University Park Care Center - 4-Star Rehab Facility in Pueblo, CO | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 18.12%Falls causing major injury 1.29%Pressure ulcers (high-risk) 2.58%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Nov 2025 (197 days ago)🔍 Health Inspection
3/5
★★★☆☆
📊 Quality Measures
5/5
★★★★★
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 50 min · US avg: 41 min
Total Nurse / Resident / Day
3h 42m
State avg: 3h 44m · US avg: 3h 53m
3 min
State avg: 5 min · US avg: 4 min
55 per 100
State avg: 49 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
49%below avg
US avg: 64%
Total Nurse Weekend
3h 21m
Federal Penalties
18 penalties · $203,877 total
| Date | Type | Fine | Denial Days |
|---|
| 6/11/2024 | Fine | $22,653 | - |
| 6/11/2024 | Fine | $22,653 | - |
| 6/11/2024 | Fine | $22,653 | - |
| 6/11/2024 | Fine | $22,653 | - |
| 6/11/2024 | Fine | $22,653 | - |
| 6/11/2024 | Fine | $22,653 | - |
| 6/11/2024 | Fine | $22,653 | - |
| 6/11/2024 | Fine | $22,653 | - |
| 6/11/2024 | Fine | $22,653 | - |
| 1/8/2024 | Payment Denial | - | 15 |
| 1/8/2024 | Payment Denial | - | 15 |
| 1/8/2024 | Payment Denial | - | 15 |
| 1/8/2024 | Payment Denial | - | 15 |
| 1/8/2024 | Payment Denial | - | 15 |
| 1/8/2024 | Payment Denial | - | 15 |
| 1/8/2024 | Payment Denial | - | 15 |
| 1/8/2024 | Payment Denial | - | 15 |
| 1/8/2024 | Payment Denial | - | 15 |
Inspection Citations
Survey: November 20, 2025(3 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: June 11, 2024(27 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual Harm
22.8 per 100
State avg: 20.3 · US avg: 23.9
4.8 per 100
State avg: 12.8 · US avg: 12.0
1.3 per 100
State avg: 3.4 · US avg: 3.3
2.6 per 100
State avg: 3.7 · US avg: 5.1
0.0 per 100
State avg: 1.5 · US avg: 1.6
67.7 per 100
State avg: 75.6 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
22/100
Incentive Payment
-1.71% penalty
Healthcare-Assoc. Infections
7.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
21.7 days
Avg Payment / Stay
$9,576.53
Patient Complexity
2.49 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Quality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
Survey: February 21, 2024(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: January 8, 2024(3 citations)
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
Survey: February 2, 2023(6 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
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