Based on observations, record review and interviews, the facility failed to provide reasonable accommodations necessary to accommodate mobility and accessibility in the resident's environment for one (#8) of three residents reviewed for accommodation of needs out of 26 sample residents.Specifically, the facility failed to ensure Resident #1, who relied on bedside bed rails and transfer poles for mobility, had appropriate accommodations after the facility removed all bedside bed rails and transfer poles from the resident's room.Findings include:I. Facility policy and procedureThe Use of Assistive Devices policy, revised 6/15/26, was provided by the corporate nurse consultant on 7/23/26 at 3:15 p.m. …
F558 citations in Colorado
Accommodation of needs · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F558 less often than its own record predicts
0.30 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F558.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F558 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.
Bases on observations, interviews, and record review, the facility failed to accommodate the needs of four ( #13, #26, #28, # 29) residents out of 59 sample residents. Specifically, the facility failed to ensure the call light was within reach of the residents who were able to use it. Findings include: I. Facility Policy: Answering Call Lights: General guidelines include: When a resident is confined to a chair or bed, be sure the call light is within easy reach of the resident. II. Failure to ensure resident call lights were within easy reach A. Residents 1. Resident #13, age 57, was admitted to the facility on [DATE], according to the admission record/face sheet. [DIAGNOSES REDACTED]. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 0.39× |
| 2024 | 0.22% | 0.20× |
| 2025 | 0.34% | 0.30× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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