F624 in Colorado. Pick another state for the same tag.
Against expectation — 2024
Colorado cites F624 more often than its own record predicts
Versus expected share1.26×
1.26 times the share F624 takes of citations nationally.
Share of Colorado citations0.15%
Of every deficiency written in Colorado in 2024, this is the portion that was F624.
Colorado0.15%
National0.12%
Share of all citations that were F624.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F624 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, isolatedMay 23, 2018
Based on interview and record review, the facility failed to ensure a safe transfer of one (#3) of three residents reviewed for transfers.
Specifically, the facility failed to ensure Resident #3 received a timely and an appropriate level of transportation to the hospital. The resident waited for several hours for transfer, during which time he demonstrated a decrease in his ability to communicate and additional lethargy. The resident was transferred via non-emergent, non-medical transport, during which time he further decompensated; he was found unconscious and non-responsive by hospital personnel outside at the ambulance bay.
Following the incident, the facility initiated a performance improvement plan (PIP) to address the concerns. …
D · No harm, potential for more than minimal, isolatedJuly 29, 2024
Based on record review and interviews, the facility failed to provide and document sufficient preparation and orientation for one (#2) of three residents out of 21 sample residents to ensure a safe discharge from the facility.
Specifically, the facility failed to:
-Provide Resident #2 and his representative with the correct information regarding the resident's nutritional and tube feeding needs when the resident was discharged ;
-Provide Resident #2 and his representative with discharge education or training related to the resident's feeding tube; and,
-Provide Resident #2 and his representative with a discharge summary and discharge instructions in a language they understood.
Findings include:
I. …
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