F627 in Colorado. Pick another state for the same tag.
Against expectation — 2025
Colorado cites F627 more often than its own record predicts
Versus expected share1.44×
1.44 times the share F627 takes of citations nationally.
Share of Colorado citations0.45%
Of every deficiency written in Colorado in 2025, this is the portion that was F627.
Colorado0.45%
National0.31%
Share of all citations that were F627.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F627 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.
J · Immediate jeopardy, isolatedJuly 27, 2026
Based on record review and interviews, the facility failed to ensure one (#11) of six residents were provided the care and services necessary to ensure a safe discharge from the facility to the community out of 22 sample residents.Specifically, the facility failed to coordinate a safe discharge for Resident #11.On 4/12/26, the facility issued Resident #11 a one hour notice to pack her belongings and leave the facility due to an uninvestigated allegation that Resident #11 was providing other residents with opioids (a class of powerful drugs that carry a high risk of dependence and overdose). …
III. Resident #1
A. Resident status
Resident #1, age less than 65, was admitted on [DATE] and discharged home on [DATE]. According to the [DATE] CPO, diagnoses included multiple sclerosis (a disease that damages nerves and affects muscle control), muscle weakness and autistic disorder (developmental disorder).
The [DATE] MDS assessment revealed the resident was cognitively intact with a BIMS score of 15 out of 15. He required substantial assistance with ADLs.
The MDS assessment revealed the resident was going to stay at the facility for long term care.
B. Resident #1's representative interview
Resident #1's representative was interviewed on [DATE] at 10:30 a.m. The representative said Resident #1 discharged from the facility to home (on [DATE]). …
D · No harm, potential for more than minimal, isolatedJanuary 6, 2026
Based on record review and interviews, the facility failed to ensure one (#1) of four residents were provided the care and services necessary to ensure a safe discharge from the facility to the community out of 11 sample residents. Specifically, the facility failed to allow Resident #1 to return to the facility after an unplanned discharge to the hospital.Findings include: I. Resident #1 A. Resident status Resident #1, age greater than 65, was admitted on [DATE] and discharged to the hospital on [DATE]. According to the October 2025 computerized physician orders (CPO), diagnoses included dementia, respiratory failure, diabetes and asthma. …
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