F605 in Colorado. Pick another state for the same tag.
Against expectation — 2025
Colorado cites F605 more often than its own record predicts
Versus expected share2.39×
2.39 times the share F605 takes of citations nationally.
Share of Colorado citations1.68%
Of every deficiency written in Colorado in 2025, this is the portion that was F605.
Colorado1.68%
National0.70%
Share of all citations that were F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F605 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.
G · Actual harm, isolatedDecember 3, 2020
Based on interviews and record review, the facility failed to ensure one (#2) of two residents reviewed remained free from chemical restraints out of 14 sampled residents.
Specifically, the facility failed to implement effective person-centered behavior management interventions to prevent exit-seeking behaviors which resulted in Resident #2 experiencing a catastrophic reaction as evidenced by anger which caused aggression that led to Resident #2 injuring self and staff by self-directed responses of hitting, shoving, biting, and scratching the staff. Resident #2 was verbally aggressive by threatening to leave and wanting to call son, screaming, and cursing at staff. …
D · No harm, potential for more than minimal, isolatedJuly 15, 2026
Based on observations, record review and interviews, the facility failed to ensure residents were free from chemical restraints for two (#58 and #45) of six residents out of 25 sample residents. Specifically, the facility failed to: -Ensure Resident #58 and Resident #45 were offered non-pharmacological interventions prior to administering as-needed (PRN) antipsychotic medications; and, -Ensure Resident #58's representative consented to increasing the dose of an antipsychotic medication.Findings include: I. Facility policy and procedure The Psychotropic Medication Management policy, revised [DATE], was provided by the nursing home administrator (NHA) on [DATE] at 11:27 a.m. …
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