14 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Broomfield, CO
2-star overall rating with 1-star inspections with abuse icon flag with $72,937 in total fines with 14 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
12975 Sheridan Blvd, Broomfield, CO
(303) 785-5800
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
210
Certified beds
Average residents
181
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-03-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.60
Registered nurse staffing
LPN hours / resident day
0.72
Licensed practical nurse staffing
Aide hours / resident day
2.50
Nurse aide staffing
Weekend hours
3.45
Weekend nurse staffing
RN turnover
68%
Annual RN turnover
Total nurse turnover
60%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.3
0.5 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.7
0.7 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.0% |
93.5%
3.5 pts worse
|
93.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.7% |
94.7%
2 pts worse
|
95.5%
2.8 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.0% |
3.4%
1.6 pts worse
|
3.3%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 5.2% |
7.4%
2.2 pts better
|
11.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 2.7% |
5.0%
2.3 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.4% |
11.2%
0.8 pts better
|
19.6%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 33.7% |
20.6%
13.1 pts worse
|
16.7%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.8% |
15.2%
3.4 pts better
|
16.3%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.6% |
14.6%
About the same
|
14.9%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.8%
0.5 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.5%
0.3 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.0% |
22.4%
0.4 pts better
|
19.8%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
3.7%
1.7 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.2% |
76.4%
12.2 pts worse
|
81.7%
17.5 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.2% |
1.5%
3.7 pts worse
|
1.6%
3.6 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.4% |
75.6%
8.2 pts worse
|
79.7%
12.3 pts worse
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-02-24
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-17
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-02-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-16
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-03-12
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-03-11
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-12
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2025-02-05
Fire Safety
Construct fire resistant interior walls.
Corrected 2024-04-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-19
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-04-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-11
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-06
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-06
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-06
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-10-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-10-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-12-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-09-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-09-15
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-09-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-09-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-12-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-09-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-09-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-15
Inspection history
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-19
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-02-19
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-02-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-19
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-02-19
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-19
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-02-19
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-02-19
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-19
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-08
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-09-08
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-09-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-08
Health
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.
Corrected 2023-09-08
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-09-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-08
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-09-08
Health
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.
Corrected 2023-09-08
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-09-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-08
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2023-09-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-08
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-09-08
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-09-08
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-09-08
Health
Provide activities to meet all resident's needs.
Corrected 2023-09-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-08
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-08
Health
Implement a program that monitors antibiotic use.
Corrected 2023-09-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-19
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-04-26
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-04-26
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-04-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-06-12
Penalties and ownership
Fine · fine $15,935
Fine
Fine · fine $38,596
Fine
Payment Denial · denial start 2023-09-06 · 2 days
2 day denial
Fine · fine $8,347
Fine
Fine · fine $10,059
Fine
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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