Based on record review and interviews, the facility failed to notify the resident's responsible party after a fall for one (#1) of three residents out of five sample residents. Specifically, the facility to notify the resident's responsible party when Resident #1 had a fall.Findings include:I. Facility policy and procedureThe Incident and Reportable Event Management policy and procedure, revised 2/24/26, was provided by the nursing home administrator (NHA) on 8/19/26 at 4:35 p.m. It read in pertinent part,A fall is an unintentional change in position coming to rest on the ground, floor or onto the next lower surface.The licensed nurse should create an event note and include the notification of the family or responsible party.II. Resident #1A. …
F580 citations in Colorado
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F580 less often than its own record predicts
0.76 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F580 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 | 0.76% | 0.53× |
| 2024 | 0.45% | 0.29× |
| 2025 | 1.12% | 0.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction