Based on observations and interviews, the facility failed to provide a functional, sanitary and comfortable environment for residents on one of two units.Specifically, the facility failed to:-Ensure the facility was free from excessive noise; and,-Ensure residents were provided with hand towels.Findings include:I. Failure to ensure the facility was free from excessive noiseA. Facility policy and procedure The Safe and Homelike Environment policy and procedure, revised 10/1/24, was provided by the regional clinical resource on 8/20/26 at 4:56 p.m. It read in pertinent part, The facility will create and maintain, to the extent possible, a homelike environment that de-emphasizes the institutional character of the setting. The facility will maintain comfortable sound levels in the facility. …
F584 citations in Colorado
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F584 less often than its own record predicts
0.69 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F584 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 observations, record review and interviews, the facility failed to provide a safe, sanitary, and comfortable homelike environment for one resident (#44) out of 32 total residents. Specifically the facility failed to: -Ensure Resident #44's bathroom was sanitary and safe for the resident to use Findings include: A Observations On 8/11/21 at 9:12 a.m., Resident #44 bathroom had a black substance on the base of the walls where it met the floor. The baseboards were stripped away from about 75 percent of the walls and had a black substance on one side of them. There were several wipes with the black substance in a pile with the baseboards. The floor had a black substance around the back and sides. …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 2.46% | 1.10× |
| 2024 | 2.02% | 0.95× |
| 2025 | 1.46% | 0.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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