Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Katherine And Charles Hover Green Houses during CMS and state inspections, most recent first.
Failure to consistently apply contracture prevention devices for two residents. One resident with severe cognitive impairment and bilateral hand contractures was observed in bed with contracted hands and no splints or palm protectors in place, despite orders for handgrips and care plan interventions. Another resident with spastic hemiplegia and multiple right-sided contractures was observed without ordered splints or braces, and an LPN left the devices unused in the room. Records lacked contracture measurements and documentation of worsening.
A resident with Parkinson’s disease, dementia, poor safety awareness, and a history of frequent falls sustained repeated unwitnessed falls, including head injuries, skin tears, and rib fractures. The IDT added a daytime one-to-one caregiver, but the resident still fell after hours and even while the CNA was supposed to be providing constant supervision. The care plan did not reflect the one-to-one intervention, and the record showed several fall interventions were inconsistently implemented or repeated as new despite already being in place.
Infection control failures were identified involving water management, EBP, and hand hygiene. The facility did not have a water management plan for Legionella monitoring, an LPN and two CNAs did not wear gowns during wound care, transfers, and incontinence care for residents on EBP, and a CNA was observed handling dining items and setting tables without hand hygiene while residents were not assisted with hand sanitization before meals.
Staff responsible for meal prep and kitchen duties were not fully trained in food safety or proper food handling. Observations showed agency CNAs putting away silverware and serving food without washing hands, using gloves without hand hygiene, and serving a microwaved pizza without checking temperature. Interviews confirmed agency CNAs were working in the kitchen without formal training, while the DM/RD said only the RD was ServSafe certified and one-on-one coaching was not documented.
Failure to notify a resident’s representative of an accidental Narcan charge: A resident with dementia, cerebrovascular disease, and a BIMS score of 10 had orders for PRN tramadol and Narcan. The representative said the facility billed him for Narcan without telling him in advance or explaining reimbursement, and the DON said she had misunderstood the requirement and only spoke with families who came to her about the charge.
The facility was unable to produce annual competency assessments for CNA #1, CNA #2, and CNA #12. The NHA said the assessments were supposed to be in a binder, but the binder could not be located. The facility policy addressed annual training through Care Academy and/or other sources, but did not address annual demonstration of nursing staff competency in skills and techniques needed for resident care.
Failure to Consistently Apply Contracture Prevention Devices
Penalty
Summary
The facility failed to ensure that two residents received consistent services and assistance to maintain range of motion and manage contractures. Resident #4 was admitted with diagnoses including left femur fracture with surgical intervention, difficulty walking, muscle weakness, and a history of falls, and the resident had severe cognitive impairment with a BIMS score of zero. The resident was dependent for extensive assistance with daily care and had functional limitations in the upper and lower extremities. Although the care plan noted tight fists and included gentle range of motion and palm protectors, observations showed the resident lying in bed with both hands, wrists, and fingers contracted and no splints or palm protectors in place. On one observation, cloth fabric was placed between the fingers and palms, and RN #5 attempted to open the resident’s hands for a skin check, causing the resident to grimace and revealing that the hands could not be fully opened. Resident #4’s record also showed an order to gently apply handgrips to both hands daily and leave them in place except for hygiene or showering, but staff were observed not applying the devices. The care plan did not identify the resident’s actual bilateral hand contractures or include interventions to minimize them, and the record did not contain documentation of progression, monitoring, or measurements of the contractures in the hands. The resident representative stated the resident did not have contractures when first admitted and developed them while living at the facility, and that communication problems between therapy and nursing contributed to staff not knowing about needed interventions. Resident #28 had diagnoses including spastic hemiplegia, contractures of the right thigh, knee, elbow, and hand, and muscle weakness. The resident required extensive assistance with daily care and had functional limitations on one side of the body. Observations showed the resident in bed without a splint on the right hand, elbow, or leg, and later in a wheelchair with the hand splint, elbow splint, and knee braces sitting in a chair in the room while the LPN did not apply them. The care plan included passive range of motion, positioning in a recliner, and use of splints and braces, and the physician orders included a resting hand splint and right elbow splint. Staff interviews indicated nursing staff were responsible for applying the splints, but the resident’s contractures were not documented with measurements in the record, and the DON and rehabilitation director stated the contractures had worsened.
Failure to Provide Consistent Supervision for a High Fall-Risk Resident
Penalty
Summary
The facility failed to ensure adequate supervision and consistent use of assistive interventions for a resident with Parkinson’s disease, dementia, a history of falls, and anticoagulant use. The resident had moderate cognitive impairment, poor safety awareness, impulsivity, impaired balance, and substantial assistance needs for mobility. The interdisciplinary team identified her as a high fall risk, and the record showed she experienced eleven falls after admission, including falls with head injury, skin tears, and rib fractures. The resident’s fall history showed repeated unwitnessed falls in multiple locations, including her room, bathroom, dining room, television room, sidewalk, and near her bed. After one fall outside, her wheelchair tipped off the sidewalk and she was later documented by the hospital to have three rib fractures and a scalp laceration. Another unwitnessed fall resulted in bleeding from her head and transfer to the ED. The record also showed that several fall reviews identified poor safety awareness, confusion, impulsivity, and attempts to transfer or ambulate without assistance. Although the team implemented a one-to-one caregiver during daytime hours because most falls were occurring during the day, the resident continued to fall after that intervention was started. Some falls occurred after 7:00 p.m., and others occurred while the one-to-one caregiver was present. On one occasion, the assigned caregiver left the resident unattended in the dining room and the resident sustained an unwitnessed fall with a head injury. The care plan did not reflect the one-to-one intervention, and the record also showed that other interventions were inconsistently documented or repeated as new despite already being in place.
