 2021

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 3.1

Quality measuresstate 4.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.18

State avg 3.69US avg 3.90

Registered nurse (RN)0.64

State avg 0.81US avg 0.69

Licensed practical nurse0.53

State avg 0.68US avg 0.86

Nurse aide2.02

State avg 2.20US avg 2.35

Weekend total nurse2.88

State avg 3.26US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.51 (case-mix index 1.27).

Staff turnover

Total nursing staff turnover55.7%

State avg 47.0%US avg 45.3%

Registered nurse turnover42.9%

State avg 44.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 18, 2024
Cycle 1 health score: 126
Total weighted score: 107.5

Operating entity

Constitution Operations LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Madison Creek Partners

13 facilities in 2 states. CMS chain ID 328.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.2

Ownership disclosures

Disclosures

15

Organizations

2

Individuals

12

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Madison Creek Partners LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jul 11, 2025
Covey Christensen	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jul 11, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Madison Creek Partners LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jul 11, 2025
Covey Christensen	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jul 11, 2025
Covey Christensen	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 11, 2025
Covey Christensen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 11, 2025
Michael Clegg	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 11, 2025
Amber Hopkins	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 11, 2025
Mark Sanders	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 11, 2025
David Shepherd	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 11, 2025
Constitution Operations LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Jul 11, 2025
Constitution Operations LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 11, 2025
Covey Christensen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 11, 2025
Michael Clegg	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 11, 2025
Amber Hopkins	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 11, 2025
Mark Sanders	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 11, 2025
David Shepherd	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 11, 2025

Same chain in Colorado

All 12 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Sundance Skilled Nursing and Rehabilitation 2612 W Cucharras St, Colorado Springs, CO 80904 CCN 065152	68	Feb 26, 2026	481 IJ	$15k
The Gardens 104 Lois Ln, Colorado Springs, CO 80904 CCN 065198	45	Dec 11, 2025	215 open	—
Pioneer Health Care Center 900 S 12th St, Rocky Ford, CO 81067 CCN 065235	101	Mar 4, 2025	534 harm	$10k
Glenwood Springs Healthcare 2305 Blake Ave, Glenwood Springs, CO 81601 CCN 065244	54	Apr 21, 2026	582 harm	—
Paonia Care and Rehabilitation Center 1625 Meadowbrook Blvd, Paonia, CO 81428 CCN 065251Abuse icon	60	Jul 14, 2026	691 IJ5 harm4 open	$33k
Silver Heights Skilled Nursing and Rehabilitation 4001 Home St, Castle Rock, CO 80108 CCN 065285	91	Apr 3, 2025	58	—
Lakewood Villa 1625 Simms St, Lakewood, CO 80215 CCN 065408	57	Jul 7, 2025	421 IJ4 harm	$17k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1601 Constitution Rd, Pueblo, CO 81001
ZIP: 81001
County: Pueblo County FIPS 08101
State: Colorado
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Vista Ridge Care and Rehabilitation 855 Hunter Dr, Pueblo, CO 81001 CCN 065121	1.7 km	90	Dec 4, 2025	511 IJ3 harm4 open	$42k
University Park Care Center 945 Desert Flower Blvd, Pueblo, CO 81001 CCN 065231	2.4 km	180	Aug 27, 2026	462 harm3 open	$23k
High Plains Post Acute LLC 1209 W Abriendo Ave, Pueblo, CO 81004 CCN 065355	5.6 km	59	Aug 11, 2025	351 IJ5 harm	$58k
The Center at Park West LLC 3727 Parker Blvd, Pueblo, CO 81008 CCN 065427	7.4 km	80	Jun 25, 2026	322 harm	—
Rock Canyon Respiratory and Rehabilitation Center 2515 Pitman Pl, Pueblo, CO 81004 CCN 065100Abuse icon	7.5 km	151	Aug 6, 2026	381 IJ3 harm1 open	$67k
Atlas Post Acute 2611 Jones Ave, Pueblo, CO 81004 CCN 065232	7.8 km	146	May 14, 2026	503 harm	$54k
Lakeshore Post Acute and Rehabilitation Center 2701 California St, Pueblo, CO 81004 CCN 065229	8.4 km	106	Aug 28, 2025	70	—
Life Care Center of Pueblo 2118 Chatalet Ln, Pueblo, CO 81005 CCN 065269	10.4 km	187	Feb 26, 2026	545 harm	$19k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	065169	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	065169	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 065169

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction