BOULDER POST ACUTE – Nursing Home, BOULDER, Colorado
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Cited for abuse in CMS records
9 substantiated complaints
Last cited survey: 19 February 2026 · 90 health and 65 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
2121 MESA DR
BOULDER, CO 80304
Phone: (303) 442-4037
Compare to CO average
See how this facility compares to the CO state average among rated nursing homes (225 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | CO average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 2 | 3.19 | 5 |
| Health inspection | 2 | 2.72 | 4 |
| Staffing | 3 | 3.22 | 5 |
| Quality measures | 4 | 4.21 | 5 |
| Certified beds | 162 | 91.8 | — |
| Citations on file (health + fire) | 155 | ~8.3 health* | — |
- BOULDER CANYON HEALTH AND REHABILITATION — 4★ overall
- FRASIER MEADOWS HEALTH CARE CENTER — 5★ overall
- WINDING TRAILS POST ACUTE — 2★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| MURRAY, JASON H | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 41.80 | 04/15/2024 |
| MITCHELL, JOHN T | CORPORATE OFFICER | Individual | - | 01/01/2024 |
| CENTENNIAL MASTER TENANT, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | - | 02/01/2023 |
| ANNEBERG, LEE | CONTRACTED MANAGING EMPLOYEE | Individual | - | 01/03/2000 |
| APT, FREDERICK G | CORPORATE OFFICER | Individual | - | 01/01/2024 |
| PROVIDENCE GROUP NH, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/30/2023 |
| PACS HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/30/2023 |
| JERGENSEN, JOSHUA O | CORPORATE OFFICER | Individual | - | 01/01/2024 |
| CARLSON, AARON | W-2 MANAGING EMPLOYEE | Individual | - | 02/14/2024 |
| PACS GROUP, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/30/2023 |
| HANCOCK, MARK D | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 41.80 | 04/15/2024 |
| HANCOCK, MARK D | CORPORATE OFFICER | Individual | - | 01/01/2024 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
155 citations on file · Latest survey: 19 February 2026 · 90 health · 65 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-19 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2026-02-19 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2026-02-19 | F805 | D — Minimal harm, isolated | Health | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| 2026-02-19 | F761 | E — Minimal harm, pattern | 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. |
| 2026-02-19 | F693 | D — Minimal harm, isolated | Health | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. |
| 2026-02-19 | F684 | D — Minimal harm, isolated | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-05-13 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-05-13 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-05-13 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-05-13 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-05-13 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-05-13 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-02-04 | F744 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| 2025-02-04 | F744 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| 2025-02-04 | F744 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| 2025-02-04 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-02-04 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-02-04 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-10-23 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2024-10-23 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-19 | K923 | F — Minimal harm, widespread | Fire Safety | Have proper medical gas storage and administration areas. |
| 2026-02-19 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2026-02-19 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2026-02-19 | K521 | F — Minimal harm, widespread | Fire Safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2026-02-19 | K355 | F — Minimal harm, widespread | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2026-02-19 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2026-02-19 | K341 | F — Minimal harm, widespread | Fire Safety | Install a fire alarm system that can be heard throughout the facility. |
| 2026-02-19 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2026-02-19 | K321 | F — Minimal harm, widespread | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-03-12 | E39 | F — Minimal harm, widespread | Fire Safety | Conduct testing and exercise requirements. |
| 2024-03-12 | K222 | F — Minimal harm, widespread | 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. |
| 2024-03-12 | K281 | E — Minimal harm, pattern | Fire Safety | Install proper backup exit lighting. |
| 2024-03-12 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-03-12 | K372 | F — Minimal harm, widespread | Fire Safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2024-03-12 | K511 | F — Minimal harm, widespread | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2024-03-12 | K753 | F — Minimal harm, widespread | Fire Safety | Have restrictions on the use of highly flammable decorations. |
| 2024-03-12 | K912 | E — Minimal harm, pattern | Fire Safety | Have power receptacles that are properly grounded. |
| 2024-03-12 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2024-03-12 | E39 | F — Minimal harm, widespread | Fire Safety | Conduct testing and exercise requirements. |
| 2024-03-12 | K222 | F — Minimal harm, widespread | 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. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 4 |
| Quality of Resident Care Rating (Short Stay) | 2 |
| Staffing Rating | 3 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 1.75413 |
| Reported LPN Staffing Hours per Resident per Day | 0.90443 |
| Reported RN Staffing Hours per Resident per Day | 0.35859 |
| Reported Licensed Staffing Hours per Resident per Day | 1.26302 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.29126 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.00477 |
| Casemix CNA Staffing Hours per Resident per Day | 1.68495 |
| Casemix LPN Staffing Hours per Resident per Day | 0.63518 |
| Casemix RN Staffing Hours per Resident per Day | 0.27804 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.59817 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.14919 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.2224 |
| Adjusted RN Staffing Hours per Resident per Day | 0.48466 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 4.44837 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-02-07 |
Date of Standard Health Survey (Cycle 2) | 2017-08-04 |
Total Number of Health Deficiencies (Cycle 1) | 7 |
Number of Standard Health Deficiencies (Cycle 1) | 3 |
Number of Complaint Health Deficiencies (Cycle 1) | 4 |
Health Deficiency Score (Cycle 1) | 52 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 52 |
Total Number of Health Deficiencies (Cycle 2) | 6 |
Number of Standard Health Deficiencies (Cycle 2) | 4 |
Number of Complaint Health Deficiencies (Cycle 2) | 6 |
Health Deficiency Score (Cycle 2) | 44 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 44 |
Date of Standard Health Survey (Cycle 3) | 2016-06-21 |
Total Number of Health Deficiencies (Cycle 3) | 5 |
Number of Standard Health Deficiencies (Cycle 3) | 5 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 36 |
Total Health Score (Cycle 3) | 36 |
Total Weighted Health Survey Score | 71 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 4 |
Number of Substantiated Complaints | 9 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 9113 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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