Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Peaks Care Center, The during CMS and state inspections, most recent first.
A resident with a history of falls and requiring substantial assistance for transfers sustained rib fractures and facial bruising after a CNA failed to follow proper transfer techniques, including positioning and use of a gait belt, and allowed the resident to wear slip-on shoes without backs. The CNA assisted from the side rather than in front, contrary to facility policy and training, and the resident's shoe became caught on the wheelchair, leading to a fall.
The facility failed to provide adequate supervision and assistance to prevent falls for two residents, leading to multiple incidents where residents were not properly assessed by an RN, NP, or physician after unwitnessed falls. One resident experienced multiple falls due to a sliding mattress, resulting in pain and hospital visits, while another resident fell reaching for a snack, sustaining a head injury. The facility did not adhere to its policy requiring thorough assessments after such incidents.
Failure to Follow Transfer Protocols Results in Resident Injury
Penalty
Summary
The facility failed to ensure that staff followed appropriate transfer techniques and provided adequate supervision and assistive devices to prevent accidents, resulting in a resident sustaining rib fractures after a fall during an improper transfer. The resident, who had a history of falls and required substantial/maximal assistance for transfers, was being assisted by a CNA from bed to wheelchair. During the transfer, the CNA positioned herself at the side of the resident due to limited space, rather than in front as per facility training and policy. The resident was wearing slip-on shoes with no backs, and as she pivoted, her shoe became lodged on a wheelchair wheel, causing her to lose balance and fall forward to the floor. The CNA was unable to prevent the fall due to her position and the obstruction caused by the wheelchair and room layout. The incident report and staff interviews confirmed that the CNA did not follow the facility's in-service training, which instructed staff to stand in front of the resident, use a gait belt properly, and ensure the resident wore appropriate footwear during transfers. The care plan for the resident required a one-person transfer with a gait belt but did not specify the need for proper footwear. The CNA admitted to using a side-assist technique and acknowledged she should have been in front of the resident. Other CNAs interviewed stated that standing in front of the resident was the safest method and allowed them to better protect the resident from falls. The facility's policies and training materials emphasized the importance of proper positioning and use of gait belts during transfers to minimize fall risk. Following the fall, the resident was assessed and found to have a hematoma and bruising on her face and head. She was later transferred to the hospital, where imaging revealed acute, mildly displaced fractures of the left anterior third rib and a non-displaced fracture of the left anterior fourth rib, in addition to facial bruising. The resident was cognitively intact and had no impairments in range of motion but required significant assistance for transfers due to weakness and other medical conditions. The failure to adhere to established transfer protocols and ensure the use of appropriate footwear directly contributed to the resident's fall and subsequent injuries.
Inadequate Fall Assessment and Supervision
Penalty
Summary
The facility failed to provide adequate supervision and assistance to prevent falls for two residents, leading to multiple incidents where residents were not properly assessed by a registered nurse (RN), nurse practitioner (NP), or physician after unwitnessed falls. Specifically, the facility did not conduct necessary assessments before moving residents from the floor, which is a critical step in ensuring resident safety and preventing further injury. This deficiency was identified for two residents who were reviewed for falls, out of a sample of seven. Resident #3, a 76-year-old with a history of falls and other medical conditions, experienced multiple falls due to issues with her mattress sliding off the bed. Despite being cognitively intact, she suffered from falls that resulted in pain and required hospital visits. The facility's failure to assess her properly after each fall, as per their policy, was a significant oversight. The resident's care plan included interventions like providing a clutter-free environment and ensuring the call light was within reach, but these measures were insufficient to prevent the falls. Resident #9, an 82-year-old with moderate cognitive impairment, also experienced a fall that was not properly assessed by a qualified healthcare professional before being moved. The resident fell while reaching for a snack, resulting in a head injury. The facility's policy required a thorough assessment by an RN, NP, or physician after such incidents, but this was not adhered to, highlighting a systemic issue in the facility's fall management and response procedures.
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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 Longmont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mcintosh Care And Rehabilitation Center | 1.1 mi | — | 10 | 0 |
| Life Care Center Of Longmont | 1.4 mi | — | 15 | 0 |
| Katherine And Charles Hover Green Houses | 1.6 mi | — | 9 | 0 |
| Accel At Longmont Health And Rehab, Llc | 4 mi | — | 47 | 1 |
| Berthoud Care And Rehabilitation | 8.7 mi | — | 0 | 0 |
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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.