McIntosh Care and Rehabilitation Center
1800 Stroh Pl, Longmont, CO 80501 · Boulder County · 110 certified beds · avg 83 residents/day · certified since Apr 1, 1986
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 19, 2026 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 15, 2026 (Past Non-Compliance)
▲ Actual harm, one-off · Nov 17, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 21, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 26, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Feb 15, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 15, 2024 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Feb 15, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 15, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 15, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 15, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jan 8, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Nov 17, 2022 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Nov 17, 2022 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 1 | G ▲ |
| 2024 | 8 | 0 | E |
| 2026 | 8 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $14,015.
| Date | Type | Amount / length |
|---|---|---|
| Mar 19, 2026 | Fine | $14,015 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Colorado avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.20 | 3.89 | 3.95 | bottom 17% in Colorado; bottom 22% in the U.S. |
| Registered Nurse hours | 0.63 | 0.86 | 0.69 | bottom 28% in Colorado; top 44% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.44 | 3.50 | bottom 14% in Colorado; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.61 | 0.48 | bottom 49% in Colorado; top 30% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 47.1 | 45.8 | bottom 41% in Colorado; bottom 38% in the U.S. |
| RN turnover (%) | 46.2 | 44.6 | 42.9 | bottom 47% in Colorado; bottom 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.00, RN 0.59, weekend 2.57. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 05/24/2024 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Fraser, Malcolm | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Fraser, Malcolm | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Graham, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 05/24/2024 |
| Isomed INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Jorgensen, David | Individual | Corporate Director | NOT APPLICABLE | 05/24/2024 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Lear, Garon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2024 |
| Lear, Garon | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Lear, Garon | Individual | ADP of the SNF | NOT APPLICABLE | 06/21/2025 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/21/2025 |
| Prime Time Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| SMV Longmont LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Katherine and Charles Hover Green Houses | 0.5 mi | Longmont, CO | ★★★★☆ | 3/5 | |
| Peaks Care Center, the | 1.1 mi | Longmont, CO | ★★★☆☆ | 3/5 | |
| Life Care Center of Longmont | 1.5 mi | Longmont, CO | ★★★☆☆ | 2/5 | |
| Accel at Longmont Health and Rehab, LLC | 3.5 mi | Longmont, CO | ★☆☆☆☆ | 1/5 | abuseSFF |
| Berthoud Care and Rehabilitation | 8.9 mi | Berthoud, CO | ★★★★☆ | 4/5 | |
| Winding Trails Post Acute | 12.1 mi | Boulder, CO | ★★☆☆☆ | 1/5 | |
| Good Samaritan - Loveland Village | 13.2 mi | Loveland, CO | ★★★☆☆ | 2/5 | abuse |
| Boulder Post Acute | 13.4 mi | Boulder, CO | ★★★★☆ | 3/5 | |
| Boulder Canyon Health and Rehabilitation | 14.1 mi | Boulder, CO | ★★★★☆ | 4/5 | |
| Frasier Meadows Health Care Center | 14.1 mi | Boulder, CO | ★★★★★ | 4/5 | |
| Green House Homes at Mirasol, the | 14.5 mi | Loveland, CO | ★★★★★ | 4/5 | |
| Coal Creek Post Acute & Assisted Living | 14.6 mi | Lafayette, CO | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 065226.