1 health deficiencies
Top issue: Resident Rights (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Longmont, CO
4-star overall rating with 5-star inspections with $22,112 in total fines with 1 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1425 Belmont Dr, Longmont, CO
(303) 772-9292
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
48
Certified beds
Average residents
44
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2019-12-12
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.16% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 41 · Observed rate 7.32% · Lower 95% interval 6.66% |
| Discharge to community | 57.52% |
50.57%
7 pts better
|
No Different than the National Rate · Eligible stays 32 · Observed rate 53.13% · Lower 95% interval 42.72% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.3% |
95.27%
1 pts better
|
Numerator 52 · Denominator 54 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 54 |
| Discharge self-care score | 53.19% |
53.69%
0.5 pts worse
|
Numerator 25 · Denominator 47 |
| Discharge mobility score | 48.94% |
50.94%
2 pts worse
|
Numerator 23 · Denominator 47 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 54 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 17.71% |
8.2%
9.5 pts better
|
Numerator 17 · Denominator 96 |
| Staff flu vaccination coverage | 98.48% |
42%
56.5 pts better
|
Numerator 130 · Denominator 132 |
| Discharge function score | 55.32% |
56.45%
1.1 pts worse
|
Numerator 26 · Denominator 47 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 51.52% |
25.2%
26.3 pts better
|
Numerator 17 · Denominator 33 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
93.5%
1.9 pts better
|
93.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 100.0% · Q3 97.1% · Q4 88.9% · 4Q avg 95.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.7%
5.3 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 11.5% |
3.4%
8.1 pts worse
|
3.3%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.7% · Q3 14.3% · Q4 19.4% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.3% |
7.4%
1.1 pts better
|
11.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 9.7% · Q3 12.1% · Q4 0.0% · 4Q avg 6.3% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.0%
5 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.0% |
11.2%
1.2 pts better
|
19.6%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 4.0% · Q3 3.7% · Q4 15.4% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.5% |
20.6%
18.1 pts better
|
16.7%
14.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.5% · Q4 4.8% · 4Q avg 2.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.1% |
15.2%
2.1 pts better
|
16.3%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.2% |
14.6%
1.6 pts worse
|
14.9%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 16.0% · Q3 11.5% · Q4 19.2% · 4Q avg 16.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.8%
0.8 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.5%
0.1 pts worse
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 3.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.7% |
22.4%
2.3 pts worse
|
19.8%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 30.2% · Q3 20.3% · Q4 32.8% · 4Q avg 24.7% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
3.7%
0.2 pts worse
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 2.5% · Q3 0.0% · Q4 5.1% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.1% |
76.4%
4.3 pts worse
|
81.7%
9.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 75.9% · Q2 78.0% · Q3 61.2% · Q4 75.0% · 4Q avg 72.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.2% |
12.8%
9.4 pts worse
|
12.0%
10.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.2% · Observed 20.0% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.1% |
75.6%
3.5 pts worse
|
79.7%
7.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
20.3%
7.2 pts worse
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 25.0% · Expected 21.6% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Administration (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-03-06
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-03-06
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-23
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-07
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 2022-12-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-24
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-12-28
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-06
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-10
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2023-11-10
Health
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2023-11-10
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-01-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-11-20
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2022-11-09
Health
Provide activities to meet all resident's needs.
Corrected 2021-08-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-08-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-16
Penalties and ownership
Fine · fine $3,846
Fine
Fine · fine $9,527
Fine
Fine · fine $2,447
Fine
Fine · fine $2,098
Fine
Fine · fine $4,194
Fine
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
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