Boulder Community Health
An acute care hospital in Boulder, Colorado 80304
4747 Arapahoe Avenue, Boulder, Colorado 80304. (303) 440-2273.
- Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 1 deficiency cited in the last three years (needs attention)
- 181 beds
Each figure’s source sits beside it, in its section below.
What these words mean4
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
The last inspection on record was on Jul 6, 2026: a complaint inspection.
1 deficiency cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Nov 2024. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Nov 14, 2024: complaint inspection1 deficiency
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Compliance With Laws
The inspectors’ words, 614 words
“COMPLIANCE WITH LAWS CFR(s): 482.11 Compliance with Federal, State and Local Laws This Condition is not met as evidenced by: 48269 Based on the manner and degree of the standard level deficiency referenced to the Condition, it was determined the Condition of Participation §482.11 Condition of Participation: Compliance with Federal, State, and Local Laws, was out of compliance. A-0020 Condition of Participation: Compliance with Federal, State and Local Laws. Based on document review and interviews, the facility failed to ensure state law requirements were met. Specifically, the facility failed to ensure state regulations for patient event reporting were met. Findings include: Policy: The Events Reportable to the State policy read, its purpose was to ensure timely reporting of all reportable occurrences, as required by the Colorado Department of Public Health and Environment (CDPHE). The facility will report all reportable occurrences within one business day following a reportable occurrence. Reportable occurrences include unexplained deaths, brain injuries, spinal cord injuries, life-threatening complications of anesthesia, life-threatening transfusion errors/reactions, severe burns, missing persons, physical abuse, verbal abuse, sexual abuse, neglect, misappropriation of property, diverted drugs, and malfunction/misuse of equipment. Risk Management in consultation with others, including legal counsel, determines whether an event is a reportable occurrence. Risk Management or designee submits all reportable occurrences through the Colorado Health Facilities Web Portal or by contacting CDPHE directly. An initial report will be submitted within one business day of the occurrence and final reports will be submitted within five days of the initial report. Risk Management works with CDPHE to ensure that all requested follow-up information is provided timely. Reference: The Health Facilities and Emergency Medical Services Division (HFEMSD) Occurrence Reporting Manual read, any occurrence that results in any of the following serious injuries to a patient: life-threatening complications of anesthesia. Section 25-1-124-(2)(b)(II), C.R.S. Two elements are needed: the occurrence (event) as a result of anesthesia and life-threatening complication/reaction. 1. The facility failed to ensure life-threatening complications of anesthesia were reported to the state agency as an occurrence. A. Document review i. Patient #2’s medical record was reviewed. On 2/26/24 at 1:40 p.m., Patient #2 received medication for the induction of anesthesia. Patient #2 suffered a cardiac arrest (a condition where the heart stops beating unexpectedly, preventing blood from circulating properly and reaching the brain and other organs) during airway intubation (a medical procedure that involves inserting a tube into a patient’s airway to help them breathe). A code blue (an emergency call used to alert staff to help with a medical emergency, usually cardiac and/or respiratory arrest) was called and Patient #2 was resuscitated. Patient #2 sustained an anoxic brain injury and passed away six days later. ii. A review of the Events Reportable to the State policy read, the facility will report all reportable occurrences within one business day following a reportable occurrence. Reportable occurrences included life-threatening complications of anesthesia. iii. A review of the HFEMSD Occurrence Manual, referenced above, revealed serious injuries to a patient, such as life-threatening complications of anesthesia, were to be reported to the state agency. iv. A review of the state agency’s occurrence reporting database on 11/12/24 (more than eight months after Patient #2’s event) revealed no occurrences had been reported concerning the life-threatening complications of anesthesia which resulted in serious harm and death to Patient #2. B. Interview i. On 11/14/24 at 2:58 p.m., an interview was conducted with the director of risk management (Director) #1. Director #1 stated events listed in the state agency occurrence manual were required to be reported to the state agency. Further, Director #1 stated Patient #2’s life-threatening complications of anesthesia had not been reported to the state agency as required by facility policy and state regulations.”
All 5 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 6, 2026 | Complaint inspection | No deficiencies cited |
| Jan 7, 2026 | Complaint inspection | No deficiencies cited |
| Sep 23, 2025 | Complaint inspection | No deficiencies cited |
| Nov 14, 2024 | Complaint inspection | 1 deficiency cited |
| Mar 13, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 8; safety of care, 1 better and 1 worse of 7; readmission, 3 better and 0 worse of 9.
- Patients rate it 4 of 5 in CMS’s patient survey (1,171 surveys completed, Oct 1, 2024 to Sep 30, 2025): 77% rated it 9 or 10 out of 10, and 81% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 9.5%, heart failure 7.5%, pneumonia 10.7%, COPD 8.7%, stroke 12.3%, heart bypass surgery 1.9%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.2%, heart failure 17.9%, pneumonia 15.8%, COPD 19.4%, heart bypass surgery 9%, hip or knee replacement 6.4%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 135 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 56% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.92 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Medicare payment reduction (HAC Reduction Program) | Fiscal year 2026: 1% of Medicare payments |
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
- 95% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- 35 owners or officers are people: Perla Delgado (corporate officer); Robert Yates (corporate officer); Phillip P Distefano (corporate officer); Grant Besser (corporate officer, 0%); Grant Besser (managing employee (on the payroll), 0%); Alyssa S Carlson (corporate officer); Alyssa S Carlson (managing employee (on the payroll)); George Karakehian (corporate officer); Elizabeth Cook (corporate officer); Susan Connelly (corporate officer); Lawrence Novissimo (corporate officer, 0%); Lawrence Novissimo (managing employee (on the payroll), 0%); William A Munson (corporate officer); William A Munson (managing employee (on the payroll)); Diana Verrilli (corporate officer); Jay Pekarek (managing employee (on the payroll)); Teresa Cole (corporate officer, 0%); Teresa Cole (managing employee (on the payroll), 0%); Robert J Vissers (corporate officer); Robert J Vissers (managing employee (on the payroll)); John T Greff (corporate officer); Doug Abel (corporate officer); Valerie E Lipetz (corporate officer); Joel R Montbriand (corporate officer); John Fleagle (corporate officer); Deborah S Lund (corporate officer); Jackie Attlesey-Pries (corporate officer, 0%); Jackie Attlesey-Pries (managing employee (on the payroll), 0%); Chris Hazlitt (corporate officer); Mardi Moore (owns 5% or more directly); Mardi Moore (corporate officer); Sarah E Meshak (corporate officer, 0%); Sarah E Meshak (managing employee (on the payroll), 0%); Nancy Stevens (owns 5% or more directly); Nancy Stevens (corporate officer).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- Of the 6 hospitals CMS lists in Boulder County, 5 have an overall star rating from CMS: 1 rated 5 of 5, 3 rated 4 of 5, 1 rated 3 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Longmont United Hospital | 3 |
| Adventhealth Avista | 4 |
| Good Samaritan Medical Center LLC | 4 |
| Longs Peak Hospital | 5 |
| Centennial Peaks Hospital | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.