Based on record review and interviews, the facility failed to ensure an appropriate facility-initiated discharge procedure was followed for one (#105) of two residents reviewed for discharge out of 31 sample residents. Resident #105, who had a diagnosis of rheumatoid arthritis, anxiety disorder, depression, attention-deficit hyperactivity disorder and chronic pain, was admitted to the facility on [DATE] and involuntarily discharged to a homeless shelter on 2/20/24. The facility failed to provide preparations for a safe and orderly facility-initiated discharge or provide a reason for the discharge. Resident #105 began discharge planning with the facility on 1/11/24 during a care conference where his stated goal was to discharge to an assisted living facility (ALF). …
F622 citations in Colorado
Transfer and discharge · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F622 less often than its own record predicts
0.96 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F622.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F622 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 interviews and record review, the facility failed to initiate an appropriate facility-initiated discharge for one (#58) of three residents reviewed for appropriate discharge out of 32 sample residents. Specifically, the facility failed to: -Complete an assessment with attempted interventions prior to giving the resident a discharge notice; and, -Ensure there was a documented basis from the physician that the resident's needs could not be met and discharge was necessary. Findings include: I. Resident #58 A. Resident status Resident #58, age [AGE], was admitted on [DATE]. According to the March 2025 computerized physician orders (CPO), diagnoses included unspecified dementia and hydrocephalus (build up of liquid on the brain). …
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2024 | 0.52% | 1.64× |
| 2025 | 0.11% | 0.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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