Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Boulder Canyon Health And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to maintain proper infection control practices, as staff did not consistently follow PPE protocols when entering and exiting droplet precaution rooms, and vital signs machines were not sanitized correctly between uses. Observations showed that an LPN, CNA, and NP did not adhere to PPE guidelines, and a CNA used ineffective alcohol wipes instead of approved sanitizing wipes for equipment disinfection.
The facility failed to ensure that a resident received proper treatment during a resuscitation attempt by not utilizing the emergency crash cart, delaying the call to EMS, and not having a licensed nurse remain with the resident until EMS arrived. The resident, who had severe cognitive impairment and multiple medical conditions, experienced a life-threatening change of condition, but essential resuscitation equipment was not used, and there was a lack of proper documentation and delegation of tasks.
Infection Control Deficiencies in PPE Use and Equipment Sanitization
Penalty
Summary
The facility failed to adhere to proper infection control protocols, specifically in the use of personal protective equipment (PPE) when entering and exiting droplet precaution rooms. Observations revealed that healthcare personnel, including an LPN, CNA, and an NP, did not consistently follow the required procedures for donning and doffing PPE. For instance, the LPN exited a droplet precaution room without removing her gown and gloves inside the room, and the CNA did not wear eye protection as required. Additionally, the NP was observed wearing an N95 mask over a surgical mask, which does not provide an adequate seal. The facility also failed to ensure that vital signs machines were properly sanitized between uses. A CNA was observed using alcohol wipes, which are not the recommended method for disinfecting medical equipment, to clean the vital signs machine between resident uses. The facility's policy requires the use of approved sanitizing wipes, such as Sani wipes, to ensure effective disinfection of equipment between each resident use. Interviews with staff, including the DON, confirmed that there was a lack of adherence to the facility's infection control policies. The DON acknowledged that the staff were expected to follow specific procedures for PPE use and equipment disinfection, but these were not consistently followed. The DON also noted that there was an inservice held about PPE use, indicating that staff had been informed of the correct procedures, yet compliance was not observed during the survey.
Failure to Utilize Emergency Equipment and Timely Call EMS During Resuscitation
Penalty
Summary
The facility failed to ensure that Resident #9 received treatment and care in accordance with professional standards of practice during a resuscitation attempt. Specifically, the emergency crash cart containing essential resuscitation equipment and a backboard was not utilized. Additionally, there was a delay in calling emergency medical services (EMS) for immediate assistance when Resident #9 experienced a life-threatening change of condition, and a licensed nurse did not remain with the resident until EMS arrived. Resident #9, an 82-year-old with severe cognitive impairment, respiratory failure, dementia, Parkinson's disease, and dysphagia, experienced a change of condition that included nausea, vomiting, abnormal vital signs, and shortness of breath. Despite the presence of a bag-mask device and airway supplies on the emergency crash cart, these were not used during the resuscitation attempt. The nursing progress note did not indicate the exact time 911 was called, and there was no further documentation regarding the resuscitation timeline. Interviews with staff revealed that RN #1, who was with Resident #9, failed to delegate the task of calling 911 to other staff members present in the room. Instead, RN #1 left the room to make the call herself, leaving the resident unattended. During the resuscitation, chest compressions were performed without the use of a backboard, and no bag-mask device was used to provide breathing assistance. The Director of Nursing (DON) confirmed that there was no root cause analysis or investigation conducted after the unexpected death of Resident #9, and staff did not document the events as they occurred.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Boulder
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Frasier Meadows Health Care Center | 0.6 mi | — | 0 | 0 |
| Boulder Post Acute | 2.3 mi | — | 15 | 0 |
| Winding Trails Post Acute | 3.2 mi | — | 4 | 0 |
| Coal Creek Post Acute & Assisted Living | 8.2 mi | — | 0 | 0 |
| Accel At Longmont Health And Rehab, Llc | 10.7 mi | — | 47 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.