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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 97 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 28% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Pueblo Springs Rehabilitation Center (often referred to as Foothills Rehab in reviews) receives highly polarized feedback, with some families praising the therapy and respiratory teams while many others report severe neglect and understaffing. Common complaints include long wait times for call lights, poor hygiene, and unprofessional communication from administrative and front-desk staff. Families should be aware that while some patients have successful rehabilitation outcomes, the facility faces consistent allegations of inadequate nursing care and poor responsiveness.
Quality Themes
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Concerns
Rating Trends
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Distribution · 172 analyzed
Personalized based on this facility's data
Key Review Excerpts
“My mother had a heart episode in the middle of the night and no one came for 90 minutes nor could I get a hold of anyone on the phone.”
“I witnessed urine and feces soiled bedding just thrown on the floor, dried urine on the floor and dresser, and a patient covered in feces and witnessed the nurse walk out of his room to take a break.”
“The PT, OT & Speech therapy & Dietary departments worked hard to meet her needs. The dining room was a positive social experience & especially their kindness.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
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Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents who lost too much weight
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed multiple complaints triggering investigations, including serious concerns about abuse protection and nursing staffing that have occurred repeatedly from 2023 to 2025. The facility shows recurring problems in three main areas: medication management, resident safety and abuse prevention, and nursing care quality. While all cited deficiencies have correction dates, the pattern of repeated violations in critical safety areas, particularly abuse protection appearing in multiple complaint investigations, suggests ongoing challenges with maintaining consistent care standards.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Egress Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Source: AZ State Licensing Agency
An onsite complaint survey was conducted on September 29, 2025 for the investigation of intake #2629798. There are no deficiencies cited.
The re-certification survey was conducted on June 3, 2025 to June 6, 2025, in conjuction with the investigation of AZ00224770, AZ00224767, AZ00224766, AZ00224221, SF00127146, AZ00218316, AZ00213364, AZ00212520, AZ00210953, AZ00209848, AZ00209772, AZ00207363, AZ00207311, AZ00207347, AZ00207302, AZ00205610, AZ00205325, AZ00204318, AZ00204286, AZ00202849, AZ00202796, AZ00196509, AZ00196226, AZ00195949, AZ00195730, AZ00195668, AZ00195628, AZ00194130, AZ00194070, AZ00194037, AZ00193799, AZ00192859, AZ00192735, AZ00192320, AZ00191496, AZ00191442, AZ00191313, AZ00190999, AZ00191237, AZ00191180, and AZ00191059. The following deficiencies were cited:
Violation cited
Violation cited
Violation cited
Violation cited
Violation cited
Violation cited
Violation cited
Violation cited
Violation cited
Violation cited
Violation cited
Violation cited
Violation cited
NFPA 101 Life Safety Code, 2012, Chapter 19, Section 19.3.5.3 Where required by 19.1.6, buildings containing hospitals or limited care facilities shall be protected throughout by an approved, supervised automatic sprinkler system in accordance with Section 9.7, unless otherwise permitted by 19.3.5.5.." Chapter 9, Section 9.7.1.1, " Each automatic sprinkler system required by another section of this Code shall be installed in accordance with NFPA 13 Standard for the Installation of Sprinkler Systems." NFPA 13, 2010 Edition. Chapter 8, Section 8.6.6.1 "The clearance between the deflector and the top of storage shall be 18 in. or greater." (1.) NFPA 13, Standard for the Installation of Sprinkler Systems" NFPA 13, Section 8.15.7 Exterior roofs, Canopies, Porte-Cochers, Balconies, Decks or Similar Projections. Section 8.15.7.1 Unless the requirements of 8.15.7.2,8.15.7.3 , or 8.15.7.4 are met sprinklers shall be installed under exterior roofs, canopies, Porte-cocheres, balconies, decks, or similar projections exceeding 4 ft in width. Findings include: Observations made while on tour on June 10, 2025, revealed that the roof overhang at the entrance on the south side of the facility, as well as one on the west side of the facility, were not sprinklered. The doors in these locations are recessed, and the distance from the door to the edge of the roof line is approximately 68 inches. The facility is constructed of Type V materials. All other entrances into the building are sprinklered. The management team acknowledged during the facility tour and exit conference on June 10, 2025, that the above-listed areas on the east and north sides of the facility were not sprinklered.
NFPA 101 Life Safety Code, 2012, Chapter 19, Section 19.3.5.3 Where required by 19.1.6, buildings containing hospitals or limited care facilities shall be protected throughout by an approved, supervised automatic sprinkler system in accordance with Section 9.7, unless otherwise permitted by 19.3.5.5.." Chapter 9, Section 9.7.1.1, " Each automatic sprinkler system required by another section of this Code shall be installed in accordance with NFPA 13 Standard for the Installation of Sprinkler Systems." NFPA 13, 2010 Edition. Chapter 8, Section 8.6.6.1 "The clearance between the deflector and the top of storage shall be 18 in. or greater." (1.) NFPA 13, Standard for the Installation of Sprinkler Systems" NFPA 13, Section 8.15.7 Exterior roofs, Canopies, Porte-Cochers, Balconies, Decks or Similar Projections. Section 8.15.7.1 Unless the requirements of 8.15.7.2,8.15.7.3 , or 8.15.7.4 are met sprinklers shall be installed under exterior roofs, canopies, Porte-cocheres, balconies, decks, or similar projections exceeding 4 ft in width. Findings include: Observations made while on tour on June 10, 2025, revealed that the roof overhang at the entrance on the south side of the facility, as well as one on the west side of the facility, were not sprinklered. The doors in these locations are recessed, and the distance from the door to the edge of the roof line is approximately 68 inches. The facility is constructed of Type V materials. All other entrances into the building are sprinklered. The management team acknowledged during the facility tour and exit conference on June 10, 2025, that the above-listed areas on the east and north sides of the facility were not sprinklered.
An onsite complaint investigation was conducted on March 27, 2025 through March 28, 2025 for the following intakes: 00122896, 00123097, 00124363, and 00124426. There were no deficiencies cited.
An onsite complaint survey was conducted on January 8, 2025 for the investigation of intake # AZ00221039, AZ00221009. There were no deficiencies cited.
The onsite investigation of intakes AZ00192898, AZ00219368. AZ00197916. AZ00199701, AZ00201196, AZ00198010, AZ00199739, AZ00199790, and AZ00202265 was conducted on December 3, 2024. No deficiencies were cited.
An onsite complaint investigation was conducted for intake # AZ00217944, AZ00217942, AZ00217825, AZ00217824, and AZ00217753. There were no deficiencies found.
An onsite complaint survey was conducted on October 3, 2024 for intakes AZ00216869, AZ00216872, and AZ00216894. There were no deficiencies cited.
Pueblo Springs Rehabilitation Center
for profit
The Ensign Group
346 facilities nationwide
Chain avg rating: 3.2/5 · Rank 176 of 328
Owners
The Ensign Group INC
Owner (parent company) · Organization
Singh, Jaspreet
Owner (parent company)
Key personnel
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