Federal inspection record · CMS data as of October 1, 2026

Frasier Meadows Health Care Center

4950 Thunderbird Dr, Boulder, CO · (303) 499-8412

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
54
Residents per day
46
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1994

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Colorado.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Colorado homes

Frasier Meadows Health Care Center carries 35 inspection points. That is fewer than 79% of Colorado's 208 rated homes.

5★4★3★2★1★+7 homes above 18305102550100inspection points → fewer is better on the leftThis home · 35 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Colorado: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–22 pts
  • 4★ 22–44 pts
  • 3★ 44–70.75 pts
  • 2★ 70.75–104 pts
  • 1★ over 104 pts

Bars show every rated home in Colorado by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

8 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 2 4 pts
E 3 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    April 16, 2024 · Standard inspection · Quality of Life and Care · F686 · Corrected May 9, 2024

  2. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 10, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected January 15, 2023

Everything else, by area of care

Quality of Life and Care2D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 4, 2026 · Standard · F689 · Corrected June 30, 2026

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    June 4, 2026 · Standard · F695 · Corrected July 2, 2026

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 4, 2026 · Standard · F812 · Corrected June 30, 2026

Administration1E
  1. E

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    June 4, 2026 · Standard · F847 · Corrected June 30, 2026

Nursing and Physician Services1E
  1. E

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    June 4, 2026 · Standard · F947 · Corrected June 30, 2026

Resident Rights1E
  1. E

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 10, 2023 · Standard · F580 · Corrected January 15, 2023

Inspection history

  1. 2026-06-04

    5 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2024-04-16

    1 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

  3. 2023-01-10

    2 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 49 min of nursing staff time a day, 1 h 12 min of it from a registered nurse.

This home

4 h 49 min

Colorado average

3 h 42 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 29% of nursing staff and 36% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$35,440 in federal fines on record over the past three years.

DatePenaltyAmount
2024-04-16Fine$21,678
2023-10-30Fine$13,762

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts better0.91.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better1.01.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts better100.0%93.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better2.5%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms8.2 pts better0.6%8.8%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts worse6.2%4.8%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts worse12.3%11.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.1 pts better10.8%19.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.7 pts better4.0%11.7%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.2 pts better5.6%12.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse0.9%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection1.4 pts better0.0%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.3 pts better5.3%20.6%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts better1.3%3.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.1 pts better93.1%77.0%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts worse13.3%12.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better0.0%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.1 pts better91.7%73.6%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission13.2 pts better7.3%20.5%23.4%

·

Who owns and runs it

6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Lewis, Nikki5% Or Greater Direct Ownership Interest · Individual0%1 facilities
Lewis, NikkiCorporate Officer · Individual0%1 facilities
Lewis, NikkiAdp Of The SNF · Individual0%1 facilities
Mcparland, MichelleCorporate Director · Individual0%1 facilities
Mcparland, MichelleOperational/Managerial Control · Individual0%1 facilities
Mcparland, MichelleAdp Of The SNF · Individual0%1 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 16, 2024 · K353 · Corrected May 22, 2024

  2. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 16, 2024 · K345 · Corrected June 30, 2024

  3. D

    Install corridor and hallway doors that block smoke.

    April 16, 2024 · K363 · Corrected July 15, 2024

  4. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 10, 2023 · K345 · Corrected April 14, 2023

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 10, 2023 · K353 · Corrected May 31, 2023

  6. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 10, 2023 · K372 · Corrected April 14, 2023

Gas, Vacuum, and Electrical Systems4F
  1. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    June 4, 2026 · K914 · Corrected July 15, 2026

  2. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    April 16, 2024 · K914 · Corrected June 28, 2024

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 16, 2024 · K918 · Corrected May 31, 2024

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 10, 2023 · K918 · Corrected April 14, 2023

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    April 16, 2024 · K712 · Corrected May 31, 2024

  2. F

    Have simulated fire drills held at unexpected times.

    January 10, 2023 · K712 · Corrected April 14, 2023

Egress1E
  1. E

    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.

    April 16, 2024 · K222 · Corrected June 30, 2024

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    April 16, 2024 · K511 · Corrected May 11, 2024

·

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