Frasier Meadows Health Care Center
4950 Thunderbird Dr, Boulder, CO 80303
Frasier Meadows Health Care Center, a 54-bed non profit - church related nursing facility in Boulder, CO, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3034998412
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- 4.83
- Well above average · nurse hrs/day · nat'l 3.89
- 7
- Inspection findings · 2 serious
- $49K
- Federal penalties (3)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 065324
- Ownership
- Non profit - Church related
- Provider Type
- Medicare and Medicaid
- Beds
- 54
- Residents
- 49
- In Hospital
- No
- County
- Boulder
- Last Inspection
- Apr 16, 2024
Staffing Data
How the 4.83 total nursing hours per resident-day are staffed:
- RN Hours
- 1.05 (nat'l avg: 0.68)
- LPN Hours
- 0.41
- CNA Hours
- 3.37
- Total Nursing Hours
- 4.83 (nat'l avg: 3.89)
- PT Hours
- 0.04
- Nursing Turnover
- 24.1%
- RN Turnover
- 35.7%
What the CMS Record Reveals About Frasier Meadows Health Care Center
Frasier Meadows Health Care Center operates 54 certified beds in Boulder, CO with approximately 49 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 5★).
The inspection file contains 7 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 3 times by CMS, for a combined $49K. Per resident day, this facility reports 4.83 total nursing hours (national average 3.89) and 1.05 RN hours.
Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Frasier Meadows Health Care Center falls into a category where comparative context matters. Reported nursing turnover at this facility is 24.1%, within a range generally associated with stable care teams.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (7 most recent)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: May 9, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 15, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Jan 15, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 16, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 5, 2021
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 1, 2021
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 24, 2021
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.3% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.8% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.8% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.5% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 5.7% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 19.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.4% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 92.5% | No |
Penalty History 3 penalties totaling $49K
| Date | Type | Amount |
|---|---|---|
| Apr 16, 2024 | Fine | $22K |
| Oct 30, 2023 | Fine | $14K |
| Sep 11, 2023 | Fine | $14K |
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Understanding Nursing Home Data
Frequently Asked Questions
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When was Frasier Meadows Health Care Center last inspected?
What quality measures are tracked for Frasier Meadows Health Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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