Infection Control Failures in Water Management, EBP Use, and Hand Hygiene
Penalty
Summary
The facility failed to maintain and follow an infection prevention and control program on two of four units. The report identified that the facility did not have a water management plan available when requested, and the nursing home administrator stated she was unable to locate one. The plant operations director said the facility used tankless hot water heaters and believed a water management plan was not needed because there was no standing water. The report cited CDC guidance on controlling Legionella in potable water systems, including monitoring temperature, disinfectant residuals, and pH, and maintaining hot and cold water within specified ranges. The facility also failed to follow enhanced barrier precautions for two residents with wounds. A licensed practical nurse completed wound care for two residents who had signs on their doors indicating they were on EBP, but she did not wear a gown during the care. In one instance, two CNAs assisted a resident with a mechanical lift transfer and provided incontinence care while the resident was on EBP for pressure wounds, but they wore gloves and a mask only and did not put on gowns. During interviews, the CNAs said they did not know a gown was required for incontinent care, and one said she did not know the resident was on precaution. The LPN said gowns were required for wound care but she did not wear one because they were too small. Hand hygiene was also not performed appropriately in the dining areas. A CNA was observed touching the rims of multiple glasses while setting the table and was not observed washing or sanitizing her hands before doing so. On another observation, the same CNA set the table with place mats, napkins, and silverware without hand hygiene. Two residents who arrived at the dining table after ambulating themselves were not offered or assisted with hand sanitization before the meal. Staff interviewed said residents' hands should be sanitized at the dining table before meal service, and dietary staff said staff should not touch the rims of glasses when serving and should encourage and help residents sanitize their hands at meal times.
Insufficiently Trained Staff Handling Food and Meal Preparation
Penalty
Summary
The facility failed to provide sufficient support personnel to safely and effectively carry out food and nutrition services because staff responsible for preparing and cooking meals were not fully educated on proper food handling and food preparation. The Colorado Retail Food Establishment Rules and Regulations required employees to be properly trained in food safety, including food allergy awareness, and the facility’s Food Preparation and Service policy stated that food and nutrition services staff were to prepare, distribute, and serve food using safe food handling practices and proper hygiene. The dietary manager and registered dietitian stated that the only ServSafe-certified person was the RD, that the DM provided food handling training at orientation and yearly, and that one-on-one training was done without documentation. The NHA stated that facility staff should be conducting kitchen duties and supporting and guiding agency staff, and that the facility did not give agency staff formal training for kitchen work. Observations showed multiple instances of poor food handling by agency CNAs who were working in the kitchen. One CNA put away silverware without washing her hands first. Another CNA put on gloves to pass out cucumber salad without washing his hands first. A third CNA put on gloves without washing or sanitizing his hands, served pizza and cucumber salad, then handled a piece of pizza with a gloved hand, microwaved it, did not check its temperature, and served it to a resident. Staff interviews confirmed that agency CNAs were cooking and working in the kitchen without training, while resident and representative interviews described that CNAs were doing the cooking and that food quality varied depending on who cooked, with agency staff meals often described as bad.
Failure to Notify Representative of Accidental Narcan Charge
Penalty
Summary
The facility failed to notify one resident and the resident’s representative, both orally and in writing, about an accidental charge for Narcan and how to obtain reimbursement for that charge in a timely manner. Resident #41 was admitted with diagnoses including cerebrovascular disease, dementia, history of transient ischemic attack, anxiety disorder, and muscle weakness. The resident’s 11/5/25 MDS showed moderate cognitive impairment with a BIMS score of 10 out of 15 and need for partial to moderate assistance with most ADLs. Record review showed physician orders for tramadol 50 mg every six hours as needed for pain and Narcan nasal liquid 4 mg/.1 ml as needed for opioid overdose. The resident’s representative stated the facility did not tell him that Resident #41 would need Narcan and charged him for it, and he wanted to know how to get reimbursed. The DON stated she had misunderstood a requirement and believed Narcan needed to be available for each resident, acknowledged the resident’s representative should not have been billed, and said she had only spoken with families who came to her about the charge rather than notifying all families.
Missing Annual CNA Competency Assessments
Penalty
Summary
The facility did not have documentation showing that CNA #1, CNA #2, and CNA #12 had annual competency assessments for the specific skill sets needed to provide competent resident care. On 1/29/26, the nursing home administrator was asked for the annual competency assessments for these three CNAs, but the facility was unable to provide them. The facility policy on Required Training, reviewed on 1/9/26 and provided by the NHA on 1/29/26, stated that employees were required to complete annual training through Care Academy and/or other sources based on job responsibilities, but it did not address that nursing staff were to demonstrate competency in skills and techniques necessary to care for residents on an annual basis. During interviews, the NHA stated she could not locate the annual skills competency assessments for the selected CNAs and said the former ADON had told her the assessments had been placed in a binder, which she was unable to find. The DON also stated the facility was unable to find the nursing staff competency assessments binder. Both the NHA and DON stated that annual CNA competency assessments were necessary to check basic CNA skills and identify any lack in those skills for resident care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Longmont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mcintosh Care And Rehabilitation Center | 0.5 mi | ★★★★★ | 10 | 0 |
| Peaks Care Center, The | 1.6 mi | ★★★★★ | 13 | 0 |
| Life Care Center Of Longmont | 1.7 mi | ★★★★★ | 16 | 0 |
| Accel At Longmont Health And Rehab, Llc | 3.4 mi | ★★★★★ | 47 | 1 |
| Berthoud Care And Rehabilitation | 9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.