Boulder Canyon Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Boulder Canyon Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 11, 2026

  Based on observations, record review and interviews, the facility failed to ensure residents were kept free from resident to resident physical abuse for one (#7) of five residents reviewed for abuse out of 11 sample residents.Specifically, the facility failed to protect Resident #7 from physical abuse by Resident #8. On 7/1/26, Resident #8 punched Resident #7 in the face multiple times. Resident #7 had severe cognitive impairments. After being punched by Resident #8, Resident #7 exhibited non-verbal signs of pain including being sad, frightened, frowning, negative vocalization with moaning and groaning. […]

• No harm, potential for more than minimal, widespreadF943Jul 20, 2021

  Based on record review and interview, the facility failed to ensure staff received training in dementia care. Specifically, the facility failed to ensure all nurses and certified nurse aides (CNAs) received dementia management training. Findings include: 1. Facility policy and procedure The facility policy on competency of nursing staff was requested during the survey from the nursing home administrator. The policy was not received by the time of the survey exit. 2. Training review The list of nurses and CNAs who received dementia management training was requested on 7/20/21 from the NHA. At 9:30 a.m. the director of nursing (DON) provided undated completed competencies for 18 staff members. […]

• No harm, potential for more than minimal, patternF921Jan 14, 2026

  Based on observations and interviews, the facility failed to provide a safe, sanitary, functional and comfortable environment for residents, staff and the public in three of four shower rooms.Specifically, the facility failed to ensure shower rooms were maintained in safe, sanitary and working condition.Findings include:I. Facility policy and procedureThe Safe, Homelike Environment policy, reviewed December 2025, was provided by the nursing home administrator (NHA) on 1/14/26 at 3:08 p.m. It read in pertinent part, In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment. […]

• No harm, potential for more than minimal, patternF923Jan 14, 2026

  Based on observations and interviews, the facility failed to ensure adequate outside ventilation by means of windows or mechanical ventilation in three out of four shower rooms.Specifically, the facility failed to ensure the ventilation fans in the shower rooms were operational.Findings include:I. Professional referenceAccording to the U.S. Department of Energy's Office of Energy Efficiency and Renewable Energy, April 2021, retrieved on 1/20/26 from https://docs.nrel.gov/docs/fy21osti/79150.pdf, Proper ventilation helps reduce the concentration of bioaerosols (bioaerosols consist of aerosols originated biologically such as metabolites, toxins, or fragments of microorganisms), which can be particularly important in nursing homes due to the presence of vulnerable adults. […]

• No harm, potential for more than minimal, patternF584Feb 6, 2024

  Based on observations and interviews the facility failed to provide a comfortable and homelike environment for the residents on three of five units in the facility. Specifically, the facility failed to: -Residents were provided with clean washcloths and hand towels in their rooms on the West, Flatiron and North units; and, -Ensure holes in the residents' bathroom doors and ceiling were fixed. Findings include: I. Facility policy and procedure The Safe and Homelike Environment policy, revised December 2020, was provided by the nursing home administrator (NHA) on 2/6/24 at 1:47 p.m. […]