Longmont, CO

Peaks Care Center, The

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1440 Coffman St, Longmont, CO

(303) 776-2814

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

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Frontline Management

Operator or chain grouping

Approved since

1984-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

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

Changed ownership

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

0.79

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.91

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.38

All reported nurse hours · state 3.70 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.51 · national 1.54

Weekend hours

3.03

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.60 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.67

CMS adjusted RN staffing hours

Adjusted total hours

3.37

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,967

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

Performance score

46.66

Composite VBP score used to determine payment impact.

Payment multiplier

1.0001

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.08

Baseline 23.17% · Performance 19.13% · Measure score 6.08 · Achievement 4.97 · Improvement 6.08

Healthcare-associated infections

4.26

Baseline 6.86% · Performance 6.56% · Measure score 4.26 · Achievement 4.26 · Improvement 1.10

Total nurse turnover

5.35

Baseline 35.56% · Performance 41.82% · Measure score 5.35 · Achievement 5.35 · Improvement 0

Adjusted total nurse staffing

2.97

Baseline 3.84 hours · Performance 3.92 hours · Measure score 2.97 · Achievement 2.97 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.71%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 133 · Observed rate 7.52% · Lower 95% interval 6.5%
Discharge to community	67.12%	50.57% 16.6 pts better	Better than the National Rate · Eligible stays 121 · Observed rate 66.94% · Lower 95% interval 57.63%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	98.08%	95.27% 2.8 pts better	Numerator 102 · Denominator 104
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 104
Discharge self-care score	42.67%	53.69% 11 pts worse	Numerator 32 · Denominator 75
Discharge mobility score	29.33%	50.94% 21.6 pts worse	Numerator 22 · Denominator 75
Pressure ulcers or injuries, new or worsened	8.74%	2.29% 6.5 pts worse	Numerator 9 · Denominator 103 · Adjusted rate 8.18%
Healthcare-associated infections requiring hospitalization	6.56%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 84 · Observed rate 4.76% · Lower 95% interval 3.94%
Staff COVID-19 vaccination coverage	6.25%	8.2% 1.9 pts worse	Numerator 6 · Denominator 96
Staff flu vaccination coverage	96.7%	42% 54.7 pts better	Numerator 88 · Denominator 91
Discharge function score	46.67%	56.45% 9.8 pts worse	Numerator 35 · Denominator 75
Transfer of health information to provider	93.33%	95.95% 2.6 pts worse	Numerator 28 · Denominator 30
Transfer of health information to patient	90.57%	96.28% 5.7 pts worse	Numerator 48 · Denominator 53
Resident COVID-19 vaccinations up to date	22.45%	25.2% 2.8 pts worse	Numerator 11 · Denominator 49

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.3 0.4 pts worse	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	1.7 0.4 pts better	1.8 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.2%	93.5% 0.3 pts worse	93.4% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 92.6% · Q3 94.9% · Q4 97.0% · 4Q avg 93.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	94.7% 3.6 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	3.4% 0.8 pts better	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.9% · Q3 1.7% · Q4 3.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	33.0%	7.4% 25.6 pts worse	11.4% 21.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 15.4% · Q3 36.8% · Q4 64.4% · 4Q avg 33.0%
Percentage of long-stay residents who lose too much weight	11.2%	5.0% 6.2 pts worse	5.4% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 16.7% · Q3 8.0% · Q4 8.3% · 4Q avg 11.2%
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 14.3% · Q2 10.4% · Q3 5.8% · Q4 9.8% · 4Q avg 10.0%
Percentage of long-stay residents who received an antipsychotic medication	16.4%	20.6% 4.2 pts better	16.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 17.5% · Q3 17.8% · Q4 17.0% · 4Q avg 16.4% · 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	27.1%	15.2% 11.9 pts worse	16.3% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 39.0% · Q3 17.6% · Q4 22.2% · 4Q avg 27.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.2%	14.6% 3.6 pts worse	14.9% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 25.5% · Q3 23.1% · Q4 11.5% · 4Q avg 18.2% · 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	0.9%	1.5% 0.6 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 1.5% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.0%	22.4% 1.6 pts worse	19.8% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 29.7% · Q3 28.4% · Q4 17.5% · 4Q avg 24.0%
Percentage of long-stay residents with pressure ulcers	2.9%	3.7% 0.8 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.7% · Q3 3.3% · Q4 2.8% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.9%	76.4% 7.5 pts better	81.7% 2.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 58.9% · Q2 90.0% · Q3 95.9% · Q4 97.9% · 4Q avg 83.9%
Percentage of short-stay residents who had an outpatient emergency department visit	7.4%	12.8% 5.4 pts better	12.0% 4.6 pts better	Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 7.4% · Expected 11.2% · 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 · Q1 0.0% · 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	86.0%	75.6% 10.4 pts better	79.7% 6.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	30.2%	20.3% 9.9 pts worse	23.9% 6.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 30.2% · Observed 25.9% · Expected 20.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-29 · Fire 2024-02-29

