Based on record review and interviews, the facility failed to revise and implement an effective discharge plan for one (#4) of three residents reviewed for discharge planning out of 16 sample residents.Specifically, the facility failed to document the discharge planning process, complete the discharge summary and follow up after Resident #4 discharged in order to ensure services were in place.Findings include:I. Facility policy and procedureThe Transfer or Discharge policy and procedure, revised March 2025, was provided by the nursing home administrator (NHA) on 8/20/26 at 11:38 a.m. …
F628 citations in Colorado
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F628 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 F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F628 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.
What else Colorado surveyors cite →
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