Based on observations and resident and staff interviews, the facility failed to treat four (#1, #8, #11 and #12) of 13 sample residents, and residents who dined in the 900 unit dining room, with respect and dignity. Specifically, the facility failed to ensure: -Resident #1 was not left in a dark room alone and assisted with her lunch meal after having a bowel movement until her brief had been changed; -Resident #11 was not made to wait for 58 minutes to be transferred to bed after turning on her call light, having staff turn off her call light and complaining of pain while sitting in her wheelchair; -Residents were not called feeders in the 900 unit dining room; -Showers were not discussed for Resident #12 in the 900 unit dining room by a hospice certified nurse aide (CNA) in front of… …
F557 citations in Colorado
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Colorado cites F557 less often than its own record predicts
0.56 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2024, this is the portion that was F557.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F557 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.
Based on record review and interviews, the facility failed to ensure one (#69) of two residents reviewed for personal property out of 41 sample residents was able to retain their personal belongings. Specifically, the facility failed to receive consent from Resident #69 or his responsible party before disposing of his personal belongings after the resident was discharged to the hospital.Findings include:I. Resident #69A. Resident statusResident #69, age less than 65, was admitted on [DATE]. According to the February 2026 computerized physician orders (CPO), diagnoses included quadriplegia and systemic lupus. The [DATE] minimum data set (MDS) assessment documented the resident was cognitively intact with a brief interview for mental status (BIMS) score of 14 out of 15. B. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.33× |
| 2024 | 0.15% | 0.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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