3 health deficiencies

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

4 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 2 Health 2019-12-10 · Fire 2019-12-10

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2018-12-13 · Fire 2018-12-13

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-07

F · Potential for more than minimal harm 2024-02-29

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-04-01

E · Potential for more than minimal harm 2024-02-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-11

E · Potential for more than minimal harm 2024-02-29

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-28

F · Potential for more than minimal harm 2019-12-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2020-01-24

D · Potential for more than minimal harm 2019-12-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2020-02-17

D · Potential for more than minimal harm 2019-12-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-02-17

D · Potential for more than minimal harm 2019-12-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-02-17

E · Potential for more than minimal harm 2018-12-13

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2019-03-20

E · Potential for more than minimal harm 2018-12-13

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-03-13

E · Potential for more than minimal harm 2018-12-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-03-15

E · Potential for more than minimal harm 2018-12-13

K521 · Services Deficiencies

Fire Safety

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

Corrected 2019-03-29

D · Potential for more than minimal harm 2018-12-13

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2019-03-05

D · Potential for more than minimal harm 2018-12-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-03-14

D · Potential for more than minimal harm 2018-12-13

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2019-03-29

Inspection history

Recent health citations

G · Actual harm 2025-10-29

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 2025-11-13

D · Potential for more than minimal harm 2024-08-20

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 2024-09-06

D · Potential for more than minimal harm 2024-02-29

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-29

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 2024-04-01

F · Potential for more than minimal harm 2019-12-10

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2020-01-29

E · Potential for more than minimal harm 2019-12-10

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2020-01-09

E · Potential for more than minimal harm 2019-12-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-09

D · Potential for more than minimal harm 2019-12-10

F625 · Resident Rights Deficiencies

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 2020-01-09

D · Potential for more than minimal harm 2019-12-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-01-09

D · Potential for more than minimal harm 2019-12-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2020-01-09

C · Minimal harm 2019-12-10

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2020-01-09

E · Potential for more than minimal harm 2018-12-13

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2019-01-16

E · Potential for more than minimal harm 2018-12-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-01-16

E · Potential for more than minimal harm 2018-12-13

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 2019-01-16

E · Potential for more than minimal harm 2018-12-13

F761 · Pharmacy Service Deficiencies

Health

Corrected 2019-01-16

E · Potential for more than minimal harm 2018-12-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-01-16

D · Potential for more than minimal harm 2018-12-13

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 2019-01-16

D · Potential for more than minimal harm 2018-12-13

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 2019-02-21

D · Potential for more than minimal harm 2018-12-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-01-16

D · Potential for more than minimal harm 2018-12-13

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2019-01-23

D · Potential for more than minimal harm 2018-12-13

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2019-01-16

D · Potential for more than minimal harm 2018-12-13

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-01-17

Penalties and ownership

What sits behind the stars

Ownership

Veluscek, Steven

5% Or Greater Direct Ownership Interest · Individual

26% 7 facilities 1995-10-01

The Hassan Essayli Trust

5% Or Greater Direct Ownership Interest · Organization

13% 1 facilities 2008-03-01

Tkaac Enterprises

5% Or Greater Direct Ownership Interest · Organization

13% 1 facilities 2008-03-01

Schultz, David

5% Or Greater Direct Ownership Interest · Individual

9% 2 facilities 2008-03-26

Bogie33

5% Or Greater Direct Ownership Interest · Organization

8% 1 facilities 2018-01-01

Fridrich, Steve

5% Or Greater Direct Ownership Interest · Individual

6% 1 facilities 2009-01-01

Baker, Adam