F550 in Colorado. Pick another state for the same tag.
Against expectation — 2025
Colorado cites F550 less often than its own record predicts
Versus expected share0.89×
0.89 times the national share — cited less often here than elsewhere.
Share of Colorado citations1.91%
Of every deficiency written in Colorado in 2025, this is the portion that was F550.
Colorado1.91%
National2.13%
Share of all citations that were F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F550 findings written in Colorado, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedAugust 7, 2024
Based on record review and interviews the facility failed to ensure residents were treated with dignity and respect for three (#1, #12 and #9) of four residents out of 13 sample residents.
Resident #1, who was non-weight bearing on his right leg due to a broken ankle required staff assistance to transfer from his wheelchair to and from the toilet. According to Resident #1, certified nurse aide (CNA) #1 was rude to him when he requested assistance with transferring to the toilet and told him he could use the bathroom himself. CNA #1 did assist the resident onto the toilet, however when Resident #1 requested assistance to transfer back to his wheelchair after using the bathroom, CNA #1 entered the resident's room and refused to assist him. …
D · No harm, potential for more than minimal, isolatedAugust 13, 2026
Based on observations, record review and interviews, the facility failed to ensure residents in a manner and in an environment that maintains or enhances each resident's dignity and respect, in full recognition of his or her individuality for one (#5) of three residents reviewed out of seven sample residents. Specifically, the facility failed to ensure Resident #5 was treated with dignity and respect during incontinence.Findings include:I. Facility policy and procedureThe Promoting/Maintaining Resident Dignity policy, dated 4/11/25, was provided by the chief nursing officer on 8/12/26 at 11:00 a.m. …
B · No harm, potential for minimal, patternMarch 9, 2018
Based on resident and staff observations, interviews and record review, the facility failed to ensure care was provided for one of six residents in a manner and in an environment that maintains or enhances each resident's dignity and respect, in full recognition of his or her individuality.
Specifically, the facility failed to:
-ensure residents were not left in soiled clothing; and,
-ensure staff knocked before entering resident rooms.
The findings include:
I. Facility Observations
1.Resident #1 status
Resident #1 was observed on 3/8/18 at 10:02 a.m. sitting in her wheelchair in the hallway. The resident was wearing a blue sweatshirt and gray pants. …
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