Based on observations, record review and interviews, the facility failed to ensure the self-administration of medications was clinically appropriate for one (#12) of one resident out of 26 sample residents. Specifically, the facility failed to ensure an assessment was completed to determine whether the self-administration of medications was clinically appropriate for Resident #12.Findings include:I. Facility policy and procedureThe Resident Self Administration Medication dated 4/11/25, was provided by the corporate nurse consultant on 7/23/2026 at 1:30 p.m. It read in pertinent part, The facility policy is to support each resident's right to self-administer medication. …
F554 citations in Colorado
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F554 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F554 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.
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 1.07× |
| 2024 | 0.60% | 1.09× |
| 2025 | 0.45% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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