Longmont, CO

Mcintosh Care And Rehabilitation Center

4-star overall rating with 4-star inspections with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

1800 Stroh Pl, Longmont, CO

(303) 776-6081

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

77

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Ensign Group

Operator or chain grouping

Approved since

1986-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

329 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

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

Hours and turnover

RN hours / resident day

0.68

Registered nurse staffing · state 0.83 · national 0.68

LPN hours / resident day

0.60

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.95

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.24

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

2.85

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.70

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.79

CMS adjusted RN staffing hours

Adjusted total hours

3.73

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

0

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 63.33% · Performance 67.21% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.29 hours · Performance 2.92 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	92.59%	95.27% 2.7 pts worse	Numerator 25 · Denominator 27
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 27
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 27 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	6.59%	8.2% 1.6 pts worse	Numerator 6 · Denominator 91
Staff flu vaccination coverage	85.58%	42% 43.6 pts better	Numerator 178 · Denominator 208
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	20%	25.2% 5.2 pts worse	Numerator 4 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.7	1.3 0.6 pts better	1.9 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.7 0.1 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.6%	93.5% 6.1 pts better	93.4% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.5%	94.7% 3.8 pts better	95.5% 3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.4% 0.8 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 1.6% · Q3 2.9% · Q4 7.2% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	8.7%	7.4% 1.3 pts worse	11.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.8% · Q3 12.1% · Q4 12.1% · 4Q avg 8.7%
Percentage of long-stay residents who lose too much weight	4.4%	5.0% 0.6 pts better	5.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 6.1% · Q3 3.2% · Q4 6.2% · 4Q avg 4.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.2%	11.2% 3 pts worse	19.6% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 14.8% · Q3 14.1% · Q4 15.9% · 4Q avg 14.2%
Percentage of long-stay residents who received an antipsychotic medication	18.9%	20.6% 1.7 pts better	16.7% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 22.7% · Q3 19.6% · Q4 17.6% · 4Q avg 18.9% · 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	28.6%	15.2% 13.4 pts worse	16.3% 12.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 29.8% · Q4 34.5% · 4Q avg 28.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.8%	14.6% 8.2 pts worse	14.9% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 32.0% · Q3 21.3% · Q4 18.3% · 4Q avg 22.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.8% 0.3 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	1.5% 0.4 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 2.9% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.2%	22.4% 0.8 pts worse	19.8% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 24.3% · Q3 21.9% · Q4 16.0% · 4Q avg 23.2%
Percentage of long-stay residents with pressure ulcers	7.5%	3.7% 3.8 pts worse	5.1% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 8.0% · Q3 7.4% · Q4 7.5% · 4Q avg 7.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.1%	76.4% 20.7 pts better	81.7% 15.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 96.5% · Q3 100.0% · Q4 98.3% · 4Q avg 97.1%
Percentage of short-stay residents who newly received an antipsychotic medication	1.9%	1.5% 0.4 pts worse	1.6% 0.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 3.7% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.0%	75.6% 14.4 pts better	79.7% 10.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-15 · Fire 2024-02-15

6 health deficiencies

Top issue: Infection Control (1 deficiency)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2022-11-17 · Fire 2022-11-17

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-07-22 · Fire 2021-07-22

10 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-15

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-17

F · Potential for more than minimal harm 2024-02-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-02-15

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-02-15

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-03-23

D · Potential for more than minimal harm 2024-02-15

K321 · Smoke Deficiencies

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 2024-05-01

D · Potential for more than minimal harm 2024-02-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-15

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-15

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-03-25

F · Potential for more than minimal harm 2023-10-26

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-12-01

F · Potential for more than minimal harm 2022-11-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-23

F · Potential for more than minimal harm 2022-11-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-12-29

F · Potential for more than minimal harm 2022-11-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-01-12

F · Potential for more than minimal harm 2022-11-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-01-04

F · Potential for more than minimal harm 2021-07-22

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2021-09-15

F · Potential for more than minimal harm 2021-07-22

K321 · Smoke Deficiencies

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 2021-08-26

F · Potential for more than minimal harm 2021-07-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-09-15

F · Potential for more than minimal harm 2021-07-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-08-30

D · Potential for more than minimal harm 2021-07-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-08-06

D · Potential for more than minimal harm 2021-07-22

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2021-09-15

D · Potential for more than minimal harm 2021-07-22

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2021-08-21

D · Potential for more than minimal harm 2021-07-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-08-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-11-26

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-12-26

E · Potential for more than minimal harm 2024-02-15

F584 · Resident Rights Deficiencies

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 2024-03-31

E · Potential for more than minimal harm 2024-02-15

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-03-31

E · Potential for more than minimal harm 2024-02-15

F761 · Pharmacy Service Deficiencies

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 2024-03-31

E · Potential for more than minimal harm 2024-02-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-02-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-02-15

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-01-08

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-01-12

G · Actual harm 2022-11-17

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-21

D · Potential for more than minimal harm 2022-11-17

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-12-21

D · Potential for more than minimal harm 2022-11-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-12-21

D · Potential for more than minimal harm 2022-11-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-12-21

F · Potential for more than minimal harm 2021-07-22

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-09-04

F · Potential for more than minimal harm 2021-07-22

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2021-09-04

F · Potential for more than minimal harm 2021-07-22

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2021-09-04

E · Potential for more than minimal harm 2021-07-22

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2021-09-04

E · Potential for more than minimal harm 2021-07-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-09-04

E · Potential for more than minimal harm 2021-07-22

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-09-04

D · Potential for more than minimal harm 2021-07-22

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2021-09-04

D · Potential for more than minimal harm 2021-07-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-09-04

C · Minimal harm 2021-07-22

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2021-09-04

Penalties and ownership

What sits behind the stars

Ownership

Endura Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

100% 28 facilities 2024-05-24

The Ensign Group Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 209 facilities 2024-05-24

Burnam, Soon

Corporate Officer · Individual

0% 323 facilities 2024-05-24

Fraser, Malcolm

Operational/Managerial Control · Individual

0% 5 facilities 2024-09-01

Graham, Joseph

Corporate Officer · Individual

0% 14 facilities 2024-05-24

Isomed Inc

Operational/Managerial Control · Organization

0% 2 facilities 2024-09-01

Jorgensen, David

Corporate Director · Individual

0% 41 facilities 2024-05-24

Keetch, Chad

Corporate Officer · Individual

0% 176 facilities 2011-03-01

Lear, Garon

Operational/Managerial Control · Individual

0% 1 facilities 2024-09-01

Prime Time Healthcare LLC

Operational/Managerial Control · Organization

0% 6 facilities 2024-09-01

Sato, Ami

Corporate Officer · Individual

0% 101 facilities 2024-09-09

Nearby options

Other facilities in reach

#1

Katherine And Charles Hover Green Houses

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

Overall: 4 / 5
Health: 5 / 5
Staffing: 1 / 5
Fines: $22,112

#2