Accel at Longmont Health and Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Accel at Longmont Health and Rehab, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF627Jul 27, 2026

  Based on record review and interviews, the facility failed to ensure one (#11) of six residents were provided the care and services necessary to ensure a safe discharge from the facility to the community out of 22 sample residents.Specifically, the facility failed to coordinate a safe discharge for Resident #11.On 4/12/26, the facility issued Resident #11 a one hour notice to pack her belongings and leave the facility due to an uninvestigated allegation that Resident #11 was providing other residents with opioids (a class of powerful drugs that carry a high risk of dependence and overdose). […]

• Immediate jeopardy, isolatedF684Mar 10, 2026

  Based on record review and interviews, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for one (#7) of three residents reviewed for change of condition assessments out of 25 sample residents.Resident #7, who was diagnosed with alcoholic polyneuropathy (nerve damage that causes pain, tingling, and numbness in the limbs), history of traumatic brain injury, congestive heart failure (CHF), type 2 diabetes mellitus, alcoholic cirrhosis of liver without ascites (liver disease without fluid in the abdomen), hypertension (high blood pressure), long term use of anticoagulants (blood thinners), and alcohol use with unspecified alcohol-induced disorder was admitted from the hospital to the facility on 7/17/25.Specifically,… […]

• Immediate jeopardy, isolatedF686Aug 29, 2024

  Based on interviews, record review, and observations, the facility failed to provide two of five residents (#85 and #140) out of 24 sample residents, with the timely and necessary treatment and services to prevent and manage facility-acquired deep tissue pressure injuries (DTI) that resulted in the development of infection and sepsis, and required hospitalization . Cross-reference F880 (Infection Prevention and Control), F882 (Infection Preventionist) and F867 (Quality Assurance and Performance Improvement). RESIDENT #85 Resident #85, who had a diagnosis of diabetes, kidney disease, and generalized muscle weakness, was admitted to the facility on [DATE] for rehabilitation and strengthening. […]

• Actual harm, isolatedF760Mar 10, 2026

  Based on record review and interviews, the facility failed to ensure that residents were free from significant medication errors for one (#9) of three residents reviewed for medication errors out of 25 sample residents.Resident #9 readmitted to the facility after being hospitalized from [DATE] to [DATE]. Upon return to the facility, the facility failed to ensure that metolazone (a diuretic), which was entered into the electronic medical record (EMR) as a daily scheduled order instead of as needed (PRN), was not administered to Resident #9. The resident received the medication scheduled daily over eight days instead of PRN (based upon a weight gain of five pounds (lbs) over baseline). […]

• Actual harm, isolatedF697Sep 11, 2025

  Based on observations, record review and interviews, the facility failed to provide an effective pain management regimen in a manner consistent with professional standards of practice, resident-centered care plans, and resident preferences for two (#15 and #42) of seventeen residents out of 36 sample residents.Specifically, the facility failed to:-Ensure Resident #15 was administered pain medication as ordered;-Implement effective interventions to prevent Resident #15 from running out of her medication; and,-Offer and administer scheduled and as-needed medication for pain as ordered for Resident #42.RESIDENT #15Resident #15 was admitted to the facility on [DATE] with a diagnosis of acute and chronic respiratory failure, schizoaffective disorder (mental illness), bipolar disorder (mental… […]